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Paralisia cerebral: repercussões no contexto familiar
(Universidade Federal de São Carlos, 2011-07-07) Sandor, Elizane Regina Santos; Dupas, Giselle; https://lattes.cnpq.br/9461883918498554; https://lattes.cnpq.br/4836781036910185
Cerebral Palsy (CP) is a chronic condition that affects the motor development and posture of the child, often accompanied by disorders in speech, hearing, cognition, sensory perception, among others. This situation is responsible for changes and limitations in daily activities of children requiring adaptations by the family that plays a fundamental role in the rehabilitation process of children with CP, and partner and co-responsibility in child care. This study aims to evaluate the experience of families of children with CP treated at an outpatient child and investigate the impact of chronic disease in children in the family context. This is a qualitative study, which adopted the theoretical Symbolic Interactionism (SI). The study site was a specialized unit in the care of children in a midsize city in the interior of São Paulo state. To collect data we used an instrument composed of two parts: the first part consisted in gathering information related to family composition and sociodemographic conditions of the members, the second part featured questions relating to the experience of family in the PC in the family context. The interviews with family members were recorded and transcribed. The content analysis and thematic Bardin, was the technique adopted for data analysis. We apprehend this study that the PC has a significant effect on the family and among those experiences, which leaves the family more un easy is the lack of support emotional/instrumental from professionals and social networking. The study also identifies the urgent need of nursing care to be part of the family of the child with CP in order to add knowledge to the multidisciplinary team and care paid to redeem the family unit.
Estudo biomecânico do processo de aquisição da marcha independente em bebês
(Universidade Federal de São Carlos, 2011-07-07) Levada, Giovana; Costa, Paula Hentschel Lobo da; https://lattes.cnpq.br/9083349298690934; https://lattes.cnpq.br/8063912838946205
ABSTRACT The acquisition of independent walking is an important motor milestone and can be considered the greatest biomechanical challenge in infanthood. In the first 5-6 months of independent walking, important transitions appear in all gait parameters. One aspect to take notice is the high level of variability during this acquisition process. Based on these characteristics, this work contributed to better understand the acquisition process of independent walking according to biomechanical variables. A longitudinal study was conducted with three different assessments along a threemonth period. Kinetic and kinematic variables were analyzed. Ten toddlers of 13 months without any neuromuscular disorders participated in this study. The project was approved by the Sao Carlos University Ethics Committee (Number 013/2010). The toddlers were encouraged to walk freely on a 5 meter walkway, keeping natural speed. The Study I verified the variability in the Ground Reaction Forces (GRF) during the assessments. The Friedman s ANOVA did not reveal significant differences in the discrete variables, despite the reduction in the Coefficient of Variation (CV) of the vertical and horizontal components of the GRF. The Study II verified changes in kinematic variables, using spatio-temporal parameters and knee, ankle and hip joint angles. Once again no significant differences were found, however toddlers showed speed and cadence improvements and also reduction in the double support time and stride duration. Moreover, there was an increase in the first wave of the knee flexion. The gait experience acquired during the first threemonths of independent walking to these children was not enough to cause significant changes in the biomechanical variables studied here. However, the progressive reduction in the CV between assessments and the changes in some spatio-temporal parameters suggest progressive gait maturation.