Introduction Surgical repair of congenital heart disease in the first years of life compromises the coordination of the suction, breathing, and swallowing functions. Objective To describe the alterations in swallowing found in infants with congenital heart defect during their hospitalization. Methods Prospective, cross-sectional study in a reference hospital for heart disease. The sample consisted of 19 postsurgical patients who underwent an evaluation of swallowing. The infants included were younger than 7 months and had a diagnosis of congenital heart defect and suspected swallowing difficulties. Results Of the 19 infants with congenital heart defect, the median age was 3.2 months. A significant association was found between suction rhythm and dysphagia (p = 0.036) and between oral-motor oral feeding readiness and dysphagia (p = 0.014). Conclusions The data suggest that dysphagia often occurs after surgery in infants with congenital heart defect. Infants with congenital heart defect had very similar behavior to preterm infants in terms of oral feeding readiness.

OBJETIVO: Analisar o comportamento motor oral e global de recém-nascidos de mães que fizeram uso de crack e/ou cocaína durante a gestação e verificar se há relação entre o desenvolvimento dos sistemas sensório motor oral (SSMO) e motor global. MÉTODOS: Estudo transversal, em que foram avaliados 25 recém-nascidos prematuros e a termo de mães usuárias de crack e/ou cocaína, pareados com outro grupo de 25 recém-nascidos sem o fator em estudo. As avaliações do SSMO e motor global foram realizadas por meio do Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral e do Test of Infant Motor Performance (TIMP), respectivamente. Os resultados compararam os escores encontrados nas duas escalas e a relação destes com o uso materno do crack e/ou cocaína durante a gestação. RESULTADOS: No TIMP não foi constatada diferença na comparação entre os escores de recém-nascidos de mães usuárias de crack e/ou cocaína e os de mães não usuárias. No Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral, os resultados apresentaram diferença. Foi observada associação entre os resultados de bebês que apresentaram atraso no TIMP com menor escore no Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral. CONCLUSÃO: O baixo desempenho observado no Instrumento de Avaliação da Prontidão do Prematuro para Início da Alimentação Oral sugere que as respostas motoras orais estão alteradas pelo uso materno das drogas. A correlação entre os dois instrumentos mostra que o desenvolvimento do SSMO pode estar relacionado ao desenvolvimento motor global.

PURPOSE: analyzing the oral and general motor behavior of newborns from women who used crack and/or cocaine during pregnancy, and verifying if there is a relation between the development of the oral and general sensory motor system. METHODS: Cross-sectional study with 25 premature and full-term newborns from women who were crack and/or cocaine users were compared with another group composed of 25 newborns without the studied factor. The evaluations of the oral and general sensory motor system were carried out by the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding and by the Test of Infant Motor Performance (TIMP). The results compared the scores obtained in both scales and their relation to the use of crack and/or cocaine during pregnancy. RESULTS: No significant difference was found by the TIMP when comparing the newborns from crack and/or cocaine-using mothers to the ones from non-using mothers. The results from the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding showed statistic significance. A significant relation between the results from babies who presented delay in the TIMP to the lowest score in the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding was observed. CONCLUSION: The low performance observed in the Instrument to Assess the Readiness of Preterm Infants for Oral Feeding suggests that the oral motor responses are altered by the use of drugs during the pregnancy. The significant correlation between both instruments shows that the development of the oral sensory motor system is directly related to the general motor development.

Analisar as propriedades psicométricas de instrumentos de autoavaliação é primordial para verificar a confiabilidade e a validade dos testes, além de permitir a interpretação correta dos resultados. OBJETIVO: Verificar as propriedades psicométricas do IOI-HA (International Outcome Inventory for Hearing Aids) na versão em português, denominada QI-AASI (Questionário Internacional - Aparelho de Amplificação Sonora Individual), em termos de consistência interna, correlação entre os itens e reprodutibilidade. FORMA DE ESTUDO: Descritivo, observacional e transversal. MATERIAL E MÉTODO: O questionário foi aplicado em 53 usuários de AASI, 34 do sexo feminino e 19 do sexo masculino, com idades compreendidas entre 19 e 92 anos e nível de instrução de ensino básico incompleto a ensino superior completo, abrangendo sujeitos com amplificação binaural e monoaural. RESULTADOS: O QI-AASI apresentou um Alpha de Cronbach em 0,69. Na correlação entre os itens foram verificadas várias correlações significativas. O instrumento se reproduziu de forma adequada, exceto para o item 6, que apresentou diferença significativa na comparação entre o teste e o reteste. CONCLUSÕES: Sugere-se o uso do QI-AASI no processo de reabilitação de usuários de prótese (s) auditiva (s), porém considera-se que o questionário pode ser de difícil compreensão para sujeitos com baixo nível sociocultural na situação autoaplicada.

It is paramount to assess the psychometric properties of self-assessment tools in order to check the tests' reliability and validity, also to enable proper outcome interpretation. AIM: to check the psychometric properties of the IOI-HA (International Outcome Inventory for Hearing Aids) in its Portuguese version, called QI-AASI (International Questionnaire - Individual Sound Amplification Device), in terms of internal uniformity, correlation between the items and reproducibility. STUDY DESIGN: descriptive, observational and cross-sectional. MATERIALS AND METHODS: the questionnaire was deployed to 53 hearing aid users, 34 females and 19 males, with ages between 19 and 92 years - from incomplete basic education to complete higher education, encompassing subjects with monoaural and binaural sound amplification. RESULTS: the QI-AASI had a Cronbach Alpha of 0.69. In the correlation among the items, there were numerous significant correlations. The instrument was properly reproducible, except for item # 6, which presented a significant difference in comparing test and the retest. CONCLUSIONS: the QI-AASI is suggested in the rehabilitation process of users of hearing aides; nonetheless, the questionnaire can be difficult for subjects with low social and economic status when self-employed.