Interven??o com um sistema digitalizado de assento e encosto para cadeira de rodas com adolescentes com paralisia cerebral grave: estudo de dois casos/Intervention with a digitalized seat and backrest system for a wheelchair with adolescent’s serious cerebral palsy: study of two cases

摘要

Introduction: Wheelchair is an assistive equipment that helps individuals with reduced mobility to compensate their physical limitations and increase their independence and autonomy in daily life. Objective: To describe the intervention involving a digitized wheelchair seat and backrest system with two adolescents with severe cerebral palsy and to report the caregivers' perception regarding the use of this system. Method: a descriptive study of two cases, with qualitative approach. The use of the digitized system was based on the evaluation, modeling, digitization of the modeled surface, machining, delivery of the final product and follow-up of six weeks. Instruments for characterization of the postural system before and after its use were applied, as well as a semi-structured interview script to assess the caregivers' perception of the intervention process. Results: Postural systems were prescribed by trained professionals, and the main dimensions of the wheelchair were modified, as well as accessories such as trunk support, seat belts and wheelchair table. The caregivers considered the wheelchair as equipment that assists in the occupational performance and participation of their adolescents. However, they presented difficulties related to the handling and physical structure of the wheelchair. Conclusion: The intervention had benefits for adolescents and their caregivers. Difficulties in performing daily activities with resources were pointed out, emphasizing the importance of professional monitoring and client-centered practice with the goal on their needs and demands.