Desempenho da marcha nos diferentes ambientes em pacientes com paralisia cerebral níveis ii e iii

Introduction: Cerebral palsy is a predominantly sensorimotor disorder that involves disorders of muscle tone, posture, and voluntary movements, caused by non-progressive brain injuries. This health condition significantly interferes with the child's interaction in relevant contexts, which influences the acquisition and performance of basic motor milestones, as well as the daily routine activities. It is also known that the stimuli given to patients are extremely important for neuropsychomotor development, and they can act as facilitating or limiting functionality. Objective: To evaluate the performance of gait in different environments in patients with Cerebral Palsy levels II and III. Methodology: 17 patients of level II and 42 patients of level III participated in the study in the physiotherapy sector of AACD- Ibirapuera, classified in levels II and III of the Gross Motor Function Classification System - Expanded & Revised (GMFCSE&R). Then, the Functional Mobility Scale was applied by the physiotherapist responsible for the care of each patient. Results: Level III had a worse quality of locomotion in comparison to level II, changing significantly to lower scores with the increase in the distances covered, due to its greater functional limitation. Conclusion: Level II is better functionally compared to level III, for all distances covered, as they have less functional limitation, thus having a better functional performance.