RESUMO
Fundamentos: Crianças com cardiopatia congênita têm maior risco de apresentar atraso no seu desenvolvimento, po risso devem estar inseridas em programas de vigilância e avaliação para identificação desses riscos e intervenção precoce. Objetivo: Verificar a relação entre alterações no desenvolvimento de habilidades motoras e cardiopatias congênitas presentes em crianças. Métodos: Estudo transversal, de abordagem quantitativa, com 30 crianças, de ambos os sexos, portadoras de cardiopatia congênita. Utilizou-se a Escala do desenvolvimento motor para a avaliação das habilidades motoras. Resultados: As habilidades motoras avaliadas encontravam-se significativamente abaixo do nível normal médio (p<0,05). Três aspectos do desenvolvimento motor revelaram importante risco ao desenvolvimento: esquema corporal, organização espacial e organização temporal. Conclusão: Observou-se relação entre alterações no desenvolvimento de alguns aspectos motores e a presençade cardiopatia congênita. Torna-se imprescindível a avaliação do desenvolvimento motor desde a primeira infância, considerando as interferências do diagnóstico clínico e a necessidade do acompanhamento para vigilância do desenvolvimento e possíveis intervenções precoces.
Background: Children with congenital heart disease have a higher risk of presenting delay in development. This is why they must attend monitoring and assessment programs to identify such risks and for an early intervention. Objective: To assess the relationship between changes in the development of motor skills and congenital heart defects in children. Methods: Cross-sectional study with a quantitative approach involving 30 children of both sexes, with congenital heart disease. The motor development scale was used for the assessment of motor skills. Results: The motor skills assessed were found to be significantly below the normal average level (p<0.05). Three aspects of motor development revealed significant risk to development: body scheme, spatial organization and temporal organization. Conclusion: There was an association of abnormalities in the development of some motor aspects and the presence of congenital heart disease. It is essential to assess motor development from early childhood, considering the interference of clinical diagnosis and the need to monitor the development and any early intervention that may be required.
Assuntos
Humanos , Masculino , Feminino , Criança , Criança , Desenvolvimento Infantil , Cardiopatias Congênitas/diagnóstico , Destreza Motora , Doenças Cardiovasculares , Fatores Culturais , Estudos Transversais/métodos , Fatores de Risco , Fatores Socioeconômicos , Interpretação Estatística de Dados , Terapia Ocupacional/métodosRESUMO
PURPOSE: To develop, implement and validate an instrument for assessing the functional and social performance of young male adults with lower limb amputees based on the international classification of functionality, incapacity, and health. METHODS: Developed the instrument, the items were grouped into domains (organic aspects - OA, daily activities - DA, performance components - PC, social participation - SP and environmental factors - EF) for statistical analysis. The implementation of the instrument was filmed for validation. Four assessors watched the films on two occasions and gave scores. Intra-class correlation was used to evaluate intra- and inter-rater reproducibility and to the internal consistency was calculated by Cronbach's alpha and the criterion validity was assessed by Student's t-test and the Mann-Whitney U-test. RESULTS: The results showed good reliability in the scores for OA, DA, PC and SP domains and a reasonable reliability for the EF domain. The differences between assessors performed by the analysis of variance were not significant. The reliability intra-rater, performed through the test-retest method, showed in all domains high levels of intra-rater correspondence. CONCLUSIONS: The results show the validity and reliability of DSF-84 to young male adults with amputation of the lower limb, being useful for this population. IMPLICATIONS FOR REHABILITATION: In this study have been developed, implemented, and validated an instrument (DSF-84) for assessing the functional and social performance of young male adults with lower limb amputees based on the ICF. The results show the validity and reliability of DSF-84 to young male adults with amputation of the lower limb, being useful for this population.
