Érica Defilipo - Academia.edu (original) (raw)

Papers by Érica Defilipo

Fisioterapia em Movimento, 2019

Fisioterapia e Pesquisa, Jan 3, 2017

Plantar pressure is used in clinical evaluation of the feet and informs about characteristics of ... more Plantar pressure is used in clinical evaluation of the feet and informs about characteristics of the plantar load distribution during functional activity. Many evaluation instruments are used and its measurements properties must be tested. Test-retest reliability is a measure which informs about reproducibility. The objective of this study was to analyze test-retest reliability of maximum pressure measurements during static and dynamic in children and youths with normal development (ND). Eleven children and youths with ND of both sexes, with mean age between 6 and 17 years old, were evaluated twice in a weight bearing platform in orthostatic posture, barefooted and with their usual footwear, when the feet were positioned spontaneously (interrupted step) and the feet were aligned. Intraclass correlation coefficients (ICC) were analyzed (α=0.05). ICC were consistent for: anterior barefoot weight bearing (ICC=0.83) and posterior barefoot weight bearing (ICC=0.95) and with footwear (ICC=0.83), during the static analysis with interrupted step. They were also consistent for the variable static weight bearing of the right lower limb (ICC=0.86) and left lower limb (ICC=0.82) barefooted with interrupted step, and with footwear with the feet aligned (ICC=0.82). In the left lower limb analysis with footwear, the maximum pressure also showed a satisfactory result 46 (ICC=0.85). Other variables showed ICC variation between 0.25 and 0.74, considered unsatisfactory. The conclusions

Temas em Educação e Saúde, 2023

DOAJ (DOAJ: Directory of Open Access Journals), Aug 1, 2012

OBJECTIVE: To assess the opportunities present in the home environment for motor development of i... more OBJECTIVE: To assess the opportunities present in the home environment for motor development of infants. METHODS: This was a cross-sectional population-based epidemiological study on 239 infants aged three to 18 months who were living in the municipality of Juiz de Fora, Southeastern Brazil, in 2010. The participants were selected by means of stratifi ed random sampling, in clustered multiple stages. To assess the quality and quantity of motor stimulus in the home environment, the "Affordances in the Home Environment for Motor Development-Infant Scale" instrument was used. Bivariate analysis was performed, with application of the chi-square test followed by multinomial logistic regression, in order to investigate associations between the opportunities present in the home and biological, behavioral, demographic and socioeconomic factors. RESULTS: The opportunities for environmental stimulation were relatively low. In the bivariate analysis, for the age group from three to nine months, associations with the following factors were found: birth order (p = 0.06), socioeconomic classifi cation (p = 0.08), monthly income (p = 0.06) and per capita income (p = 0.03). In the regression model, the socioeconomic classifi cation prevailed (OR = 7.46; p = 0.03). For the age group from 10 to 18 months, bivariate analysis showed that the following factors were associated: mother's marital status (p < 0.01), father living with the child (p = 0.08), head of the family (p = 0.04), number of people in the household (p = 0.05), mother's schooling level (p < 0.01), father's schooling level (p < 0.01), socioeconomic classifi cation (p < 0.01) and per capita income (p = 0.03). In the regression model, the mother's marital status (OR = 4.83; p = 0.02), mother's schooling level (OR = 0.29; p = 0.03) and father's schooling level (OR = 0.33; p = 0.04) remained associated with the opportunities for environmental stimulation. CONCLUSIONS: Stable partnership between the parents, higher maternal and paternal schooling levels and higher economic level were the factors associated with better opportunities for motor stimulation in the home.

Revista Pesquisa em Fisioterapia, Aug 2, 2021

Interventions in different joints may be necessary to correct crouch gait and other musculoskelet... more Interventions in different joints may be necessary to correct crouch gait and other musculoskeletal changes that occur as time passes for Cerebral Palsy (CP) children. Multilevel surgery reduces the number of hospitalizations, contributes to the prevention of secondary disabilities, and improves the ambulation ability of children with diplegia. OBJECTIVE: Document the changes in mobility outcomes of a bilateral CP child, type diplegia, child after lower limbs multilevel surgery in the Brazilian context. MATERIAL AND METHODS: The participant was an eight-year-old girl, Gross Motor Function Classification System level III. The mother signed the informed consent form. The Gross Motor Function Measure-66 (GMFM-66) was performed one day before surgery and one, three, six, and twelve months after surgery. Additional information was obtained through the electronic system of the hospital to complete the child's evolution records. RESULTS: The GMFM-66 total score was: 49.6 pre-operative (CI95%: 47.3-51.9); 42.8 after one month (CI95%: 40.7-45.0); 49.9 after three months (CI95%: 47.6-52.1); 52.6 after six months (CI95%: 50.2-55.0) and 56.9 after one year (CI95%: 54.6-59.2), increasing after 6 months of surgery (*p<0.05). The participant presented satisfactory adherence to physiotherapy. CONCLUSION: This study describes the case of a Brazilian child with CP using the public health system. The impact of multilevel surgery was predominant in mobility, with worsening of capacity soon after surgery and progressive improvement over the months. Factors that may have contributed to our results were adherence, frequency, contextual factors.

A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma ve... more A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma vez que e uma situacao multifatorial que se inter-relaciona e pode variar em diferentes populacoes e regioes. O objetivo deste estudo foi verificar a associacao dos fatores socioeconomicos, demograficos, ambientais, reprodutivos, comportamentais, de assistencia a saude e biologicos maternos com a prematuridade e o baixo peso ao nascer em nascidos vivos no Hospital Municipal de Governador Valadares, Minas Gerais. Estudo caso-controle, realizado com nascidos vivos no Hospital Municipal de Governador Valadares, no periodo de maio de 2017 a julho de 2018, cujas maes residiam no municipio de Governador Valadares ou regiao. A populacao estudada foi dividida em dois grupos: Grupo Prematuro e Grupo Baixo Peso ao nascer. No Grupo Prematuro, os casos foram os nascidos vivos prematuros e os controles, os nascidos vivos a termo e com peso adequado ao nascer. No Grupo Baixo Peso ao Nascer, os casos foram os nascidos vivos a termo e com baixo peso ao nascer e os controles, os nascidos vivos a termo e com peso adequado ao nascer. Todos os controles foram pareados por sexo e data de nascimento e para cada caso foram selecionados dois controles. Participaram deste estudo, compondo o Grupo Prematuro, 221 casos e 442 controles, e compondo o Grupo Baixo Peso ao Nascer, 65 casos e 130 controles. Apos a analise ajustada para os demais fatores em estudo, verificou-se que os maiores riscos de prematuridade estao associados aos primeiros filhos (RC = 2,994; IC95% = 1,911-4,690; p < 0,001), oriundos de gestacao multipla (RC = 26,371; IC95% = 8,257-84,225; p < 0,001), cujas maes possuiam maior renda (RC = 2,091; IC95% = 1,341-3,262; p = 0,001), tiveram filho prematuro previo (RC = 5,603; IC95% = 2,633-11,924; p < 0,001), sofreram violencia (RC = 2,177; IC95% = 1,088-4,358; p = 0,028) e apresentaram diabetes gestacional (RC = 3,924; IC95% = 1,622-9,494; p = 0,002), pre-eclâmpsia/eclâmpsia (RC = 7,692; IC95% = 2,917-20,285; p < 0,001), infeccao do trato urinario (RC = 1,989; IC95% = 1,305-3,031; p = 0,001), ruptura precoce das membranas (RC = 3,030; IC95% = 1,257-7,307; p = 0,014), sangramento vaginal autorreferido no primeiro trimestre (RC = 2,574; IC95% = 1,528-4,335; p < 0,001) e oligodrâmnio (RC = 4,369; IC95% = 1,896-10,066; p = 0,001) durante a gestacao. Os nascidos vivos de maes que realizaram mais de seis consultas de pre-natal (RC = 0,345; IC95% = 0,221-0,539; p < 0,001) e que tiveram anemia (RC = 0,349; IC95% = 0,213-0,571; p < 0,001) apresentaram menor risco de ser prematuro. Os riscos mais elevados de baixo peso ao nascer estao associados aos primeiros filhos (RC = 2,033; IC95% = 1,047–3,948; p = 0,036) e aos nascidos vivos cujas maes utilizaram cigarro durante a gestacao (RC = 2,850; IC95% = 1,013–8,021; p = 0,047) e consumiram a agua fornecida pelos servicos de abastecimento dos municipios atingidos pelos rejeitos provenientes do rompimento da barragem de Fundao, em Mariana (RC = 2,444; IC95% = 1,203–4,965; p = 0,013). A prematuridade esta associada aos fatores economicos, comportamentais, reprodutivos, biologicos e de assistencia a saude, sendo que muitos fatores sao considerados preveniveis. A agua consumida na gestacao, primiparidade e tabagismo materno apresentaram associacao com baixo peso ao nascer na populacao estudada. Esta pesquisa foi importante para que os profissionais de saude e gestores conhecam os principais fatores associados a prematuridade e ao baixo peso ao nascer que acometem essa regiao, com a finalidade de adequar os cuidados gestacionais na deteccao e prevencao de agravos a saude, e assim, colaborar para a reducao da prematuridade, do baixo peso ao nascer e da morbimortalidade neonatal.

PROFISIO: PROGRAMA DE ATUALIZAÇÃO EM FISIOTERAPIA NEUROFUNCIONAL: Ciclo10: Volume4

Temas em Educação e Saúde

O objetivo do trabalho foi narrar de forma crítico-reflexiva a experiência de gestão colegiada in... more O objetivo do trabalho foi narrar de forma crítico-reflexiva a experiência de gestão colegiada interprofissional no contexto do Programa de Educação pelo Trabalho para a Saúde/GraduaSUS no município de Governador Valadares-MG, com foco nos impactos na integração ensino-serviço-comunidade. Para tanto, foi realizada uma descrição aprofundada da vivência, seguida do diálogo da reflexão com a literatura, no sentido de compreender as potencialidades, as limitações e necessidades de aperfeiçoamento do modelo de gestão adotado. As atribuições do colegiado gestor foram: gerenciar a organização do programa, dialogar com a Secretaria Municipal de Saúde na operacionalização das ações, planejar e orientar as atividades propostas nos grupos tutoriais e planejar, organizar e promover debates. A gestão colegiada interprofissional permitiu o desenvolvimento de competências de trabalho em equipe, a aproximação interdepartamental e a integração dos saberes das profissões no alcance dos resultados do ...

Abordagem Multidisciplinar em Saúde Infantil, 2021

Revista Pesquisa em Fisioterapia, 2021

INTRODUCTION: Interventions in different joints may be necessary to correct crouch gait and other... more INTRODUCTION: Interventions in different joints may be necessary to correct crouch gait and others musculoskeletal changes that occur as time passes for Cerebral Palsy (CP) children. Multilevel surgery reduces the number of hospitalizations, contributes to the prevention of secondary disabilities, and improves ambulation ability of children with diplegia. OBJECTIVE: Document the changes in mobility outcomes of a bilateral CP child, type diplegia, child after lower limbs multilevel surgery in the Brazilian context MATERIAL AND METHODS: The participant was an eight-year-old girl, Gross Motor Function Classification System level III. The mother signed the informed consent form. The Gross Motor Function Measure–66 (GMFM-66) was performed one day before surgery and one, three, six and twelve months after surgery. To complete the child’s evolution records, additional information was obtained through the electronic system of the hospital. RESULTS: The GMFM-66 total score was: 49.6 pre-oper...

A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma ve... more A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma vez que e uma situacao multifatorial que se inter-relaciona e pode variar em diferentes populacoes e regioes. O objetivo deste estudo foi verificar a associacao dos fatores socioeconomicos, demograficos, ambientais, reprodutivos, comportamentais, de assistencia a saude e biologicos maternos com a prematuridade e o baixo peso ao nascer em nascidos vivos no Hospital Municipal de Governador Valadares, Minas Gerais. Estudo caso-controle, realizado com nascidos vivos no Hospital Municipal de Governador Valadares, no periodo de maio de 2017 a julho de 2018, cujas maes residiam no municipio de Governador Valadares ou regiao. A populacao estudada foi dividida em dois grupos: Grupo Prematuro e Grupo Baixo Peso ao nascer. No Grupo Prematuro, os casos foram os nascidos vivos prematuros e os controles, os nascidos vivos a termo e com peso adequado ao nascer. No Grupo Baixo Peso ao Nascer, os casos for...

Revista Pesquisa em Fisioterapia, Nov 29, 2022

Functioning, Disability and Health (ICF) points out that environmental factors constitute the phy... more Functioning, Disability and Health (ICF) points out that environmental factors constitute the physical, social and attitudinal environment in which people live and conduct their lives, and it can act as a facilitator or a barrier. In the field of neurofunctional physical therapy for children and adolescents, the environment has been highlighted as an important component in the process of evaluation, establishment of goals and in the choice of interventions aimed at social participation.

O ambiente domiciliar tem sido apontado na literatura como um dos fatores extrinsecos que mais in... more O ambiente domiciliar tem sido apontado na literatura como um dos fatores extrinsecos que mais influencia o desenvolvimento, pois proporciona a crianca oportunidades para a exploracao que permitem que o comportamento motor seja estimulado de forma natural. A interacao com os pais, a variabilidade de estimulacao e a disponibilidade de brinquedos sao indicadores criticos para a qualidade do ambiente familiar. Os objetivos do presente estudo foram avaliar as oportunidades presentes no ambiente domiciliar para o desenvolvimento motor de lactentes com idade entre tres e 18 meses, residentes no municipio de Juiz de Fora, Minas Gerais, e verificar a associacao destas com os fatores biologicos, comportamentais, demograficos e socioeconomicos. Trata-se de um estudo epidemiologico, transversal, baseado em inquerito populacional. Os participantes desta pesquisa foram selecionados por processo de amostragem aleatoria, estratificada e conglomerada em multiplos estagios. As unidades primarias de ...

Revista Guará, 2018

As instituições de abrigo infantil têm sido frequentemente citadas como locais de impacto negativ... more As instituições de abrigo infantil têm sido frequentemente citadas como locais de impacto negativo para o desenvolvimento neuromotor e constituem-se importantes fatores de risco para as infecções respiratórias agudas nesta população. Desta forma, o acompanhamento do desenvolvimento neuromotor e da função ventilatória de crianças institucionalizadas deve ser priorizado, com ações de prevenção e promoção da saúde. O objetivo deste trabalho é relatar a experiência vivenciada por acadêmicos do curso de Fisioterapia em uma instituição de abrigo infantil no município de Governador Valadares, Minas Gerais. O projeto consistiu na avaliação do desenvolvimento motor e da função ventilatória de lactentes e crianças, atendimento fisioterapêutico e orientações às cuidadoras. A experiência no abrigo permitiu aos acadêmicos a integração do ensino com a prática, por meio de avaliação e tratamento fisioterapêutico em pediatria, identificação de fatores de risco relacionados à institucionalização e d...

Revista Paulista de Pediatria

Objective: The aim of this study was to verify the adequacy of affordances in the home environmen... more Objective: The aim of this study was to verify the adequacy of affordances in the home environment of children at risk of developmental delay and to identify factors associated with their frequency. Methods: The cross-sectional study included 97 families who responded to the Affordances in the Home Environment for Motor Development — Infant Scale (AHEMD-IS) for 3–18 months (n=63), or AHEMD – Self-Report (AHEMD-SR) for 18–42 months (n=34). The Mann-Whitney U test was used to identify the differences between the frequencies of affordances between the groups. Multiple linear regression was used to verify the association between the child’s sex, mother’s marital status, education, socioeconomic level, child and mother’s ages, house residents’ number, per capita income, and AHEMD scores (α=0.05). Results: The home affordances’ frequency in the AHEMD-IS ranged from less than adequate to excellent, while in the AHEMD-SR, the highest predominance was medium. The offer of stimuli in the AHEM...

Anais do Congresso Brasileiro On-line de Oncologia Clínico-laboratorial

Physiotherapy Canada

Purpose: To estimate test-retest reliability of the two versions of the PEDI-CAT administered via... more Purpose: To estimate test-retest reliability of the two versions of the PEDI-CAT administered via telehealth to caregivers of Brazilian young people with DS, to compare scores on the two versions, and to determine caregiver acceptance of telehealth administration of the assessment. Method: A methodological study approved by the research ethics committee. Data collection was performed online, with a mean duration of 45.0 minutes for the content-balanced version of the PEDI-CAT and 17.5 minutes for the speedy version. Results: In total, 28 caregivers of individuals with DS up to age 21 years participated (mean = 5.9 years; SD = 4.9 years). Intra-class correlation coefficients for the four domains of the PEDI-CAT content-balanced version and four domains of the PEDI-CAT speedy version ranged from 0.77 to 0.97. There was a statistical difference between the versions in the scores of the social-cognitive domain ( p < 0.05). A mean of 105 items (SD = 21) was administered in the content...

Revista Paulista de Pediatria

Objective: To analyze the socioeconomic, demographic, environmental, reproductive, behavioral, an... more Objective: To analyze the socioeconomic, demographic, environmental, reproductive, behavioral, and health-care factors associated with preterm birth. Methods: Case-control study, with case group composed of preterm infants and the control group by full term live births. Each case was paired with two controls according to sex and date of birth. Interviews were carried out with the mothers, as well as analysis of medical records. A logistic regression model was used for data analysis following the hierarchical order of entry of the blocks. Results: 221 live births were allocated in the case group and 442 in the control group. After analysis adjusted for other factors under study, the highest chances of prematurity were associated with being the first child (OR 1.96; 95%CI 1.34–2.86; p=0.001); mothers with the highest income (OR 2.08; 95%CI 1.41–3.08; p<0.001), mothers with previous preterm births (OR 3.98; 95%CI 2.04–7.79; p<0.001), mothers that suffered violence during pregnanc...

Fisioterapia em Movimento

Introduction: The home environment is a fundamental agent for infant development in the first yea... more Introduction: The home environment is a fundamental agent for infant development in the first year of life. Objective: To evaluate the opportunities for environmental stimulation and the motor development of infants at 3, 6, 9, and 12 months of age and determine the association between these opportunities and the parents’ schooling and economic levels, at each age studied. Methods: This is a longitudinal study using the Alberta Infant Motor Scale (AIMS) to assess motor development, the Affordances in the Home Environment for Motor Development - Infant Scale (AHEMD-IS) questionnaire to assess the stimulation opportunities at home, and the Brazilian Association of Research Companies (ABEP) questionnaire to classify the economic level of the families. The association between opportunities for environmental stimulation and schooling and economic levels was determined by the chi-squared test. Results: Thirty-seven infants participated, 54.1% of whom were boys. At 3 months of age, the opp...

Fisioterapia em Movimento, 2019

Fisioterapia e Pesquisa, Jan 3, 2017

Plantar pressure is used in clinical evaluation of the feet and informs about characteristics of ... more Plantar pressure is used in clinical evaluation of the feet and informs about characteristics of the plantar load distribution during functional activity. Many evaluation instruments are used and its measurements properties must be tested. Test-retest reliability is a measure which informs about reproducibility. The objective of this study was to analyze test-retest reliability of maximum pressure measurements during static and dynamic in children and youths with normal development (ND). Eleven children and youths with ND of both sexes, with mean age between 6 and 17 years old, were evaluated twice in a weight bearing platform in orthostatic posture, barefooted and with their usual footwear, when the feet were positioned spontaneously (interrupted step) and the feet were aligned. Intraclass correlation coefficients (ICC) were analyzed (α=0.05). ICC were consistent for: anterior barefoot weight bearing (ICC=0.83) and posterior barefoot weight bearing (ICC=0.95) and with footwear (ICC=0.83), during the static analysis with interrupted step. They were also consistent for the variable static weight bearing of the right lower limb (ICC=0.86) and left lower limb (ICC=0.82) barefooted with interrupted step, and with footwear with the feet aligned (ICC=0.82). In the left lower limb analysis with footwear, the maximum pressure also showed a satisfactory result 46 (ICC=0.85). Other variables showed ICC variation between 0.25 and 0.74, considered unsatisfactory. The conclusions

Temas em Educação e Saúde, 2023

DOAJ (DOAJ: Directory of Open Access Journals), Aug 1, 2012

OBJECTIVE: To assess the opportunities present in the home environment for motor development of i... more OBJECTIVE: To assess the opportunities present in the home environment for motor development of infants. METHODS: This was a cross-sectional population-based epidemiological study on 239 infants aged three to 18 months who were living in the municipality of Juiz de Fora, Southeastern Brazil, in 2010. The participants were selected by means of stratifi ed random sampling, in clustered multiple stages. To assess the quality and quantity of motor stimulus in the home environment, the "Affordances in the Home Environment for Motor Development-Infant Scale" instrument was used. Bivariate analysis was performed, with application of the chi-square test followed by multinomial logistic regression, in order to investigate associations between the opportunities present in the home and biological, behavioral, demographic and socioeconomic factors. RESULTS: The opportunities for environmental stimulation were relatively low. In the bivariate analysis, for the age group from three to nine months, associations with the following factors were found: birth order (p = 0.06), socioeconomic classifi cation (p = 0.08), monthly income (p = 0.06) and per capita income (p = 0.03). In the regression model, the socioeconomic classifi cation prevailed (OR = 7.46; p = 0.03). For the age group from 10 to 18 months, bivariate analysis showed that the following factors were associated: mother's marital status (p < 0.01), father living with the child (p = 0.08), head of the family (p = 0.04), number of people in the household (p = 0.05), mother's schooling level (p < 0.01), father's schooling level (p < 0.01), socioeconomic classifi cation (p < 0.01) and per capita income (p = 0.03). In the regression model, the mother's marital status (OR = 4.83; p = 0.02), mother's schooling level (OR = 0.29; p = 0.03) and father's schooling level (OR = 0.33; p = 0.04) remained associated with the opportunities for environmental stimulation. CONCLUSIONS: Stable partnership between the parents, higher maternal and paternal schooling levels and higher economic level were the factors associated with better opportunities for motor stimulation in the home.

Revista Pesquisa em Fisioterapia, Aug 2, 2021

Interventions in different joints may be necessary to correct crouch gait and other musculoskelet... more Interventions in different joints may be necessary to correct crouch gait and other musculoskeletal changes that occur as time passes for Cerebral Palsy (CP) children. Multilevel surgery reduces the number of hospitalizations, contributes to the prevention of secondary disabilities, and improves the ambulation ability of children with diplegia. OBJECTIVE: Document the changes in mobility outcomes of a bilateral CP child, type diplegia, child after lower limbs multilevel surgery in the Brazilian context. MATERIAL AND METHODS: The participant was an eight-year-old girl, Gross Motor Function Classification System level III. The mother signed the informed consent form. The Gross Motor Function Measure-66 (GMFM-66) was performed one day before surgery and one, three, six, and twelve months after surgery. Additional information was obtained through the electronic system of the hospital to complete the child's evolution records. RESULTS: The GMFM-66 total score was: 49.6 pre-operative (CI95%: 47.3-51.9); 42.8 after one month (CI95%: 40.7-45.0); 49.9 after three months (CI95%: 47.6-52.1); 52.6 after six months (CI95%: 50.2-55.0) and 56.9 after one year (CI95%: 54.6-59.2), increasing after 6 months of surgery (*p<0.05). The participant presented satisfactory adherence to physiotherapy. CONCLUSION: This study describes the case of a Brazilian child with CP using the public health system. The impact of multilevel surgery was predominant in mobility, with worsening of capacity soon after surgery and progressive improvement over the months. Factors that may have contributed to our results were adherence, frequency, contextual factors.

A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma ve... more A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma vez que e uma situacao multifatorial que se inter-relaciona e pode variar em diferentes populacoes e regioes. O objetivo deste estudo foi verificar a associacao dos fatores socioeconomicos, demograficos, ambientais, reprodutivos, comportamentais, de assistencia a saude e biologicos maternos com a prematuridade e o baixo peso ao nascer em nascidos vivos no Hospital Municipal de Governador Valadares, Minas Gerais. Estudo caso-controle, realizado com nascidos vivos no Hospital Municipal de Governador Valadares, no periodo de maio de 2017 a julho de 2018, cujas maes residiam no municipio de Governador Valadares ou regiao. A populacao estudada foi dividida em dois grupos: Grupo Prematuro e Grupo Baixo Peso ao nascer. No Grupo Prematuro, os casos foram os nascidos vivos prematuros e os controles, os nascidos vivos a termo e com peso adequado ao nascer. No Grupo Baixo Peso ao Nascer, os casos foram os nascidos vivos a termo e com baixo peso ao nascer e os controles, os nascidos vivos a termo e com peso adequado ao nascer. Todos os controles foram pareados por sexo e data de nascimento e para cada caso foram selecionados dois controles. Participaram deste estudo, compondo o Grupo Prematuro, 221 casos e 442 controles, e compondo o Grupo Baixo Peso ao Nascer, 65 casos e 130 controles. Apos a analise ajustada para os demais fatores em estudo, verificou-se que os maiores riscos de prematuridade estao associados aos primeiros filhos (RC = 2,994; IC95% = 1,911-4,690; p < 0,001), oriundos de gestacao multipla (RC = 26,371; IC95% = 8,257-84,225; p < 0,001), cujas maes possuiam maior renda (RC = 2,091; IC95% = 1,341-3,262; p = 0,001), tiveram filho prematuro previo (RC = 5,603; IC95% = 2,633-11,924; p < 0,001), sofreram violencia (RC = 2,177; IC95% = 1,088-4,358; p = 0,028) e apresentaram diabetes gestacional (RC = 3,924; IC95% = 1,622-9,494; p = 0,002), pre-eclâmpsia/eclâmpsia (RC = 7,692; IC95% = 2,917-20,285; p < 0,001), infeccao do trato urinario (RC = 1,989; IC95% = 1,305-3,031; p = 0,001), ruptura precoce das membranas (RC = 3,030; IC95% = 1,257-7,307; p = 0,014), sangramento vaginal autorreferido no primeiro trimestre (RC = 2,574; IC95% = 1,528-4,335; p < 0,001) e oligodrâmnio (RC = 4,369; IC95% = 1,896-10,066; p = 0,001) durante a gestacao. Os nascidos vivos de maes que realizaram mais de seis consultas de pre-natal (RC = 0,345; IC95% = 0,221-0,539; p < 0,001) e que tiveram anemia (RC = 0,349; IC95% = 0,213-0,571; p < 0,001) apresentaram menor risco de ser prematuro. Os riscos mais elevados de baixo peso ao nascer estao associados aos primeiros filhos (RC = 2,033; IC95% = 1,047–3,948; p = 0,036) e aos nascidos vivos cujas maes utilizaram cigarro durante a gestacao (RC = 2,850; IC95% = 1,013–8,021; p = 0,047) e consumiram a agua fornecida pelos servicos de abastecimento dos municipios atingidos pelos rejeitos provenientes do rompimento da barragem de Fundao, em Mariana (RC = 2,444; IC95% = 1,203–4,965; p = 0,013). A prematuridade esta associada aos fatores economicos, comportamentais, reprodutivos, biologicos e de assistencia a saude, sendo que muitos fatores sao considerados preveniveis. A agua consumida na gestacao, primiparidade e tabagismo materno apresentaram associacao com baixo peso ao nascer na populacao estudada. Esta pesquisa foi importante para que os profissionais de saude e gestores conhecam os principais fatores associados a prematuridade e ao baixo peso ao nascer que acometem essa regiao, com a finalidade de adequar os cuidados gestacionais na deteccao e prevencao de agravos a saude, e assim, colaborar para a reducao da prematuridade, do baixo peso ao nascer e da morbimortalidade neonatal.

PROFISIO: PROGRAMA DE ATUALIZAÇÃO EM FISIOTERAPIA NEUROFUNCIONAL: Ciclo10: Volume4

Temas em Educação e Saúde

O objetivo do trabalho foi narrar de forma crítico-reflexiva a experiência de gestão colegiada in... more O objetivo do trabalho foi narrar de forma crítico-reflexiva a experiência de gestão colegiada interprofissional no contexto do Programa de Educação pelo Trabalho para a Saúde/GraduaSUS no município de Governador Valadares-MG, com foco nos impactos na integração ensino-serviço-comunidade. Para tanto, foi realizada uma descrição aprofundada da vivência, seguida do diálogo da reflexão com a literatura, no sentido de compreender as potencialidades, as limitações e necessidades de aperfeiçoamento do modelo de gestão adotado. As atribuições do colegiado gestor foram: gerenciar a organização do programa, dialogar com a Secretaria Municipal de Saúde na operacionalização das ações, planejar e orientar as atividades propostas nos grupos tutoriais e planejar, organizar e promover debates. A gestão colegiada interprofissional permitiu o desenvolvimento de competências de trabalho em equipe, a aproximação interdepartamental e a integração dos saberes das profissões no alcance dos resultados do ...

Abordagem Multidisciplinar em Saúde Infantil, 2021

Revista Pesquisa em Fisioterapia, 2021

INTRODUCTION: Interventions in different joints may be necessary to correct crouch gait and other... more INTRODUCTION: Interventions in different joints may be necessary to correct crouch gait and others musculoskeletal changes that occur as time passes for Cerebral Palsy (CP) children. Multilevel surgery reduces the number of hospitalizations, contributes to the prevention of secondary disabilities, and improves ambulation ability of children with diplegia. OBJECTIVE: Document the changes in mobility outcomes of a bilateral CP child, type diplegia, child after lower limbs multilevel surgery in the Brazilian context MATERIAL AND METHODS: The participant was an eight-year-old girl, Gross Motor Function Classification System level III. The mother signed the informed consent form. The Gross Motor Function Measure–66 (GMFM-66) was performed one day before surgery and one, three, six and twelve months after surgery. To complete the child’s evolution records, additional information was obtained through the electronic system of the hospital. RESULTS: The GMFM-66 total score was: 49.6 pre-oper...

A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma ve... more A prematuridade e o baixo peso ao nascer constituem um complexo problema de saude publica, uma vez que e uma situacao multifatorial que se inter-relaciona e pode variar em diferentes populacoes e regioes. O objetivo deste estudo foi verificar a associacao dos fatores socioeconomicos, demograficos, ambientais, reprodutivos, comportamentais, de assistencia a saude e biologicos maternos com a prematuridade e o baixo peso ao nascer em nascidos vivos no Hospital Municipal de Governador Valadares, Minas Gerais. Estudo caso-controle, realizado com nascidos vivos no Hospital Municipal de Governador Valadares, no periodo de maio de 2017 a julho de 2018, cujas maes residiam no municipio de Governador Valadares ou regiao. A populacao estudada foi dividida em dois grupos: Grupo Prematuro e Grupo Baixo Peso ao nascer. No Grupo Prematuro, os casos foram os nascidos vivos prematuros e os controles, os nascidos vivos a termo e com peso adequado ao nascer. No Grupo Baixo Peso ao Nascer, os casos for...

Revista Pesquisa em Fisioterapia, Nov 29, 2022

Functioning, Disability and Health (ICF) points out that environmental factors constitute the phy... more Functioning, Disability and Health (ICF) points out that environmental factors constitute the physical, social and attitudinal environment in which people live and conduct their lives, and it can act as a facilitator or a barrier. In the field of neurofunctional physical therapy for children and adolescents, the environment has been highlighted as an important component in the process of evaluation, establishment of goals and in the choice of interventions aimed at social participation.

O ambiente domiciliar tem sido apontado na literatura como um dos fatores extrinsecos que mais in... more O ambiente domiciliar tem sido apontado na literatura como um dos fatores extrinsecos que mais influencia o desenvolvimento, pois proporciona a crianca oportunidades para a exploracao que permitem que o comportamento motor seja estimulado de forma natural. A interacao com os pais, a variabilidade de estimulacao e a disponibilidade de brinquedos sao indicadores criticos para a qualidade do ambiente familiar. Os objetivos do presente estudo foram avaliar as oportunidades presentes no ambiente domiciliar para o desenvolvimento motor de lactentes com idade entre tres e 18 meses, residentes no municipio de Juiz de Fora, Minas Gerais, e verificar a associacao destas com os fatores biologicos, comportamentais, demograficos e socioeconomicos. Trata-se de um estudo epidemiologico, transversal, baseado em inquerito populacional. Os participantes desta pesquisa foram selecionados por processo de amostragem aleatoria, estratificada e conglomerada em multiplos estagios. As unidades primarias de ...

Revista Guará, 2018

As instituições de abrigo infantil têm sido frequentemente citadas como locais de impacto negativ... more As instituições de abrigo infantil têm sido frequentemente citadas como locais de impacto negativo para o desenvolvimento neuromotor e constituem-se importantes fatores de risco para as infecções respiratórias agudas nesta população. Desta forma, o acompanhamento do desenvolvimento neuromotor e da função ventilatória de crianças institucionalizadas deve ser priorizado, com ações de prevenção e promoção da saúde. O objetivo deste trabalho é relatar a experiência vivenciada por acadêmicos do curso de Fisioterapia em uma instituição de abrigo infantil no município de Governador Valadares, Minas Gerais. O projeto consistiu na avaliação do desenvolvimento motor e da função ventilatória de lactentes e crianças, atendimento fisioterapêutico e orientações às cuidadoras. A experiência no abrigo permitiu aos acadêmicos a integração do ensino com a prática, por meio de avaliação e tratamento fisioterapêutico em pediatria, identificação de fatores de risco relacionados à institucionalização e d...

Revista Paulista de Pediatria

Objective: The aim of this study was to verify the adequacy of affordances in the home environmen... more Objective: The aim of this study was to verify the adequacy of affordances in the home environment of children at risk of developmental delay and to identify factors associated with their frequency. Methods: The cross-sectional study included 97 families who responded to the Affordances in the Home Environment for Motor Development — Infant Scale (AHEMD-IS) for 3–18 months (n=63), or AHEMD – Self-Report (AHEMD-SR) for 18–42 months (n=34). The Mann-Whitney U test was used to identify the differences between the frequencies of affordances between the groups. Multiple linear regression was used to verify the association between the child’s sex, mother’s marital status, education, socioeconomic level, child and mother’s ages, house residents’ number, per capita income, and AHEMD scores (α=0.05). Results: The home affordances’ frequency in the AHEMD-IS ranged from less than adequate to excellent, while in the AHEMD-SR, the highest predominance was medium. The offer of stimuli in the AHEM...

Anais do Congresso Brasileiro On-line de Oncologia Clínico-laboratorial

Physiotherapy Canada

Purpose: To estimate test-retest reliability of the two versions of the PEDI-CAT administered via... more Purpose: To estimate test-retest reliability of the two versions of the PEDI-CAT administered via telehealth to caregivers of Brazilian young people with DS, to compare scores on the two versions, and to determine caregiver acceptance of telehealth administration of the assessment. Method: A methodological study approved by the research ethics committee. Data collection was performed online, with a mean duration of 45.0 minutes for the content-balanced version of the PEDI-CAT and 17.5 minutes for the speedy version. Results: In total, 28 caregivers of individuals with DS up to age 21 years participated (mean = 5.9 years; SD = 4.9 years). Intra-class correlation coefficients for the four domains of the PEDI-CAT content-balanced version and four domains of the PEDI-CAT speedy version ranged from 0.77 to 0.97. There was a statistical difference between the versions in the scores of the social-cognitive domain ( p < 0.05). A mean of 105 items (SD = 21) was administered in the content...

Revista Paulista de Pediatria

Objective: To analyze the socioeconomic, demographic, environmental, reproductive, behavioral, an... more Objective: To analyze the socioeconomic, demographic, environmental, reproductive, behavioral, and health-care factors associated with preterm birth. Methods: Case-control study, with case group composed of preterm infants and the control group by full term live births. Each case was paired with two controls according to sex and date of birth. Interviews were carried out with the mothers, as well as analysis of medical records. A logistic regression model was used for data analysis following the hierarchical order of entry of the blocks. Results: 221 live births were allocated in the case group and 442 in the control group. After analysis adjusted for other factors under study, the highest chances of prematurity were associated with being the first child (OR 1.96; 95%CI 1.34–2.86; p=0.001); mothers with the highest income (OR 2.08; 95%CI 1.41–3.08; p<0.001), mothers with previous preterm births (OR 3.98; 95%CI 2.04–7.79; p<0.001), mothers that suffered violence during pregnanc...

Fisioterapia em Movimento

Introduction: The home environment is a fundamental agent for infant development in the first yea... more Introduction: The home environment is a fundamental agent for infant development in the first year of life. Objective: To evaluate the opportunities for environmental stimulation and the motor development of infants at 3, 6, 9, and 12 months of age and determine the association between these opportunities and the parents’ schooling and economic levels, at each age studied. Methods: This is a longitudinal study using the Alberta Infant Motor Scale (AIMS) to assess motor development, the Affordances in the Home Environment for Motor Development - Infant Scale (AHEMD-IS) questionnaire to assess the stimulation opportunities at home, and the Brazilian Association of Research Companies (ABEP) questionnaire to classify the economic level of the families. The association between opportunities for environmental stimulation and schooling and economic levels was determined by the chi-squared test. Results: Thirty-seven infants participated, 54.1% of whom were boys. At 3 months of age, the opp...