Efeitos da comunicação alternativa na interação professor-aluno com paralisia cerebral não-falante

Speech has been regarded as a social communicative modality required for building relationships in different contexts and cultures. Nevertheless, this is not always a readily available resource, especially for those who have developmental disorders. In this sense, Augmentative and Alternative Communication resources and strategies have been used by nonspeaking students with disabilities as useful tools to achieve greater social participation in different environments. Therefore, the present study examined the interaction between teachers and a student with cerebral palsy before and after the use of Alternative Communication strategies in the classroom. The study had a quantitative and qualitative nature and was designed as an intervention study. There were four main stages: 1) filming before the introduction of the resources in the classroom, 2) training the school teachers 3) providing technical assistance regarding the use of alternative communication to the child's teacher 4) filming teacher-student interactions using these technological resources. The interactions were transcribed and grouped into links. In this research, a link means the initiator's behavior directed to the exchange partner and the response in sequence from the interlocutor back to the initiator. It was found that the established interactions presented a maximum of four links, with greater frequency for episodes of 1st and 2nd links. After the intervention, there were different contexts with the presence of interactions up to the 6th link, often greater frequency for episodes of 1st, 2nd and 3rd links. In addition, the teacher showed a tendency to use symbols only as a tool for evaluating and teaching concepts. This perception changed as the teacher became familiarized with the Augmentative and Alternative Communication technology resources.

Correlation between sleep and quality of life in cerebral palsy

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Estudo de um método automatizado para o cálculo da profundidade de visualização dos equipamentos de ultrassonografia

Ultrasound is the term that describes the sound waves with higher frequencies than human hearing. Ultrasound used in medical diagnosis is a modality based on the use of sound energy and the acoustic properties of the various parts of the body to produce images of stationary and moving tissues. However, despite the ease of use and security that this modality offers for not using ionizing radiation, one should ensure the accuracy and optimum performance of the equipment, which results in precise diagnoses. To accomplish that, periodic quality control tests must be performed, which include: physical and mechanical inspection of the equipment, image uniformity, depth of penetration/visualization, accuracy of distances, axial and lateral resolution, dead zone and doppler sensitivity. This work intends to study a computerized method for calculating the depth of penetration of ultrasound, comparing it to the observerdependent method currently used. The images were collected during the quality control tests of ultrasound equipment. The results of the comparison between the visual and computerized methods were not conclusive for selecting the safest methodology for obtaining the depth of visualization

Contribuição da amplitude de movimento articular do joelho na marcha de crianças com paralisia cerebral espástica

Individuals with spastic cerebral palsy show muscle weakness, difficulties in the control of agonist and antagonist muscles, decreased range of motion and tonus and sensibility alterations, especially in knee joint. These problems can interfere on the performance of functional activities such gait. The aim of this study was to analyze the contribution of knee range of motion on gait of hemiplegic and diplegic children considering their asymmetries. Twelve children, 6 hemiplegics e 6 diplegics from 7 to 12 years of age (age average= 9,5 ± 1,93) took part. Spasticity was assessed by the Ashworth’s Modified Scale and the passive knee range of motion by an eletrogoniometer. The task was to walk on a walkway of 8m long, in their preferred speed, in 6 attempts, been 3 on right and 3 on left sagital planes. Eigth passive markers were bilaterally fixed for the kinematic record. Orthogonally to the walkway, two digital camcorders were assembled on the sagital plane. The fotogrametric procedures were performed by the Dvideow 6.3 software. The Matlab 7.0.1 software was used to filter and to calculate the dependent variables. The U test of Mann- Whitney found differences to the cerebral palsy type for knee extension/hiperextension (U = - 2.943; p= 0.003), knee relative angle at heel contact (U = - 5.992; p= 0.001) and knee range during stride (U = - 4.099; p= 0.001). The Wilcoxon’s test revealed differences according to the asymmetries for the hemiplegics only for the knee relative angle at heel contact (T= - 2.635; p<0.008). The contributions of passive knee range of motion, revealed by the Spearman correlations, for the more afected limb of the diplegics, showed that the knee extension/hiperextension interfere on the cadence, stride duration and step width; the knee relative angle at heel contact change the stride length and duration and cadence; and the...(Complete abstract click electronic access below)

Avaliação Postural de Criança com Paralisia Cerebral Através do Software de Avaliação Postural (SAPO)

O presente estudo, que aborda a avaliação postural de crianças com Paralisia Cerebral (PC), teve como objetivos: avaliar o alinhamento da postura e controle postural nessas crianças e descrever o posicionamento dos segmentos corporais na postura ereta em vista anterior, posterior, lateral direita e esquerda. Foram avaliados, através do SAPO, 7 indivíduos com PC que se mantinham na posição ortostática sem apoio. Foi feita estatística descritiva e uma comparação dos valores de referência (teste t-Student) com nível de significância 5% para todas variáveis. No ângulo Q esquerdo (vista anterior), houve diferença significativa do valor de referência p=0,476. O ângulo perna/retropé direito (vista posterior) apresentou p=0,0257. Para a vista lateral direita: Alinhamento horizontal da cabeça (C7) obteve p<0,001; Ângulo do quadril (tronco e coxa), p=0,0126; Alinhamento horizontal da pelve, p=0,0043 e o Ângulo do Tornozelo p<0,001. Para a vista lateral esquerda: Alinhamento horizontal da cabeça (C7), p<0,001; Alinhamento horizontal da pelve p=0,0332 e o Ângulo do tornozelo obteve p-valor<0,001. Houve evidente anteversão pélvica dos sujeitos com possível aumento da lordose lombar, alterações relacionadas a joelhos e tornozelos que podem ser causadas por assimetrias das forças atuantes em seguimentos superiores e anteriorização da cabeça. Seis das sete crianças apresentaram seu centro de gravidade deslocado para o lado contralateral ao hemicorpo afetado. Sendo a PC uma desordem do movimento e postura e, levando em consideração que alterações posturais decorrentes desta desordem podem interferir no desempenho motor, sugerimos estudos que relacionem esses fatores, promovendo uma intervenção em crianças com PC baseada em evidências

Avaliação uterina e ovariana de éguas por meio da ultrassonografia Doppler

Doppler ultrasonography is a new technology that has been study by researchers to improve the physiologic and pathologic knowledge about reproduction. This technology is based on Doppler-shifts frequencies or ultrasonic, these frequencies can be increase or decrease according to the movements of the red cells in the vessel. Color Doppler and power Doppler are the two possibilities to use the Doppler ultrasonography. Color Doppler is based in more the one color that show the direction of the blood f low and power Doppler is based in one color that change according of the flow intensity. Doppler ultrasonography can be demonstrated with the spectral mode to verify blood flow in large vessels, because of this, it is not use in equine reproduction. Studies in equine reproduction have been doing to verify uterus blood flow in cyclic mares and to observe the vascular perfusion in mares with cists, uterine vascular perfusion post breeding and verify the affects of drugs to decrease the uterus fluid in mares with problems in uterus perfusion. The ovarian irrigation during the estrus cycle was analyze with the measurement of the principal hormones during the estrus cycle in mares, the integrity of the corpus luteus, the irrigation of the future dominant follicle and the consequences in the ovarian irrigation after luteolyse induction also were study. Nevertheless, more than the knowledge that existed about Doppler ultrasonography, new studies have been doing to improve the forms to use Doppler ultrasonography in equine reproduction

Utilização da ultrassonografia transcuneal como auxílio no diagnóstico da síndrome do navicular em eqüinos

The equine locomotors system alterations are very frequent and corresponds a large portion of cases in equine medicine. The most equine veterinarian’s challenge is to do a precise diagnosis of lameness cause to perform a specific and proper treatment as early as possible. The navicular syndrome is considered responsible for one third of lameness causes and, although much studied, its etiology is still not fully understood. The most varied methods of diagnosis, such as x-ray, magnetic resonance, bursography, scintigraphy, computed tomography and ultrasound, have been used to assess podotrochlear apparatus situation in order to diagnose this syndrome. Among them transcuneal ultrasound can be used to observe some important structures such as the flexor surface of distal sesamoid bone, distal deep digital flexor tendon, distal sesamoid ligament entheses odd and the distal phalanx. The aim of this present paper is provide a brief review on the use and the technique of ultrasonography on third phalanx transcuneal region evaluation and its interpretation on navicular syndrome diagnosis in horses

Termografia e ultrassonografia Doppler do plexo pampiniforme e termografia do escroto de touros: correlação com a qualidade do sêmen

Pós-graduação em Medicina Veterinária - FCAV

Ultrassonografia convencional e Doppler da glândula mamária de caprinos para diagnóstico de mastite

Pós-graduação em Medicina Veterinária - FCAV

Manutenção da prática de atividade física e indicadores hemodinâmicos, metabólicos e inflamatório em adultos: análise transversal e coorte de 12 meses

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Qualidade de vida em portadores de paralisia cerebral: associação com nível funcional e aspectos sócio-demográficos

Pós-graduação em Saúde Coletiva - FMB

Paralisia cerebral, extensão universitária e trabalho voluntário: práticas da reflexividade

Report of voluntary work with youngsters suffering from cerebral palsy syndrome. Objective is to highlight information about this syndrome and possibilities of their treatment, especially referred to the method of conductive education. It aims to promote a training experience of a reflexive identity of mother and family of these patients.

Efeitos das condições neuromotoras da paralisia cerebral no sentido háptico durante tarefas de controle postural

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Ultrassonografia de glândulas genitais acessórias em carneiros da raça Dorper: caracterização e correlações reprodutivas

Pós-graduação em Medicina Veterinária - FCAV

Elaboração e validação de um instrumento de avaliação da disfagia orofaríngea na paralisia cerebral

Pós-graduação em Fonoaudiologia - FFC