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Brazilian children’s quality of life during the COVID-19 pandemic: analysis of contextual factors and dimensions childrens children s COVID19 COVID 19 COVID-1 pandemic COVID1 1 COVID-
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Mélo, Tainá Ribas

; de Araujo, Luize Bueno

; Signorelli, Marcos Claudio

; Guimarães, Paulo Ricardo Bittencourt

; Israel, Vera Lúcia

Revista Paulista de Pediatria

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2025, Volume 43 elocation e2023175

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: Investigar os fatores contextuais associados à qualidade de vida (QV) de crianças brasileiras de zero a 12 anos, em momento de ápice de distanciamento social. Métodos: Estudo observacional, transversal, online, de julho a setembro de 2020, com questionário sobre fatores do contexto familiar associados à QV e Inventário Pediátrico sobre QV — PedsQL™. A análise dos dados foi feita por de regressão logística multinomial. Resultados: A amostra foi de 849 crianças, na maioria da Região Sul (75%), brancas (83%), com desenvolvimento típico (79%), sedentárias (68%), com uso de telas (85%) em tempo >3h/dia (44%). As mães eram as cuidadoras principais (90%). Foram significativamente associadas a escores mais elevados de QV: a condição de saúde típica (odds ratio — OR 2,38; intervalo de confiança de 95% — IC95% 1,60–3,55), o tempo de tela ≤2h/dia (OR 1,62; IC95% 1,17–2,24), o distanciamento social considerado “fácil” (OR 1,67; IC95% 1,20–2,32) e a família afirmar estimular a criança (OR 1,93; IC95% 1,08–3,45). Conclusões: Este estudo mostra que o contexto familiar pode influenciar a QV de crianças, especialmente no período de pandemia e de reorganização do ambiente domiciliar. Objetivo (QV 1 anos Métodos observacional transversal online 2020 PedsQL PedsQL™ multinomial Resultados 84 75%, 75 75% , (75%) 83%, 83 83% (83%) 79%, 79 79% (79%) 68%, 68 68% (68%) 85% 85 (85% 3hdia hdia 3h dia h 44%. 44 44% . (44%) 90%. 90 90% (90%) odds 2,38 238 2 38 95 IC95 IC 1,60–3,55, 160355 1,60–3,55 60 3 55 1,60–3,55) 2hdia 2h 1,62 162 62 1,17–2,24, 117224 1,17–2,24 17 24 1,17–2,24) fácil “fácil 1,67 167 67 1,20–2,32 120232 20 32 1,93 193 93 1,08–3,45. 108345 1,08–3,45 08 45 1,08–3,45) Conclusões domiciliar 202 8 7 (75% (83% (79% 6 (68% (85 4 (44% 9 (90% 2,3 23 IC9 16035 1,60–3,5 5 1,6 16 11722 1,17–2,2 1,20–2,3 12023 1,9 19 10834 1,08–3,4 0 (75 (83 (79 (68 (8 (44 (90 2, 1603 1,60–3, 1, 1172 1,17–2, 1,20–2, 1202 1083 1,08–3, (7 (6 ( (4 (9 160 1,60–3 117 1,17–2 1,20–2 120 108 1,08–3 1,60– 11 1,17– 1,20– 10 1,08– 1,60 1,17 1,20 1,08 1,1 1,2 1,0

ABSTRACT Objective: The aim of this study was to investigate the contextual factors associated with the quality of life (QOL) of Brazilian children aged 0–12 years during the strict period of social isolation. Methods: This observational cross-sectional study was conducted between July and September 2020 using an online questionnaire on QOL-related family factors and the Pediatric Quality of Life Inventory (PedsQL™). Results were analyzed by multinomial logistic regression analysis. Results: The sample had 849 children, mostly from the South Region of Brazil (75%), white (83%), with typical development (79%), sedentary (68%), using screen (85%) for >3 h/day (44%). Their mothers were their main caregivers (90%). The following variables were significantly associated with high scores of QOL: typical health status (OR 2.38; 95%CI 1.60–3.55; screen time ≤2 h/day (OR 1.62; 95%CI 1.17–2.24); social distancing considered as “easy” (OR 1.67; 95%CI 1.20–2.32), and stimulation of the child by the family (OR 1.93; 95%CI 1.08–3.45). Conclusions: This study indicates that the family context can influence children’s QOL, especially during the COVID-19 pandemic and home environment reorganization. Objective QOL (QOL 012 0 12 0–1 isolation Methods crosssectional cross sectional 202 QOLrelated related PedsQL™. PedsQL PedsQL™ . (PedsQL™) analysis 84 75%, 75 75% , (75%) 83%, 83 83% (83%) 79%, 79 79% (79%) 68%, 68 68% (68%) 85% 85 (85% 3 > hday h day 44%. 44 44% (44%) 90%. 90 90% (90%) OR 2.38 238 2 38 95CI CI 95 1.60–3.55 160355 1 60 55 ≤ 1.62 162 62 1.17–2.24 117224 17 24 1.17–2.24) easy “easy 1.67 167 67 1.20–2.32, 120232 1.20–2.32 20 32 1.20–2.32) 1.93 193 93 1.08–3.45. 108345 1.08–3.45 08 45 1.08–3.45) Conclusions childrens s COVID19 COVID 19 COVID-1 reorganization 01 0– (PedsQL™ 8 7 (75% (83% (79% 6 (68% (85 4 (44% 9 (90% 2.3 23 1.60–3.5 16035 5 1.6 16 1.17–2.2 11722 12023 1.20–2.3 1.9 10834 1.08–3.4 COVID1 COVID- (PedsQL (75 (83 (79 (68 (8 (44 (90 2. 1.60–3. 1603 1. 1.17–2. 1172 1202 1.20–2. 1083 1.08–3. (7 (6 ( (4 (9 1.60–3 160 1.17–2 117 120 1.20–2 108 1.08–3 1.60– 1.17– 11 1.20– 10 1.08– 1.60 1.17 1.20 1.08 1.1 1.2 1.0

https://doi.org/10.1590/1984-0462/2025/43/2023175

Vaccination coverage and delay in vaccination of infants born in 2017 and 2018 in municipalities in the Southern region of Brazil: National Vaccination Coverage Survey 2020
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Luhm, Karin Regina

; Boing, Antonio Fernando

; Mengue, Sotero Serrate

; Daniel, Neiva de Souza

; Mélo, Tainá Ribas

; Farion, Raquel Jaqueline

; França, Ana Paula

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231206

Abstract: Pt Es En | Text: Pt Es En | PDF: Pt | PDF: Es | PDF: En

resumen está disponible en el texto completo

https://doi.org/10.1590/s2237-96222024v33e20231206.especial2.en

Vaccination coverage and delay in vaccination of infants born in 2017 and 2018 in municipalities in the Southern region of Brazil: National Vaccination Coverage Survey 2020 201 Brazil 202 20 2
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Luhm, Karin Regina

; Boing, Antonio Fernando

; Mengue, Sotero Serrate

; Daniel, Neiva de Souza

; Mélo, Tainá Ribas

; Farion, Raquel Jaqueline

; França, Ana Paula

; Moraes, José Cássio de

; Silva, Adriana Ilha da

; Ramos Jr., Alberto Novaes

; França, Ana Paula

; Oliveira, Andrea de Nazaré Marvão

; Boing, Antonio Fernando

; Domingues, Carla Magda Allan Santos

; Oliveira, Consuelo Silva de

; Maciel, Ethel Leonor Noia

; Guibu, Ione Aquemi

; Mirabal, Isabelle Ribeiro Barbosa

; Barbosa, Jaqueline Caracas

; Lima, Jaqueline Costa

; Moraes, José Cássio de

; Luhm, Karin Regina

; Caetano, Karlla Antonieta Amorim

; Lima, Luisa Helena de Oliveira

; Antunes, Maria Bernadete de Cerqueira

; Teixeira, Maria da Gloria

; Teixeira, Maria Denise de Castro

; Borges, Maria Fernanda de Sousa Oliveira

; Queiroz, Rejane Christine de Sousa

; Gurgel, Ricardo Queiroz

; Barata, Rita Barradas

; Azevedo, Roberta Nogueira Calandrini de

; Oliveira, Sandra Maria do Valle Leone de

; Teles, Sheila Araújo

; Gama, Silvana Granado Nogueira da

; Mengue, Sotero Serrate

; Simões, Taynãna César

; Nascimento, Valdir

; Araújo, Wildo Navegantes de

Epidemiologia e Serviços de Saúde

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2024, Volume 33 N. spe2 elocation e20231206

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

resumen está disponible en el texto completo

ABSTRACT Objective To evaluate vaccination coverage and delay in vaccine dose administration in infants in six municipalities in the Southern region of Brazil. Methodology National Vaccination Coverage Survey 2020, with infants born alive in 2017 and 2018, carried out from September 2020 to March 2022. Coverage of doses administered, doses administered on time and delay in dose administration were evaluated. Results For 4681 infants analyzed, coverage for vaccines recommended up to 24 months was 68.0% (95%CI 63.9;71.8%) for doses administered and 3.9% (95%CI 2.7%;5.7%) for doses administered on time. Delay time for the majority of late vaccinations was ≤ 3 months. For some boosters, 25% of vaccine administration was delayed by ≥ 6 months. Conclusion In addition to tracking vaccine defaulters, strategies are needed to encourage compliance with the vaccination schedule at the recommended ages. Brazil 201 2018 202 2022 evaluated 468 analyzed 2 680 68 0 68.0 95%CI 95CI CI 95 63.971.8% 639718 63.9 71.8% 63 9 71 8 63.9;71.8% 39 3.9 2.7%5.7% 2757 2.7% 5.7% 7 5 2.7%;5.7% boosters 25 defaulters ages 20 46 68. 971 63.971.8 63971 639 63. 718 71.8 63.9;71.8 3. 2.7%5.7 275 27 2.7 57 5.7 2.7%;5.7 4 97 63.971. 6397 71. 63.9;71. 2.7%5. 2. 5. 2.7%;5. 63.971 63.9;71 2.7%5 2.7%;5 63.97 63.9;7 2.7%; 63.9;

RESUMO Objetivo Avaliar as coberturas vacinais e o atraso nas doses de vacinas em lactentes em seis municípios da região Sul do Brasil. Metodologia Inquérito Nacional de Cobertura Vacinal 2020, com lactentes nascidos vivos em 2017 e 2018, realizado entre setembro de 2020 e março de 2022. Foram avaliadas as coberturas de doses aplicadas, doses em dia e o tempo de atraso da aplicação. Resultados Para 4.681 lactentes analisados, as coberturas para vacinas indicadas até os 24 meses foram de 68,0% (IC95% 63,9;71,8) para doses aplicadas e 3,9% (IC95% 2,7;5,7) para doses em dia. A maioria das aplicações em atraso foi ≤ 3 meses. Para alguns reforços, 25% das aplicações atrasaram ≥ 6 meses. Conclusão Além da busca de faltosos às vacinas, são necessárias estratégias para estímulo ao cumprimento do esquema de vacinação nas idades preconizadas. Brasil 201 2018 202 2022 aplicação 4681 4 681 4.68 analisados 2 680 68 0 68,0 IC95% IC95 IC (IC95 63,971,8 639718 63,9 71,8 63 9 71 8 63,9;71,8 39 3,9 2,75,7 2757 2,7 5,7 7 5 2,7;5,7 reforços 25 preconizadas 20 468 4.6 68, IC9 (IC9 971 63,971, 63971 639 63, 718 71, 63,9;71, 3, 75 2,75, 275 27 2, 57 5, 2,7;5, 46 4. (IC 97 63,971 6397 63,9;71 2,75 2,7;5 63,97 63,9;7 2,7; 63,9;

https://doi.org/10.1590/s2237-96222024v33e20231206.especial2.en

Adaptation of the Aquatic Functional Assessment Scale for Babies – AFAS-BABY©
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Araujo, Luize Bueno de

; Mélo, Tainá Ribas

; Israel, Vera Lúcia

Motricidade

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dec 2020, Volume 16 N. 4 Pages 386 - 392

Abstract: En | Text: En | PDF: En

ABSTRACT Despite the increasing use of the aquatic environment (AE) as a therapeutic option for activities with infants and toddlers and the increasing number of assessment instruments for land-based physical therapy, no instrument addresses the characteristics of the aquatic environment regarding babies. This study aimed to adapt the aquatic behaviors of the Aquatic Functional Assessment Scale (AFAS) for babies, encompassing infants and toddlers aged three to 24 months (AFAS-Baby). First, a child was observed in the AE by two experts, with adjustments being made by three professionals with experience in the scale. Second, 5 children were evaluated to verify both the scale's applicability and the need for adjustments in it. Lastly, 6 professionals/experts validated the content of the scale. Hence, the AFAS-Baby comprises 61 behaviors: 8 in the Adaptation (A) phase, 14 in Mastering of the water environment (D), 35 in Specialized Therapeutic Exercises (E), and 4 in Global fitness (Cd). The score remained unchanged, following the original scale. The AFAS-Baby enables the assessment of specific aquatic motor behaviors for infants and toddlers, as well as assists professionals in the aquatic stimulation of babies.

https://doi.org/10.6063/motricidade.20396 73 downloads

Quality of life and neuropsychomotor development of infants between 4-18 months in daycare center
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Mélo, Tainá Ribas

; Araujo, Luize Bueno de

; Yamaguchi, Bruna

; Ferreira, Manoela de Paula

; Israel, Vera Lúcia

Ciência & Saúde Coletiva

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aug 2020, Volume 25 N. 8 Pages 3175 - 3184

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Qualidade de vida (QV) é um preditor de desenvolvimento e depende de múltiplos fatores, sendo a QV de bebês ainda pouco estudada, especialmente em ambientes de permanência como os centros de educação infantil ou creches. Correlacionar a qualidade de vida com idade, renda familiar e desenvolvimento neuropsicomotor de bebês entre 4 a 18 meses de idade que frequentam centros de educação infantil. Pesquisa descritiva transversal, com registro clínico RBR 2hd6sm em novembro de 2016. A Qualidade de Vida foi avaliada por meio de entrevistas com as famílias com o questionário Pediátrico de Qualidade de Vida-PedsQL™ (versão brasileira). Os bebês foram avaliados de maneira lúdica pela escala motora infantil de Alberta (AIMS) e pela Denver II. 88 bebês participaram do estudo. Os bebês avaliados tiveram uma boa qualidade de vida com escores acima de 64%. AIMS apresentou correlação com os escores de capacidade física e escore total de qualidade de vida. Qualidade de vida de bebês de 4 a 18 meses de idade correlacionam-se com seu desenvolvimento neuropsicomotor, sugerindo a necessidade de investigações sobre esse tema em centros de educação infantil.

Abstract Quality of Life (QoL) is a predictor of development depending on multiple factors, being the QoL of infants still little studied, especially in permanent settings such as infants educational center or daycare centers. Correlate quality of life with age, family income and the neuropsychomotor development of infants between 4 and 18 months of age in daycare centers. Descriptive transverse study research, with clinical trials registration : RBR 2hd6sm on November 2, 2016. Quality of life was evaluated with interviews with the family through Pediatric Quality of Life Inventory-PedsQL™ (Brazilian version). The infants were evaluated in a playful way, through the use of Alberta Infant Motor Scale (AIMS) and Denver II test . 88 infants participated in the study. The infants evaluated had a good quality of life, with scores above 64%. AIMS presented the correlation with for physical functioning and total score of QoL. QoL of infants from 4 to 18 months of age is correlated with their neuropsychomotor development, which suggests the need for investigations between this theme and daycare centers.

https://doi.org/10.1590/1413-81232020258.21002018 1105 downloads

Quality of life and neuropsychomotor development of infants between 4-18 months in daycare center
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Mélo, Tainá Ribas

; Araujo, Luize Bueno de

; Yamaguchi, Bruna

; Ferreira, Manoela de Paula

; Israel, Vera Lúcia

Ciência & Saúde Coletiva

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aug 2020, Volume 25 N. 8 Pages 3175 - 3184

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

https://doi.org/10.1590/1413-81232020258.21002018

Kids Intervention Therapy - Aquatic Environment (KITE) for babies 4 to 18 months old, by following the International Classification of Functioning (ICF): clinical trial protocol
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de Araujo, Luize Bueno

; Mélo, Tainá Ribas

; Israel, Vera Lúcia

Motriz: Revista de Educação Física

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2020, Volume 26 N. 1 elocation e10200223

Abstract: En | Text: En | PDF: En

Abstract Introduction: the biopsychosocial (BPS) model from the perspective of the International Classification of Functioning (ICF) agrees with the current theories regarding child development. They state the interdependence between the individual's relations, environment and received stimuli. The early interventions, particularly in the aquatic environment (AE), present gaps concerning their systematization, above all in their being in accordance with the ICF. Objectives: to describe an ICF-based aquatic early intervention program, named KITE, for the neuropsychomotor development (NPMD) of typical, at-risk and/or delayed babies 4 to 18 months old. Methods: the KITE is a program systematized on the AE, centered on the family and the daycare environment; it takes place twice a week, lasting for 4 weeks, in 45- to 60-minute sessions. The assessments and interventions are systematized by following the ICF. For the main outcome on the NPMD, the Alberta Infant Motor Scale (AIMS) and the Denver Developmental Screening Test II (DDST-II) are used, and as the secondary outcome on the stimulation received, quality of life and aquatic skills, the Affordances in the Home Environment for Motor Development - Infant Scale (AHEMD-IS), the Pediatric Quality of Life Inventory (PedsQL™) and the Aquatic Functional Assessment Scale – Baby (AFAS Baby) are used, respectively. Conclusion: This study has presented tools for the application of a clinical trial through the KITE for the NPMD of babies, systematized and based on the BPS perspective of the ICF, and discussed according to the neuroplastic evidence of the child development.

https://doi.org/10.1590/s1980-6574202000010223 826 downloads

Characterization of neuropsychomotor and language development of children receiving care from groups at an extended Family Health Care Center: an interprofessional approach
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Mélo, Tainá Ribas

; Lucchesi, Vanessa de Oliveira

; Ribeiro Junior, Evaldo José Ferreira

; Signorelli, Marcos Claudio

Revista CEFAC

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2020, Volume 22 N. 3 elocation e14919

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO Objetivo: caracterizar o desenvolvimento neuropsicomotor e de linguagem de crianças encaminhadas para fonoaudiologia e fisioterapia do Núcleo Ampliado de Saúde da Família (NASF) de Paranaguá-PR, Brasil. Métodos: 36 crianças de 3-13 (7,9±2,3) anos foram avaliadas por meio de anamnese, avaliação fonológica por meio do álbum seriado e escala de desenvolvimento motor (EDM), e analisados pelo teste de correlação de Pearson bi-caudal. Resultados: 69% não apresentavam diagnóstico clínico inicial, com encaminhamentos (83%) feitos pela escola, por suspeitas de dificuldades na linguagem (92%), as quais foram confirmadas, sendo evidenciados risco e atrasos psicomotores em 69% da amostra, com 78% das crianças com dificuldade de aprendizado e com idade motora geral média 16 meses inferior à idade cronológica. As áreas psicomotoras com piores escores para idade motora e quociente motor foram: organização temporal, esquema corporal e organização espacial. As dificuldades escolares foram relacionadas a atrasos na idade motora (p=0,03), com a classificação do perfil psicomotor pela EDM (p=0,01), com quociente motor geral (p=0,04) e com diagnóstico psicomotor (p=0,001). Conclusão: Conclui-se que existe uma demanda de crianças em risco e atrasos psicomotores, na maioria identificadas com atraso de linguagem, que apresentam, também, dificuldades em outras áreas, ratificando a necessidade de ações multi e interdisciplinares de profissionais de saúde, sendo, o NASF, uma opção para promoção de acompanhamento e intervenção.

ABSTRACT Purpose: to characterize the language and neuropsychomotor development of children referred for speech-language-hearing and physical therapy at an Extended Family Health Care Center (NASF) in Paranaguá, Paraná, Brazil. Methods: 36 children aged 3 to 13 (7.9 ± 2.3) years were assessed through anamnesis, speech-language-hearing assessment with a flipchart, and motor development scale (MDS). The analysis was made with the two-tailed Pearson correlation test. Results: 69% had no initial clinical diagnosis; 83% were referred by their school, due to suspected language difficulties (92%), which were confirmed. Children both at risk and with psychomotor delays represented 69% of the sample; 78% of the children had learning difficulties and overall motor age 16 months below their chronological age, on average. The psychomotor areas with the worst scores for motor age and motor quotient were temporal organization, body scheme, and spatial organization. School difficulties were related to delays in motor age (p = 0.03), MDS psychomotor profile classification (p = 0.01), overall motor quotient (p = 0.04), and psychomotor diagnosis (p = 0.001). Conclusion: it is concluded that children both at risk and with psychomotor delays pose a great demand. Most of them present language delays, and have difficulties in other areas as well, confirming the need for health professionals’ multi- and interdisciplinary actions. NASF is an option for promoting follow-up and intervention.

https://doi.org/10.1590/1982-0216/202022314919 2957 downloads

Sistematização de instrumentos de avaliação para os dois primeiros anos de vida de bebês típicos ou em risco conforme o modelo da CIF
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Mélo, Tainá Ribas

; Araujo, Luize Bueno de

; Novakoski, Karize Rafaela Mesquita

; Israel, Vera Lúcia

Fisioterapia e Pesquisa

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dec 2019, Volume 26 N. 4 Pages 380 - 393

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

RESUMO O objetivo deste trabalho foi identificar instrumentos de avaliação do desenvolvimento neuropsicomotor (DNPM) de crianças de 0 a 2 anos, de baixo custo, que possam ser usados no contexto de creche e/ou ambiente clínico em programas de intervenção precoce, sistematizando esses instrumentos conforme o modelo biopsicossocial da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Foram selecionados instrumentos de avaliação do DNPM com tradução ou adaptação para o Brasil. Para isso os domínios da CIF foram escolhidos triangulando o checklist da própria CIF-CJ, core set de estimulação precoce e a última versão da CIF, para busca na literatura de instrumentos de avaliação. A sistematização das categorias selecionadas da CIF foi realizada por dois fisioterapeutas, e um terceiro para itens discordantes. As escalas que responderam aos critérios foram: Alberta Infant Motor Scale (AIMS), Teste de Triagem de Denver II, Inventário Pediátrico sobre Qualidade de Vida (PedSQl®), Affordance in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) e vínculo mãe-bebê. Mesmo com essas escalas, verificou-se a necessidade de um questionário de anamnese complementar para o responsável, dados da Caderneta de Saúde da Criança e de um questionário socioeconômico da Associação Brasileira de Empresas de Pesquisa para o Brasil (ABEP). Essa sistematização está disponível no apêndice, e procura facilitar o olhar ampliado do fisioterapeuta ou profissional da educação com abrangência biopsicossocial dos bebês, além de possibilitar a identificação de riscos de forma precoce e subsidiar ações de promoção e intervenção em diferentes contextos.

ABSTRACT The objective of this study was to identify low-cost instruments of evaluation of neuropsychomotor development (NPMD) of children aged zero to two years, that can be used in the context of daycare and/or clinical environment in early intervention programs, and to systematize these instruments as the biopsychosocial model of the International Classification of Functioning, Disability and Health (ICF). NPMD evaluation instruments with translation or adaptation for Brazil were selected. For this purpose, the ICF domains were chosen triangulating the ICF-CY’s own checklist, the early stimulation core set, and the latest version of the ICF for searching the evaluation instruments in literature. Two physical therapists and a third for discordant items performed the systematization of the selected categories of ICF. The scales that met the criteria were: Alberta Infant Motor Scale (AIMS), Denver II Screening Test, PedIatric Quality of Life Inventory (PedSQl ™), Affordance in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) and Mother-child bond. Even with these scales, there was a need for a complementary anamnesis questionnaire for the infant’s caregiver, data from the Child Health Handbook and a socioeconomic questionnaire from the Brazilian Association of Research Companies for Brazil (ABEP). This systematization is available in the appendix and seeks to facilitate the broader view of the physical therapist or education professional with a biopsychosocial comprehension of the infants, in addition to allowing the early identification of risks and subsidizing actions of promotion and intervention in different contexts.

RESUMEN El objetivo de este estudio fue identificar herramientas de evaluación de desarrollo neuropsicomotor (DNPM) de bajo costo para niños de 0 a 2 años las cuales se pueden utilizar en el contexto de jardines infantiles y/o el entorno clínico en programas de intervención temprana, y sistematizar estos instrumentos como el modelo biopsicosocial de la Clasificación Internacional de Funcionamiento, Discapacidad y Salud (CIF). Se seleccionaron las herramientas de evaluación del DNPM con traducción o adaptación a Brasil. Para esto, los dominios de CIF se eligieron triangulando el checklist de la CIF-IA, core set de estimulación temprana y la última versión de CIF, para buscar en la literatura herramientas de evaluación. La sistematización de las categorías de CIF seleccionadas fue realizada por dos fisioterapeutas, y un tercero para artículos discordantes. Las escalas que cumplieron con los criterios fueron: Alberta Infant Motor Scale (AIMS), Prueba de tamizaje del desarrollo Denver II, Pediatric Quality of Life Inventory (PedSQl®), Affordance in the Home Environment for Motor Development-Infant Scale (AHEMD-IS) y el enlace madre e hijo. Incluso con estas escalas, era necesario un cuestionario de anamnesis complementario para el tutor, datos del Manual de Salud Infantil y un cuestionario socioeconómico de la Asociación Brasileña de Empresas de Investigación para Brasil (Abep). Esta sistematización está disponible en el apéndice y busca facilitar la apariencia ampliada del fisioterapeuta o profesional de la educación con cobertura biopsicosocial de los bebés, así como permitir la identificación temprana de riesgos y subsidiar la promoción e intervención en diferentes contextos.

https://doi.org/10.1590/1809-2950/18026126042019 3735 downloads

10.

Tecnologias no desenvolvimento neuropsicomotor em escolares de quatro a seis anos
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Fink, Karina

; Mélo, Tainá Ribas

; Israel, Vera Lúcia

Cadernos Brasileiros de Terapia Ocupacional

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jun 2019, Volume 27 N. 2 Pages 270 - 278

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução Estudos apontam que as crianças estão passando cada vez mais tempo com a tecnologia. Objetivo Verificar a influência da tecnologia no desenvolvimento neuropsicomotor (DNPM) de crianças de quatro a seis anos de idade em uma escola particular. Método Aplicou-se um questionário a pais e mães referente ao tempo de exposição e formas de utilização de tecnologias e atividades lúdicas cotidianas e o teste Denver II, comparando o desempenho de crianças mais expostas às menos expostas à tecnologia. Resultados A tecnologia não influenciou o DNPM das crianças, possivelmente porque, além do uso de tecnologias, os pais relatam estímulos diversos, incluindo brincadeiras não tecnológicas. Observou-se uma influência da idade na existência de atrasos, de modo que quanto menor a idade maior o atraso neuropsicomotor. Conclusão Para esta amostra, a tecnologia não teve influência, porém sugere-se mais estudos com um número maior de participantes e de outras idades.

Abstract Introduction Studies indicate that children are spending more time with technology. Objective To verify the influence of technology in the neuro psychomotor development of children from four to six years of age in a private school. Method a questionnaire was applied to parents regarding the time of exposure and ways of using technologies and daily activities and was applied Denver II Test, comparing the performance of the most with those least exposed to the technology. Results technology does not influenced the neuropsychomotor development, possibly because besides the use of technologies, they report diverse stimuli, including jokes. An age influence was observed in the existence of delays, and the lower the age the greater the neuro psychomotor delay. Conclusion For this sample the technology had no influence, but more studies are suggested with a larger number of participants and other ages.

https://doi.org/10.4322/2526-8910.ctoao1186 4780 downloads

11.

Relatos de Séries de Casos de Adultos Institucionalizados com Deficiência Múltipla: Como Avaliar a Funcionalidade?
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FERREIRA, Manoela de Paula

; ZOTZ, Talita Gnoato

; MÉLO, Tainá Ribas

; ISRAEL, Vera Lúcia

Revista Brasileira de Educação Especial

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mar 2019, Volume 25 N. 1 Pages 55 - 66

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

RESUMO: O objetivo deste artigo é propor e aplicar uma forma de classificação neurofuncional, baseada em posicionamentos e transferências em adultos institucionalizados com deficiência múltipla grave. O método utilizado foi o estudo transversal, descritivo, em uma instituição de longa permanência de Curitiba, estado do Paraná. Foi realizada filmagem dos participantes nas posições da escala Gross Motor Function Measure (GMFM), transferências de posturas e deslocamento. A pontuação de 1 a 5 pontos foi dada a partir da escala Aquatic Functional Assessment Scale (AFAS), como uma adaptação em solo. Utilizou-se a Classificação Internacional da Funcionalidade (CIF) como ferramenta para detalhar as posições quanto aos qualificadores de facilitadores e restritores para cada participante. Foram avaliados cinco participantes com deficiência múltipla, com idades entre 21 e 29 anos, com predomínio do sexo feminino (80%). Apenas um participante tinha a marcha assistida e 3 (60%) apresentaram estereotipia de mãos ou tronco. As transferências entre as posições não foram realizadas de forma independente por nenhum participante. A maior pontuação encontrada pela AFAS foi de 14 pontos e a pior foi de 5 pontos. Os resultados indicam que a CIF foi sensível para perceber os movimentos ou posicionamentos restritores e facilitadores para cada um dos participantes, e ela pode ser capaz de auxiliar na escolha das melhores formas de avaliação.

ABSTRACT: The objective of this paper is to propose and apply a form of functional neurological classification, based on positioning and transference in institutionalized adults with severe multiple disabilities. The method used was the cross-sectional, descriptive study in a long-stay institution in Curitiba, state of Paraná, Brazil. Participants were filmed at the Gross Motor Function Measure (GMFM), posture transfer and displacement positions. The score from 1 to 5 points was given from the Aquatic Functional Assessment Scale (AFAS), as an adaptation to the floor. The International Classification of Functionality (ICF) was used as a toll to detail the positions regarding qualifiers of facilitators and restrictors for each participant. Five participants with multiple disabilities were evaluated, aged between 21 and 29 years, with a predominance of females (80%). Only one participant had assisted gait and 3 (60%) had stereotyped hands or upper body. Transfers between positions were not performed independently by any participant. The highest score found by AFAS was 14 points and the worst score was 5 points. The results indicate that the ICF was sensitive to perceive the movements or restrictive positions and facilitators for each of the participants and it may be able to help in choosing the best forms of evaluation.

https://doi.org/10.1590/s1413-65382519000100004 1630 downloads

12.

Early intervention program by ICF model for babies of 4-18 months frequenting daycare center: protocol for clinical trial
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Mélo, Tainá Ribas

; Araujo, Luize Bueno de

; Yamaguchi, Bruna

; Ferreira, Manoela de Paula

; Israel, Vera Lúcia

Motriz: Revista de Educação Física

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2019, Volume 25 N. 3 elocation e101945

Abstract: En | Text: En | PDF: En

Abstract Introduction: A daycare center is a long-term place for infants, which means that early intervention programs should be thought of in this environment. There are still many gaps regarding the best way of stimulation/intervention, duration and description of effects and controlled outcomes. Aim: The objective of this clinical trial is to propose an early physical activity intervention program performed in infants of 4-18 months with risk/delay and with typical development at infant’s daycare. Method: The protocol of this study is indicated for a controlled trial, in a crossover format, to be applied in 4 groups composed by in 4-18 month-old infants who attend daycare: Intervention group 1 Typical, Intervention group 1 Risk/delay, group Intervention 2 Typical, group Intervention 2 Risk/delay, in 4-18 month old infants who attend daycare. The ICF criteria about functions and structure (through evaluation questionnaire) are considered, as well as activities and participation (AIMS, Denver II, and PedsQl™ evaluation), personal characteristics (questionnaire, ABEP and AHEMD-IS) and environmental factors (AHEMD-IS). Conclusion: This original proposal can highlight a low-cost intervention program performed in a daycare environment verifying the infant's NMD in a systematized way using theoretical basis.

https://doi.org/10.1590/s1980-6574201900030019 1109 downloads

13.

Intensive Neuromotor Therapy improves motor skills of children with Cornelia de Lange Syndrome: case report
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Mélo, Tainá Ribas

; Freitas, Jheniffer

; Sabbag, Alexandre de Aguiar

; Chiarello, Claudiana Renata

; Neves, Eduardo Borba

; Israel, Vera Lucia

Fisioterapia em Movimento

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2019, Volume 32 elocation e003244

Abstract: Pt En Es | Text: Pt En Es | PDF: Pt | PDF: En | PDF: Es

Resumo Introdução: A síndrome de Cornelia de Lange (SCL) é uma síndrome genética rara. Crianças com SCL geralmente necessitam de fisioterapia, porém a eficácia da intervenção fisioterapêutica nessa população é escassa na literatura científica. Objetivo: O objetivo deste estudo foi relatar o efeito da Terapia Neuromotora Intensiva (TNMI) sobre a função motora grossa e participação de uma criança com SCL usando o modelo de Classificação Internacional de Funcionalidades, Incapacidades e Saúde (CIF). Método: Uma criança brasileira com SCL foi acompanhada durante sete meses, enquanto submetida a três módulos de TNMI. Resultados: A criança demonstrou uma evolução da função motora grossa com ganhos de 11,28% no primeiro módulo, 9,22% no segundo módulo e 10,29% no terceiro módulo do TNMI. Conclusão: a TNMI resultou em melhorias na função motora grossa e participação durante as atividades diárias em uma criança com SCL. São necessários mais estudos de coortes para investigar a eficácia do TNMI em crianças com SCL.

Abstract Introduction: The Cornelia de Lange Syndrome (CdLS) is a rare genetic syndrome. Children with CdLS usually require physical therapy, however the efficacy of physical therapy intervention in this population is lacking in the research literature. Objective: The aim of this study was to report the effect of Intensive Neuromotor Therapy (INMT) on gross motor function and participation of a child with CdLS using the International Classification of Functioning, Disabilities and Health (ICF) model. Method: A Brazilian child with CdLS was followed for over seven months while undergoing three modules of INMT. Results: The child demonstrated an evolution of gross motor function with gains of 11.28% in the first module, 9.22% in the second module, and 10.29% in the third module of INMT. Conclusion: INMT resulted in improvements in gross motor function and participation during daily activities in a child with CDLS. Further studies of larger cohorts are needed to investigate the efficacy of INMT in children with CdLS.

Resumen Introducción: El síndrome de Cornelia de Lange (SCL) es un síndrome genético raro. Los niños con SCL por lo general requieren fisioterapia, sin embargo, es escasa en la literatura científica la eficacia de esta intervención en este público. Objetivo: Informar el efecto de la terapia neuromotora intensiva (TNMI) en la función motora gruesa y la participación de un niño con SCL mediante el modelo de Clasificación Internacional de Funcionamiento, Discapacidades y Salud (CIF). Método: Se puso en seguimiento a un niño brasileño con SCL durante siete meses mientras se sometía a tres módulos de TNMI. Resultados: El niño demostró una evolución de la función motora gruesa con ganancias de un 11,28% en el primer módulo, de un 9,22% en el segundo y de un 10,29% en el tercer módulo de TNMI. Conclusión: La TNMI presentó mejoras en la función motora gruesa y en la participación durante las actividades diarias en un niño con SCL. Se necesitan futuras investigaciones adicionales de cohortes para investigar la eficacia de TNMI en niños con SCL.

https://doi.org/10.1590/1980-5918.032.ao44 1940 downloads

14.

Characterization of the neuropsychomotor development of children up to three years old: the ICF model in the context of the Family Health Support Center
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Araujo, Luize Bueno de

; Novakoski, Karize Rafaela Mesquita

; Bastos, Marina Siqueira Campos

; Mélo, Tainá Ribas

; Israel, Vera Lúcia

Cadernos Brasileiros de Terapia Ocupacional

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jul 2018, Volume 26 N. 3 Pages 538 - 557

Abstract: Pt En | Text: Pt En | PDF: Pt | PDF: En

Resumo Introdução: O desenvolvimento neuropsicomotor (DNPM) é dinâmico e complexo, explicado pelo modelo contextual, que pode ser discutido com visão ampliada de saúde por meio da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF). Objetivo: Caracterizar o DNPM de crianças com até três anos participantes do Programa Leite das Crianças (PLC) a partir da abordagem contextual por meio da CIF, no contexto do Núcleo de Apoio à Saúde da Família (NASF), e relacionar com aspectos individuais, familiares, socioeconômicos e estimulação da criança nos diferentes ambientes. Método: Participaram deste estudo 19 crianças, 10 (52,63%) meninos e 9 meninas (47,37%), com idade entre 7 e 35 meses (19,42 ± 9,11), devidamente autorizadas pelo responsável, avaliadas por meio de entrevista semiestruturada, questionário socioeconômico da ABEP, teste de triagem de Denver II e questionário de oportunidades no ambiente domiciliar para o desenvolvimento motor. Os instrumentos foram relacionados com os componentes da CIF para crianças e jovens (CIF-CJ). O estudo foi realizado no NASF de uma cidade da região metropolitana de Curitiba/PR, Brasil. Para análise estatística utilizou-se rô de Spearman (rs) para correlação não-paramétrica, Mann-Whitney na comparação quantitativa e o Exato de Fisher em dados categóricos para probabilidade de ocorrência. Resultados: Com relação à triagem, 9 (47,37%) crianças apresentaram o DNPM questionável, sendo a área da linguagem a mais comprometida (88,88%), 7 famílias (36,84%) foram classificadas em C1 pela ABEP. Para a estimulação recebida no ambiente domiciliar, 6 crianças (54,5%) com até 18 meses tiveram estimulação adequada e todas (n=8) as crianças maiores de 19 meses apresentaram estimulação razoável. O modelo proposto neste estudo respondeu à abordagem contextual da CIF. Conclusão: É necessária a utilização de instrumentos adequados para planejar ações na atenção básica, para que crianças que apresentem risco ao DNPM possam ser incluídas em programas de intervenções precoces, para viabilizar o NASF enquanto espaço de acompanhamento e promoção do DNPM. A CIF mostrou-se um instrumento de classificação adequado e válido para este contexto.

Abstract: Introduction: The neuropsychomotor development (NPMD) is dynamic and complex, explained by the contextual model, which can be discussed with an expanded view of health through the International Classification of Functioning, Disability, and Health (ICF). Objective: To characterize the NPMD of children up to 3 years old participating in the “Children’s Milk Program” (CMP) from the ICF model in the context of the Family Health Support Center (FHSC) and to relate to individual, family, socioeconomic aspects and stimulation of the child in different environments. Method: In this study, 19 volunteer children, 10 (52.63%) boys and 9 girls (47.37%), aged 7-35 months old (19.42 ± 9.11), duly authorized by the person responsible participated in the study, evaluated through a semi-structured interview, and ABEP socioeconomic questionnaire, Denver Developmental Screening Test and Affordances in the Home Environment for Motor Development test. The instruments were related to ICF components for Children and Young People. The study was performed at the FHCS of a metropolitan city of Curitiba/PR, Brazil. Statistical analysis was performed using the Spearman’s rô (rs) for non-parametric correlation, Mann-Whitney in quantitative comparison and Fisher’s Exact Test in categorical data for occurrence probability. Results: Regarding the Denver II test, 9 (47.37%) children had questionable NPDM, and the language area was the most compromised (88.88%), 7 families (36.84% were classified in C1 by ABEP and 6 children (54.5%) up to 18 months old received adequate stimulation in the home environment and all the kids (n=8) over 19 months old, presented reasonable stimulation. The model proposed in this study responded to contextual approach of the ICF. Conclusion: It is necessary to use appropriate instruments to plan actions in basic care so children at risk to NPMD can be included in programs of early intervention, to enable the FHCS as a space for monitoring and promoting the NPMD. The ICF has proved to be an adequate and valid classification instrument for this context.

https://doi.org/10.4322/2526-8910.ctoao1183 13374 downloads

15.

Intensive neuromotor therapy with suit improves motor gross function in cerebral palsy: a Brazilian study
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Mélo, Tainá Ribas

; Yamaguchi, Bruna

; Chiarello, Claudiana Renata

; Costin, Ana Cláudia Szczypior

; Erthal, Vanessa

; Israel, Vera Lúcia

; Neves, Eduardo Borba

Motricidade

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dec 2017, Volume 13 N. 4 Pages 54 - 61

Abstract: En | Text: En | PDF: En

Cerebral palsy (CP) is the most common disability in children caused by central nervous system lesion. The aim of the present study was to verify the intensive neuromotor therapy effects in children with CP, in a reference Brazilian centre. In this study, three years of medical records from a Brazilian reference Centre of Intensive Neuromotor Therapy (INMT) which use the INMT protocol were analysed. The motor evaluation for each child was done by the Gross Motor Function Classification System (GMFCS) and GMFM-88 by an experienced professional, before and after each INMT module. A total of 53 children between the ages of 1 and 15 years (age at treatment initiation, initial evaluation), with a mean age of 5.94±3.38 years, participated in the study. Participants performed between 1 and 10 INMT modules. There was no strong correlation between age and overall performance on the GMFM scale, but it was observed a strong negative correlation between the percentage of GMFM gains and the number of modules (r=-0.709; R² = 0.50; p = 0.022, CI95%[0.014 - 0.026]), suggesting that patients tend to present higher percentage gains in the first modules. Through an intra-module comparison, it was observed statistical difference in the total score in each of the modules.

https://doi.org/10.6063/motricidade.13669 2069 downloads

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