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A musicoterapia na reabilitação de crianças com paralisia cerebral: uma revisão de escopo
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Abstract(s)
A paralisia cerebral constitui uma das principais causas da neurodeficiência infantil mundial, devido a complexidade dos distúrbios motores, funcionais, cognitivos e emocionais que ela provoca nas crianças. A reabilitação dessas crianças requer abordagens centrada numa avaliação integral e nesse contexto a musicoterapia surge como uma técnica complementar de reabilitação que pode enriquecer os planos de cuidados devido ao seu carater inovador e promissora na neuroreabilitação infantil.
Objetivo: Mapear as evidências científicas sobre a musicoterapia na reabilitação de crianças com paralisia cerebral.
Métodos: Trata-se de uma revisão de escopo utilizando as diretrizes da JBI (Joanna Briggs Collaboration). As bases de dados utilizadas na pesquisa foram a MEDLINE e a Scopus, a literatura cinzenta foi feita no RCAAP (Repositório Científico de Acesso Aberto de Portugal) e no NDLTD (Networked Digital Library of Theses and Dissertations). Foram considerados estudos da musicoterapia em crianças até 12 anos em contexto de reabilitação. Os estudos incluídos foram em português e inglês sem limite de tempo.
Resultados: Foram identificados 100 estudos no total, após triagem e seleção 8 estudos foram inclusos na análise. Os principais achados foram as melhorias motoras e funcionais, o desenvolvimento cognitivo, comunicação e atenção, o impacto emocional e comportamental, qualidade de vida e relações familiares.
Conclusão: A musicoterapia revela-se uma intervenção eficaz e multifacetada na reabilitação de crianças com paralisia cerebral. Apesar das limitações metodológicas dos estudos disponíveis, os resultados sustentam o seu uso como recurso complementar. O enfermeiro de reabilitação pode ter um papel fundamental na integração e adaptação dessa abordagem, especialmente em contextos com recursos limitados, como Cabo Verde.
Cerebral palsy is one of the main causes of childhood neurodisability worldwide, due to the complexity of the motor, functional, cognitive and emotional disorders it causes in children. The rehabilitation of these children requires approaches centered on a comprehensive assessment and in this context, music therapy emerges as a complementary rehabilitation technique that can enrich care plans due to its innovative and promising character in childhood neurorehabilitation. Aim: To map the scientific evidence on music therapy in the rehabilitation of children with cerebral palsy. Methods: This is a scoping review using the JBI (Joanna Briggs Collaboration) guidelines. The databases used in the research were MEDLINE and Scopus, the gray literature was searched in RCAAP (Open Access Scientific Repository of Portugal) and NDLTD (Networked Digital Library of Theses and Dissertations). Studies of music therapy in children up to 12 years old in a rehabilitation context were considered. The studies included were in Portuguese and English with no time limit. Results: A total of 100 studies were identified after screening and selection, and only 8 were included in the analysis. The main findings were improvements in motor and functional aspects, cognitive development, communication and attention, emotional and behavioral impact, quality of life and family relationships. Conclusion: Music therapy has proven to be an effective and multifaceted intervention in the rehabilitation of children with cerebral palsy. Despite the methodological limitations of the available studies, the results support its use as a complementary resource. Rehabilitation nurses can play a key role in integrating and adapting this approach, especially in resource-limited settings like Cape Verde.
Cerebral palsy is one of the main causes of childhood neurodisability worldwide, due to the complexity of the motor, functional, cognitive and emotional disorders it causes in children. The rehabilitation of these children requires approaches centered on a comprehensive assessment and in this context, music therapy emerges as a complementary rehabilitation technique that can enrich care plans due to its innovative and promising character in childhood neurorehabilitation. Aim: To map the scientific evidence on music therapy in the rehabilitation of children with cerebral palsy. Methods: This is a scoping review using the JBI (Joanna Briggs Collaboration) guidelines. The databases used in the research were MEDLINE and Scopus, the gray literature was searched in RCAAP (Open Access Scientific Repository of Portugal) and NDLTD (Networked Digital Library of Theses and Dissertations). Studies of music therapy in children up to 12 years old in a rehabilitation context were considered. The studies included were in Portuguese and English with no time limit. Results: A total of 100 studies were identified after screening and selection, and only 8 were included in the analysis. The main findings were improvements in motor and functional aspects, cognitive development, communication and attention, emotional and behavioral impact, quality of life and family relationships. Conclusion: Music therapy has proven to be an effective and multifaceted intervention in the rehabilitation of children with cerebral palsy. Despite the methodological limitations of the available studies, the results support its use as a complementary resource. Rehabilitation nurses can play a key role in integrating and adapting this approach, especially in resource-limited settings like Cape Verde.
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Keywords
Musicoterapia Reabilitação Paralisia cerebral