A avaliação Neurológica e de Desenvolvimento Motor visa verificar todos os sintomas de base neurológica que influenciam na capacidade funcional do paciente, em conjunto deve ser verificado o grau de habilidade motora do paciente, assim podemos unir as informações para compreender a origem de um determinado comportamento motor.
Aspectos Neurológicos e de Desenvolvimento Motor: habilidades motoras do paciente (controle cervical e de tronco, formas de deslocamento, equilíbrio, alcance, preensão, tônus, presença de reflexos primitivos e/ou patológicos, movimentação involuntária, exame de derme e sensibilidade, capacidade cognitiva e de comunicação.
A avaliação da capacidade funcional do paciente é fundamental para a eleição do modelo de cadeira de rodas e para a prescrição das adaptações que serão realizadas na cadeira.
Por exemplo, um paciente sem controle cervical pode ter indicação de uma cadeira com regulagem de Tilt. Um paciente sem controle de tronco nem equilíbrio em sentado pode ter indicação de apoios de tronco. Um paciente com bom controle cervical e de tronco e boa coordenação e força em membros superiores pode ter indicação de uma cadeira que permita a auto-locomoção.
Enfim, compreender o comportamento motor é fundamental para uma prescrição correta.
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