Perspectives in the nurse's evaluation of osteotendinous reflexes in malformations of the central nervous system and medullary canal

Abstract

Objectives: the objectives of the study are to characterize maternal, obstetric, perinatal and those intrinsic to the newborn risk factors, which are related to conditions that may favor maternal and obstetric risk characteristics, such as inadequate prenatal care. Method: integrative literature review studies. Muscle strength can be assessed through voluntary movement of the joints, or through deformities in children, since they occur due to imbalance between agonist and antagonist muscles. Results: the determination of the neurological level in myelomeningoceles is important to determine the degree of muscle imbalance around the large joints, aiming to guide their prevention and treatment, both through the use of orthoses and physiotherapy, as well as corrective orthopedic surgeries; and evaluate bladder and bowel function. Conclusion: care should be understood in the context of a multidisciplinary follow-up of patients with intrauterine diagnosis of myelomeningocele by ultrasound.