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Abstract(s)
Introdução: Nas crianças/jovens com Paralisia Cerebral (PC), as limitações motoras
repercutem-se em limitações funcionais e, consequentemente, na diminuição da
participação em ocupações. Sendo as manifestações da PC diferentes de indivíduo para
indivíduo, estas vão refletir, dependendo da gravidade, quadro motor, ambiente físico e
social, diferentes níveis de participação. Objetivo: O objetivo deste estudo foi avaliar a
relação entre a idade, sexo e grau de comprometimento motor e a participação em
crianças/jovens com diagnóstico de paralisia cerebral com idades compreendidas entre os 5
e os 18 anos na ilha de São Miguel. Amostra e Métodos: 25 crianças de ambos os sexos (5-
18 anos), sinalizadas em instituições especializadas de reabilitação e em Centros de
Atividades Ocupações (CAO’s) na Ilha de São Miguel – Açores. Foram aplicados dois
instrumentos de avaliação às crianças/jovens, Gross Motor Function Measure e Quality of
Upper Extremity Skills Test, e foram entregues aos pais os outros dois instrumentos para
autopreenchimento, Assessment of Life Habits e Child Health Questionnaire – Parent-
Form 50. Na análise estatística, recorreu-se a testes como o Kolmogorov-Smirnov, Tstudent
ou Mann-Whitney, teste de Fisher, teste de Spearman e ANOVA. Resultados: Não
foram encontradas relações significativas entre a idade e o sexo e o nível de participação
das crianças/jovens com PC. Contrariamente, ao avaliarmos a relação entre o grau de
participação e o grau de afetação verificamos que esta é significativa (p=0,004).
Conclusão: Na nossa amostra não se encontrou uma influência da idade e do sexo com a
frequência da participação (relações não foram significativas). Contudo, pode-se concluir
que as crianças/jovens que apresentam menos limitações motoras, como as que se
enquadram no nível I/II da Gross Motor Function Classification System, apresentam níveis
de participação maiores do que as que apresentam níveis de afetação motora maiores
(Nível V)
Introduction: In children/young people with Cerebral Palsy (CP), the motor limitations impacting the functional limitations and, consequently, decreased participation in occupations. Manifestations of different PC from individual to individual, they will reflect differently, depending on the severity, frame, physical and social environment and different levels of participation. Objetive: The aim of this study was to evaluate the relationship between age, gender and degree of motor impairment and participation in children/young people with cerebral palsy aged between 5 and 18 years on the island of São Miguel. Sample and Methods: 25 children of both gender (5-18 years), flagged in specialized institutions and rehabilitation centers, like Activities Occupations Centers on the island of São Miguel – Azores. We applied two evaluation instruments to children/young people, Gross Motor Function Measure and Quality of Upper Extremity Skills Test, and the other two instruments were delivered to the parents for self-fulfillment, Assessment of Life Habits Scale and Child Health Questionnaire – Parent-Form 50. In the statistical analysis, we used the tests as the Kolmogorov-Smirnov, T-test or Mann- Whitney, Fisher's exact test, Spearman test and ANOVA. Results: There were no significant relationships between age and sex, and level of participation of children / young people with CP. In contrast, when evaluating the relationship between the degree of participation and the degree of allocation see that this is significant (p = 0.004). Conclusion: In our sample we did not find an influence of age and sex with the frequency of participation (relationships were not significant). However, it can be concluded that children/young people with less physical limitations, such as those involving stage I/II of Gross Motor Function Classification System, present participation levels higher than those with higher levels of motor allocation (Level V).
Introduction: In children/young people with Cerebral Palsy (CP), the motor limitations impacting the functional limitations and, consequently, decreased participation in occupations. Manifestations of different PC from individual to individual, they will reflect differently, depending on the severity, frame, physical and social environment and different levels of participation. Objetive: The aim of this study was to evaluate the relationship between age, gender and degree of motor impairment and participation in children/young people with cerebral palsy aged between 5 and 18 years on the island of São Miguel. Sample and Methods: 25 children of both gender (5-18 years), flagged in specialized institutions and rehabilitation centers, like Activities Occupations Centers on the island of São Miguel – Azores. We applied two evaluation instruments to children/young people, Gross Motor Function Measure and Quality of Upper Extremity Skills Test, and the other two instruments were delivered to the parents for self-fulfillment, Assessment of Life Habits Scale and Child Health Questionnaire – Parent-Form 50. In the statistical analysis, we used the tests as the Kolmogorov-Smirnov, T-test or Mann- Whitney, Fisher's exact test, Spearman test and ANOVA. Results: There were no significant relationships between age and sex, and level of participation of children / young people with CP. In contrast, when evaluating the relationship between the degree of participation and the degree of allocation see that this is significant (p = 0.004). Conclusion: In our sample we did not find an influence of age and sex with the frequency of participation (relationships were not significant). However, it can be concluded that children/young people with less physical limitations, such as those involving stage I/II of Gross Motor Function Classification System, present participation levels higher than those with higher levels of motor allocation (Level V).
Description
Keywords
Paralisia cerebral Idade Sexo Participação Gross motor function measure Gross motor function classification system Cerebral palsy Age Gender Participation
Citation
Publisher
Instituto Politécnico do Porto. Escola Superior de Tecnologia da Saúde do Porto