Artigo Produção Nacional Revisado por pares

Classification of Congenital Zika Syndrome: Muscle Tone, Motor Type, Body Segments Affected, and Gross Motor Function

2021; Taylor & Francis; Volume: 24; Issue: 5 Linguagem: Inglês

10.1080/17518423.2020.1866706

ISSN

1751-8431

Autores

Janiele de Sales Tavares, Gabriela Lopes Gama, Márcia Cristina Dias Borges, Agda Cristina de Sousa Santos, Jousilene de Sales Tavares, Melânia Maria Ramos Amorim, Adriana Suely de Oliveira Melo,

Tópico(s)

Cerebral Palsy and Movement Disorders

Resumo

Aim: To identify abnormalities in muscle tone and motor function associated with congenital Zika syndrome (CZS).Method: A cross-sectional observational study involving 96 children (55 males) with CZS at a mean (SD) age 35.2 ± 2.9 months. Children's muscle tone was investigated using the pull to sit, scarf sign, shoulder suspension and ventral suspension tests and the modified Ashworth scale (MAS). Motor impairment was determined using the Gross Motor Function Classification System (GMFCS) and body segments most affected with motor impairment.Results: 58 (60,5%) children tested positive for ≥1 maneuver used to evaluate muscle tone, while 38 (39.5%) tested negative in all the tests. MAS score was >0 for at least one of the appendicular muscles in 91 children (94.8%). In 88 children (91.7%), all four limbs were affected.Conclusion: Findings suggestive of axial hypotonia and appendicular hypertonia associated with severe motor impairment were prevalent in children with CZS.

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