THE EFFECTIVENESS OF CONTENTION-INDUCED THERAPY ON THE MOTOR DEVELOPMENT OF CHILDREN WITH CEREBRAL PALSY – LITERATURE REVIEW

Abstract

Cerebral Palsy (CP) is also known as chronic encephalopathy, being a condition characterized by definitive and non-progressive changes in the central nervous system (CNS), leading to deficiencies in motor control and postural stability. It is the main cause of deficits during childhood, with an occurrence of approximately two cases for every thousand births in developed countries (SOUZA JDS, 2023; FERRAZ PCS). This research addresses the effectiveness of Induced Restraint Therapy (TCI) and the importance of its applicability in children with Cerebral Palsy (CP), focusing on its influence on motor and functional development. This study aimed to describe the analysis of the effectiveness of ICT in the motor development of children with CP through an integrative literature review, with an exploratory nature and a qualitative approach. The methodology consisted of searching and analyzing studies published in the last five years in scientific databases such as Physiotherapy Evidence Database (PEDro), National Library of Medicine (MEDLINE/PubMed) and Scientific Electronic Library Online (SciELO), PEDro, MEDLINE/PubMed and SciELO. . The study was developed following the purposes of Evidence-Based Practice (EBP) through an overview of the subject in scientific literature. A detailed analysis of the seven studies used as a basis for preparing this work was carried out. Studies of different types were identified, including systematic review, randomized trial, systematic review and meta-analysis, non-randomized controlled trial and single-blind randomized controlled clinical trial, which sought to describe, investigate and evaluate the protocol in children with CP. The results of the study indicate that ICT, especially when associated with strategies based on ADL's, presents itself as a relevant intervention with the potential to benefit children with hemiplegia, promoting not only functional improvements, but also an approach that considers social and emotional aspects. which are essential for the inclusion and well-being of children and their families. The role of the physiotherapist was highlighted as important, as this professional is responsible for adapting the protocol to the individual needs of the children, ensuring adherence to the intervention and improving results. The research also reinforces the importance of multidisciplinary strategies and the active participation of the family in the therapeutic process, showing that the success of ICT is associated with the integration of clinical, social and emotional factors. This study contributes to the literature by consolidating the effectiveness of ICT as an innovative and essential approach in the management of children with CP, providing support for clinical practice and directing future investigations into evidence-based interventions.