Sueli Galego de Carvalho

Functional performance of children with cerebral palsy from high and low socioeconomic status

OBJETIVO: Investigar la influencia del nivel socioeconomico sobre el desempeno funcional de ninos con paralisis cerebral. METODOS: Estudio transversal, con acercamiento cuantitativo. Se seleccionaron 49 ninos con diagnostico clinico de paralisis cerebral de una muestra de conveniencia, con edades entre tres y siete anos y medio, de ambos sexos, clasificadas conforme al nivel de gravedad de paralisis cerebral, con base en el Sistema de Clasificacion de la Funcion Motora Grosera. Los participantes fueron distribuidos en dos grupos de niveles socioeconomicos, alto y bajo, conforme al Criterio de Clasificacion Economica de Brasil. El desempeno funcional fue evaluado con el Inventario de Evaluacion Pediatrica de Discapacidad. Se aplico la prueba t de Student para muestras independientes a fin de comparar los promedios entre los grupos. RESULTADOS: El nivel socioeconomico no afecto el desempeno funcional de ninos con paralisis cerebral liviana. Ninos con paralisis cerebral moderada de clase economica baja presentaron escores de la funcion social inferiores (p=0,027) a los de ninos de clase alta. Ninos con paralisis cerebral grave de nivel socioeconomico bajo presentaron desempeno inferior en las habilidades de autocuidado (p=0,021) y movilidad (p=0,005). Esos ninos fueron mas dependientes respecto a la movilidad (p=0,015) que los de nivel socioeconomico alto. CONCLUSIONES: El nivel socioeconomico puede ejercer influencia en el desarrollo del nino con paralisis cerebral, debiendo ser factor de riesgo considerado en las acciones educacionales y de salud dirigidas a esa poblacion.OBJECTIVE To investigate the influence of socioeconomic status on the functional performance of children with cerebral palsy. METHODS Cross-sectional quantitative study of 49 children diagnosed with cerebral palsy from a convenience sample. Children of both genders aged three to seven and a half years were studied. They were classified according to the level of severity of cerebral palsy based on the Gross Motor Function Classification System. Participants were organized in two groups considering their high or low socioeconomic status, according to the Brazilian Economic Classification Criteria. Functional performance was assessed by the Pediatric Evaluation of Disability Inventory. The Students t-test was applied for independent samples in order to compare means between groups. RESULTS Socioeconomic status did not affect functional performance of children with mild cerebral palsy. Those with moderate cerebral palsy and low socioeconomic status presented lower social function scores (p=0.027) than those with high socioeconomic status. Children with severe cerebral palsy with low socioeconomic status presented worse performance in self-care skills (p=0.021) and mobility (p=0.005). These children were more dependent regarding mobility (p=0.015) than those with high socioeconomic status. CONCLUSIONS Socioeconomic status may influence the development process of children with cerebral palsy and must be considered as a risk factor in educational and health practices aimed at this population.

Desempenho funcional de crianças com paralisia cerebral de níveis socioeconômicos alto e baixo

OBJETIVO: Investigar la influencia del nivel socioeconomico sobre el desempeno funcional de ninos con paralisis cerebral. METODOS: Estudio transversal, con acercamiento cuantitativo. Se seleccionaron 49 ninos con diagnostico clinico de paralisis cerebral de una muestra de conveniencia, con edades entre tres y siete anos y medio, de ambos sexos, clasificadas conforme al nivel de gravedad de paralisis cerebral, con base en el Sistema de Clasificacion de la Funcion Motora Grosera. Los participantes fueron distribuidos en dos grupos de niveles socioeconomicos, alto y bajo, conforme al Criterio de Clasificacion Economica de Brasil. El desempeno funcional fue evaluado con el Inventario de Evaluacion Pediatrica de Discapacidad. Se aplico la prueba t de Student para muestras independientes a fin de comparar los promedios entre los grupos. RESULTADOS: El nivel socioeconomico no afecto el desempeno funcional de ninos con paralisis cerebral liviana. Ninos con paralisis cerebral moderada de clase economica baja presentaron escores de la funcion social inferiores (p=0,027) a los de ninos de clase alta. Ninos con paralisis cerebral grave de nivel socioeconomico bajo presentaron desempeno inferior en las habilidades de autocuidado (p=0,021) y movilidad (p=0,005). Esos ninos fueron mas dependientes respecto a la movilidad (p=0,015) que los de nivel socioeconomico alto. CONCLUSIONES: El nivel socioeconomico puede ejercer influencia en el desarrollo del nino con paralisis cerebral, debiendo ser factor de riesgo considerado en las acciones educacionales y de salud dirigidas a esa poblacion.OBJECTIVE To investigate the influence of socioeconomic status on the functional performance of children with cerebral palsy. METHODS Cross-sectional quantitative study of 49 children diagnosed with cerebral palsy from a convenience sample. Children of both genders aged three to seven and a half years were studied. They were classified according to the level of severity of cerebral palsy based on the Gross Motor Function Classification System. Participants were organized in two groups considering their high or low socioeconomic status, according to the Brazilian Economic Classification Criteria. Functional performance was assessed by the Pediatric Evaluation of Disability Inventory. The Students t-test was applied for independent samples in order to compare means between groups. RESULTS Socioeconomic status did not affect functional performance of children with mild cerebral palsy. Those with moderate cerebral palsy and low socioeconomic status presented lower social function scores (p=0.027) than those with high socioeconomic status. Children with severe cerebral palsy with low socioeconomic status presented worse performance in self-care skills (p=0.021) and mobility (p=0.005). These children were more dependent regarding mobility (p=0.015) than those with high socioeconomic status. CONCLUSIONS Socioeconomic status may influence the development process of children with cerebral palsy and must be considered as a risk factor in educational and health practices aimed at this population.

Desempeño funcional de niños con parálisis cerebral de niveles socioeconómicos alto y bajo

OBJETIVO: Investigar la influencia del nivel socioeconomico sobre el desempeno funcional de ninos con paralisis cerebral. METODOS: Estudio transversal, con acercamiento cuantitativo. Se seleccionaron 49 ninos con diagnostico clinico de paralisis cerebral de una muestra de conveniencia, con edades entre tres y siete anos y medio, de ambos sexos, clasificadas conforme al nivel de gravedad de paralisis cerebral, con base en el Sistema de Clasificacion de la Funcion Motora Grosera. Los participantes fueron distribuidos en dos grupos de niveles socioeconomicos, alto y bajo, conforme al Criterio de Clasificacion Economica de Brasil. El desempeno funcional fue evaluado con el Inventario de Evaluacion Pediatrica de Discapacidad. Se aplico la prueba t de Student para muestras independientes a fin de comparar los promedios entre los grupos. RESULTADOS: El nivel socioeconomico no afecto el desempeno funcional de ninos con paralisis cerebral liviana. Ninos con paralisis cerebral moderada de clase economica baja presentaron escores de la funcion social inferiores (p=0,027) a los de ninos de clase alta. Ninos con paralisis cerebral grave de nivel socioeconomico bajo presentaron desempeno inferior en las habilidades de autocuidado (p=0,021) y movilidad (p=0,005). Esos ninos fueron mas dependientes respecto a la movilidad (p=0,015) que los de nivel socioeconomico alto. CONCLUSIONES: El nivel socioeconomico puede ejercer influencia en el desarrollo del nino con paralisis cerebral, debiendo ser factor de riesgo considerado en las acciones educacionales y de salud dirigidas a esa poblacion.OBJECTIVE To investigate the influence of socioeconomic status on the functional performance of children with cerebral palsy. METHODS Cross-sectional quantitative study of 49 children diagnosed with cerebral palsy from a convenience sample. Children of both genders aged three to seven and a half years were studied. They were classified according to the level of severity of cerebral palsy based on the Gross Motor Function Classification System. Participants were organized in two groups considering their high or low socioeconomic status, according to the Brazilian Economic Classification Criteria. Functional performance was assessed by the Pediatric Evaluation of Disability Inventory. The Students t-test was applied for independent samples in order to compare means between groups. RESULTS Socioeconomic status did not affect functional performance of children with mild cerebral palsy. Those with moderate cerebral palsy and low socioeconomic status presented lower social function scores (p=0.027) than those with high socioeconomic status. Children with severe cerebral palsy with low socioeconomic status presented worse performance in self-care skills (p=0.021) and mobility (p=0.005). These children were more dependent regarding mobility (p=0.015) than those with high socioeconomic status. CONCLUSIONS Socioeconomic status may influence the development process of children with cerebral palsy and must be considered as a risk factor in educational and health practices aimed at this population.