Rehabilitation Intervention Is Associated With Improved Neurodevelopment and Modulation of Inflammatory Molecules in Children With Cerebral Palsy.

Magalhães, Rafael Coelho; Filha, Roberta da Silva; Vieira, Érica Leandro Marciano; Teixeira, Antônio Lúcio; Moreira, Janaina Matos; Simões E Silva, Ana Cristina

Magalhães, Rafael Coelho; Filha, Roberta da Silva; Vieira, Érica Leandro Marciano; Teixeira, Antônio Lúcio; Moreira, Janaina Matos; Simões E Silva, Ana Cristina.

Afiliação

Magalhães RC; Department of Occupational Therapy, School of Physical Education, Physiotherapy and Occupational Therapy, Federal University of Minas Gerais (UFMG), Belo Horizonte, Minas Gerais, Brazil.
Filha RDS; Interdisciplinary Laboratory of Medical Investigation, Faculty of Medicine, UFMG, Belo Horizonte, Minas Gerais, Brazil.
Vieira ÉLM; Centre for Addiction and Mental Health, Toronto, Ontario, Canada.
Teixeira AL; Labatt Family Network, Toronto, Ontario, Canada.
Moreira JM; Neuropsychiatry Program, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Simões E Silva AC; Department of Pediatrics, Faculty of Medicine, UFMG, Belo Horizonte, Minas Gerais, Brazil.

J Child Neurol ; : 8830738241273436, 2024 Aug 28.

Article em En | MEDLINE | ID: mdl-39196287

ABSTRACT

ABSTRACT

AIM:

To evaluate the effects of systematic rehabilitation on both the neuropsychomotor development, and on the peripheral response from immunological and neuroplastic mediators in children with cerebral palsy.

METHODS:

This is a prospective cohort study with 90 children with cerebral palsy at 18 months of age. Sixty children received rehabilitation for 6 months, and they were compared to 30 children that were placed in the waiting list. Peripheral biomarkers and neuropsychomotor parameters were compared between the Rehab vs the Nonrehab groups at baseline and at 6 months.

RESULTS:

Results showed higher Bayley III scores in the Rehab group, with significant differences in inflammatory and neurotrophic biomarkers between groups. Rehabilitation was associated to decreased levels of IL-12p70, IL-6, IL-1ß, CXCL8 IL-8, and CXCL9/MIG and increased levels of BDNF and GDNF. Nonrehab children had stable immune molecule levels but decreased BDNF levels over time.