Publication: Detección temprana de alteraciones del desarrollo mediante la aplicación de la Pauta Breve de Derivación
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2017-08-11
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Redondo García, María de los Ángeles
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Universidad Complutense de Madrid
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El diagnóstico precoz de las alteraciones del desarrollo, especialmente en los primeros meses de vida, es difícil incluso para especialistas. Lo importante es poder sospechar los signos y síntomas sutiles de la parálisis cerebral infantil (PCI) antes de que se haga evidente la alteración, para de esta forma poder iniciar una intervención terapéutica adecuada. El análisis de la forma de movernos y el comportamiento es una de las herramientas para el examen neurológico. De forma progresiva el niño va consiguiendo unos determinados hitos o habilidades del desarrollo, hasta alcanzar el enderezamiento completo a la vertical, la locomoción bípeda, la prensión radial y el inicio del lenguaje hablado al final del 4º trimestre. Hay que destacar en clínica la contribución de Vojta al diagnóstico precoz de las alteraciones del desarrollo, añadiendo a la valoración de los reflejos primitivos, el análisis cinesiológico de la motricidad espontánea y la valoración cinesiológica de las reacciones posturales. Las reacciones posturales se pueden utilizar como cribado o screening postural para la detección de posibles alteraciones de la coordinación sensorio-motora...
An early diagnosis of developmental disorders, especially during the first few months of life, is complex, even for experts. It is important to detect the subtle signs and symptoms of childhood cerebral palsy (CCP) before the disorder becomes evident, in order to set in motion adequate therapeutic intervention. An analysis of behaviour and the way we move is one of the tools of the neurological examination. The child progressively reaches milestones or acquires developmental abilities, until she achieves a full standing posture, bipedal locomotion, a pincer grasp and begins to attempt spoken language at the end of the 4th trimester. We must highlight Votja’s contribution to the early diagnosis of developmental disorders in the surgery setting, with his addition of the kinesiological analysis of spontaneous movement and the kinesiological evaluation of postural reactions to the evaluation of primitive reflexes. Postural reactions can be used as postural screening to detect possible disturbances in sensory-motor coordination...
An early diagnosis of developmental disorders, especially during the first few months of life, is complex, even for experts. It is important to detect the subtle signs and symptoms of childhood cerebral palsy (CCP) before the disorder becomes evident, in order to set in motion adequate therapeutic intervention. An analysis of behaviour and the way we move is one of the tools of the neurological examination. The child progressively reaches milestones or acquires developmental abilities, until she achieves a full standing posture, bipedal locomotion, a pincer grasp and begins to attempt spoken language at the end of the 4th trimester. We must highlight Votja’s contribution to the early diagnosis of developmental disorders in the surgery setting, with his addition of the kinesiological analysis of spontaneous movement and the kinesiological evaluation of postural reactions to the evaluation of primitive reflexes. Postural reactions can be used as postural screening to detect possible disturbances in sensory-motor coordination...
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Tesis inédita de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Medicina Física y de Rehabilitación. Hidrología Médica, leída el 21/01/2016