Solange G. Ravanini

Semiologia neurológica numa população de escolares da primeira série do ensino fundamental

We evaluated children in the first grade of a elementary school using neurological examination. With no previous knowledge of their educational performance, were invited all children attending five classes of the first grade of an elementary public school chosen randomly, in Itatiba / Sao Paulo / Brazil, whose parents assigned a Commitment Term for participation in this research. Children who missed three evaluations in different days or whose parents did not assigned the Commitment Term were excluded. The Traditional Neurological Examination (ENT) (Lefevre, 1972) was applied. It was considered for normal the measurement of the skull circumference, proposed by Diament & Rodrigues (1976), and the application of all ENT items. The data were stored in a database of the Epi6 Program (Epidemiologic Information), and analyzed by percentage calculation and by the chi2 test. The significance level was 0.05. Children evaluated were 124. The ENT results were normal in 87 (70.16%) and altered in 37 (29.83%). Among the alterations, there were observed: light tremor, light muscular hypotonia, speech acquisition delay, macrocephaly, microcephaly, hyperactivity, cranial nerve syndrome, central facial paralysis. One child presented corticospinal tract impairment syndrome of the distal lower extremities.RESUMO - Avaliamos escolares de primeira serie do ensino fundamental, utilizando semiologia neurologica. Foramconvidados, sem o conhecimento previo do desempenho escolar, todos os alunos que frequentavam 5 classes deprimeira serie do primeiro grau de uma escola publica escolhida ao acaso, no municipio de Itatiba / Sao Paulo, cujospais assinaram o Termo de Consentimento Livre e Esclarecido. Foram excluidos aqueles cujos pais nao assinaramesse termo ou nao compareceram a 3 consultas agendadas em dias diferentes. Utilizou-se o Exame NeurologicoTradicional (ENT) (Lefevre, 1972). Considerou-se como normal a realizacao de todas as provas do ENT e asmedidas do perimetro craniano propostas por Diament & Rodrigues (1976). Os dados foram armazenados embanco de dados do programa Epi6 (Epidemiologic Information). Os resultados foram analisados pelo calculo deporcentagem e pelo teste χ

Neurologic examination of a group of children attending first grade of a elementary school

We evaluated children in the first grade of a elementary school using neurological examination. With no previous knowledge of their educational performance, were invited all children attending five classes of the first grade of an elementary public school chosen randomly, in Itatiba / Sao Paulo / Brazil, whose parents assigned a Commitment Term for participation in this research. Children who missed three evaluations in different days or whose parents did not assigned the Commitment Term were excluded. The Traditional Neurological Examination (ENT) (Lefevre, 1972) was applied. It was considered for normal the measurement of the skull circumference, proposed by Diament & Rodrigues (1976), and the application of all ENT items. The data were stored in a database of the Epi6 Program (Epidemiologic Information), and analyzed by percentage calculation and by the chi2 test. The significance level was 0.05. Children evaluated were 124. The ENT results were normal in 87 (70.16%) and altered in 37 (29.83%). Among the alterations, there were observed: light tremor, light muscular hypotonia, speech acquisition delay, macrocephaly, microcephaly, hyperactivity, cranial nerve syndrome, central facial paralysis. One child presented corticospinal tract impairment syndrome of the distal lower extremities.RESUMO - Avaliamos escolares de primeira serie do ensino fundamental, utilizando semiologia neurologica. Foramconvidados, sem o conhecimento previo do desempenho escolar, todos os alunos que frequentavam 5 classes deprimeira serie do primeiro grau de uma escola publica escolhida ao acaso, no municipio de Itatiba / Sao Paulo, cujospais assinaram o Termo de Consentimento Livre e Esclarecido. Foram excluidos aqueles cujos pais nao assinaramesse termo ou nao compareceram a 3 consultas agendadas em dias diferentes. Utilizou-se o Exame NeurologicoTradicional (ENT) (Lefevre, 1972). Considerou-se como normal a realizacao de todas as provas do ENT e asmedidas do perimetro craniano propostas por Diament & Rodrigues (1976). Os dados foram armazenados embanco de dados do programa Epi6 (Epidemiologic Information). Os resultados foram analisados pelo calculo deporcentagem e pelo teste χ