Lílian de Fátima Dornelas

Desempenho de crianças pré-termo com muito baixo peso e extremo baixo peso segundo o teste Denver-II

Abstract Objectives: to evaluate the performance on theDenver II test of preterm children with very andextreme low weight from the Belo Horizonte/MGmetropolitan region.Methods: the children were selected as part of aprogram to monitor the development of children atrisk. The sample included 177 children, to whom theDenver II Test was applied at corrected ages of 4, 8,12, 18 and 24 months. The responses were compared(χ²) to data from a normative sample.Results: preterm children with very or extremelylow weight showed improved performance in the firstyear of life, although disadvantages began to emergeafter twelve months in relation to the normativeDenver II sample. The extremely low weight groupperformed the worst.Conclusions: there were differences in the patternof children’s responses compared to those of thenormative Denver II sample, and it is important tocarry out further studies of the validity of this test forthe Brazilian population. Key words Infant, premature, Infant, low birth weight,Child development, Denver II

Functional performance of school children diagnosed with developmental delay up to two years of age

Abstract Objective: To compare the functional performance of students diagnosed with developmental delay (DD) up to two years of age with peers exhibiting typical development. Methods: Cross-sectional study with functional performance assessment of children diagnosed with DD up to two years of age compared to those with typical development at seven to eight years of age. Each group consisted of 45 children, selected by non-random sampling, evaluated for motor skills, quality of home environment, school participation and performance. ANOVA and the Binomial test for two proportions were used to assess differences between groups. Results: The group with DD had lower motor skills when compared to the typical group. While 66.7% of children in the typical group showed adequate school participation, receiving aid in cognitive and behavioral tasks similar to that offered to other children at the same level, only 22.2% of children with DD showed the same performance. Although 53.3% of the children with DD achieved an academic performance expected for the school level, there were limitations in some activities. Only two indicators of family environment, diversity and activities with parents at home, showed statistically significant difference between the groups, with advantage being shown for the typical group. Conclusions: Children with DD have persistent difficulties at school age, with motor deficit, restrictions in school activity performance and low participation in the school context, as well as significantly lower functional performance when compared to children without DD. A systematic monitoring of this population is recommended to identify needs and minimize future problems.

Functional Outcome of School Children With History of Global Developmental Delay

This study aimed to investigate the functional and developmental outcomes in school age children diagnosed with global developmental delay before 2 years old and to verify the association between their final diagnosis and environmental and biological factors. Forty-five Brazilian children (26 boys), mean age 95.84 (7.72) months, who attended regular school and were diagnosed with global developmental delay before they were 2 years old had their functions evaluated. Children with global developmental delay were diagnosed with several conditions at school age. Students with greater chances of receiving a diagnosis were those whose mothers were younger at the time their children were born (OR = 1.47, CI = 1.04-2.09, P = .03), who had impaired motor performance, specially balance (OR = 1.33, CI = 1.01-1.75, P = .04), and who needed help during cognitive and behavioral tasks at school (OR = 1.08, CI = 1.00-1.17, P = .048). Interdisciplinary evaluation contributed to defining the specific diagnosis and to identifying the necessity of specialized support.

Aplicabilidade da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) para a avaliação de crianças com paralisia cerebral: uma revisão sistemática/Applicability of the International Classification of Functioning, Disability and Healt

Resumo: Objetivo: Examinar e sintetizar o conhecimento disponivel na literatura sobre os instrumentos utilizados na perspectiva da funcionalidade em criancas com paralisia cerebral (PC). Metodo: A busca dos artigos foi realizada nas bases de dados eletronicos Google Scholar, PubMed, Lilacs e Medline, publicados no periodo de janeiro de 2006 a dezembro de 2012, usando as palavras-chave: paralisia cerebral (cerebral palsy), crianca (child), avaliacao (assessment), combinada com Classificacao Internacional da Funcionalidade – CIF (ICF). A busca limitou aos artigos originais escritos em portugues e ingles. Dez artigos foram selecionados para analise da revisao, de acordo com os criterios preestabelecidos. Resultados: Os autores propuseram instrumentos que poderiam padronizar a avaliacao para classificacao dos componentes “Estrutura e funcao do corpo”, “Atividades e Participacao” e “Fatores ambientais”, como Gross Motor Function Measure (GMFM), o Pediatric Evaluation of Disability Inventory (PEDI), o Goal Attainment Scaling (GAS), o Manual Ability Classification System (MACS), o The Gross Motor Function Classification System (GMFCS), o Physicians Rating Scale (PRS), o Vineland Adaptive Behavior Scale (VABS), o Pediatric Functional Independence Measure (WeeFIM), o Gillette Functional Assessment Questionnaire (FAQ), o Pediatric Quality of Life Inventory (PedsQL), o Pediatric Outcomes Data Collection Instrument (PODCI), o Gillette Gait Index (GGI), o Energy Expenditure Index (EEI) e o Vecu et Sante Percue de l’Adolescent (VSP-A). Conclusao: Os dominios “Estrutura e funcao do corpo” e “Atividades e Participacao” sao mais frequentemente classificados conforme a CIF em criancas com PC e possuem uma variedade de instrumentacao para aplicabilidade da classificacao.