Cerebral palsy describes a group of alterations in the development of movement and posture, caused by non-progressive alterations of the brain during fetal development or in infancy, which cause a limitation of activity (disability). Motor alterations are frequently accompanied by sensory, cognitive, communication, perception and / or behavioral disturbances and / or seizures.
One of the difficulties that we face with users with cerebral palsy is to position them correctly and comfortably. When we consider the possibility of testing a positioning system consisting of a mattress formed by chipped viscoelastic material, we consider it interesting to verify its clinical use in a real context. The object of this experience is to detect and analyze the effects, both positive and negative, as well as possible improvements of this positioning system.
MATERIALS AND METHOD
Four-week experience in daily one-hour positioning sessions. We selected three people with cerebral palsy, in the form of spastic tetraparesis. Two of them have intellectual disabilities (one with profound mental retardation and one with mild mental retardation). The third presents conserved intelligence. One of them also has cervical dystonia. Different scales and records were used for the evaluation of the effects: Modified Ashworth Scale, Visual Analog Scale, postural records of own elaboration and a personal interview. The scales and records were passed before and after the first positioning session and before and after the last one.
Postural hygiene records show that all three users were relaxed during the positioning sessions, remaining in position during the set time. There is a notable increase in sweating on the body surface in contact with the material and the impossibility to perform the autonomic postural change from supine to lateral decubitus. The Modified Ashworth Scale shows a minimal reduction of muscle tone following an irregular pattern in different muscle groups. In relation to the Visual Analog Scale, this one registers a decrease of one degree in the subjective assessment of the intensity of the cervical pain in our user. The personal interview, reflects a high degree of satisfaction with comfort (being valued at 8 out of 10).