A intervenção da fisioterapia na síndrome de lennox-gastaut: relato de caso

Abstract

The syndrome Lennox-Gastaut syndrome (SLG) is one of the most serious epilepsy brain, it is a progressive disease beginning in childhood period. Among the treatments that assist in improving the quality of life of patient with SLG we have drug treatment and physiotherapy. This case study, observational and descriptive, aimed to analyze a patient's record with SLG, parents and friends of mentally disabled (APAE), in Goiânia, describing the intervention of the physiotherapeutic treatment of the year 2002 by the year 2012, showing its development and evolution in the engine. The analysis of records showed that the patient had initially marked delay in development, having low neuropsychomotor head support when reclined on her lap. Also presented salivary incontinence. When stimulated with sound was unmistakably the head objects, as if directing the look or the hearing, to location on the sound source. Did not follow Visual stimuli. Couldn't sit with support, could perform more changes of decubitus. Showing good movement of the upper limbs (MMSS) and (LL) when I was in lateral decubitus, and movements are reflexes (apprehensive tone occasionally was low). Presented with good potential to be worked in physiotherapy service. The results revealed that the patient had trunk control gain, postural changes, maintenance of posture sitting, therapeutic ortostatism, among others. These are actions that show their evolution, which are impossible to be achieved without the work of strengthening, weight exhaust, proprioception and balance, all worked during the sessions. Thus it was possible to conclude that the intervention of the physiotherapy is essential for the patient with Lennox-Gastaut syndrome, as it brings an improvement in engine development.