The use of participation assessment and contextual factors for extended analysis of child neurodevelopment

Authors

DOI:

https://doi.org/10.33233/fb.v24i6.5497

Keywords:

Premature, International Classification of Functioning, Disability and Health, Child development

Abstract

Objective: To investigate the use of participation and contextual factors assessment instruments to enable expanded analysis of neurodevelopment in at-risk children. Methods: Cross-sectional study, composed of preterm children aged between three and 42 months. Those with congenital malformations, genetic syndromes and exposure to congenital infections were excluded. The instruments Alberta Infant Motor Scale (AIMS), Denver Test II, Child Engagement in Daily Life (CEDL), Affordances in the Home Environment for Motor Development (AHEMD) and a structured questionnaire developed by the researchers were used for assessment. Results: Sample of 29 children with higher prevalence of alterations in fine (34.5%) and gross (24.1%) motor domains; regarding participation, 58.6% almost never played outdoors with other children and 75.9% almost never went on entertainment   outings, regarding contextual factors, low provision of fine (46.4%) and     gross (57.1%) motor skills materials in homes. Conclusion: Children with neurodevelopment classified as questionable had changes in the domains of participation and contextual factors, indicating the importance of a more detailed assessment. The use of instruments to analyze these domains contributed to a better understanding of neurodevelopment.

Author Biographies

Camila Santos Barros, FIOCRUZ

Fisioterapeuta, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz, FIOCRUZ, Rio de Janeiro, RJ, Brasil

Maria Fernanda Vieira, FIOCRUZ

She has a degree in Physiotherapy from the Brazilian Institute of Rehabilitation Medicine (2002) and a master's degree in Child and Women's Health from FIOCRUZ (2011) . She is currently a Health Technologist / Physiotherapist at the Instituto Fernandes Figueira - IFF/FIOCRUZ. She works mainly in the following areas: pediatric physiotherapy, collective health, child development.

Carla Martins Trevisan Ribeiro, FIOCRUZ

PhD in Sciences (clinical medicine program - area of child and adolescent health) from UFRJ - Federal University of Rio de Janeiro (2010), degree in Physiotherapy (UFRJ - 2003). She is currently a physiotherapist and researcher at the Instituto Nacional da Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira (IFF/Fiocruz). She has experience in Physiotherapy, with emphasis in pediatric neurofunctional physiotherapy, working mainly on the following topics: neurofunctional physiotherapy, health care networks, neurodevelopment and functionality.

 

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Published

2024-01-06