Associação entre comprometimento motor, mobilidade e qualidade de vida em crianças com paralisia cerebral espástica, nível I, II e III do Gross Motor Function Classification System

The objective of this study was to verify the association between some mobility items of the International Classification Functionality (ICF), with the evaluations Gross Motor Function Measure (GMFM-88), 1-minute walk test (1MWT) and if the motor impairment influences the quality of life in children with Cerebral Palsy (PC), by using the Paediatric Quality of Life Inventory (PedsQL 4.0 versions for children and parents). The study included 22 children with cerebral palsy spastic, classified in levels I, II, and III on the Gross Motor Function Classification System (GMFCS), with age group of 9.9 years old. Among those who have participated, seven of them were level I, eight of them were level II and seven of them were level III. All of the children and teenagers were rated by using check list ICF (mobility item), GMFM-88, 1-minute walk test and PedsQL 4.0 questionnaires for children and parents. It was observed a strong correlation between GMFM-88 with check list ICF (mobility item), but moderate correlation between GMFM-88 and 1-minute walk test (1MWT). It was also moderate the correlation between the walking test and the check list ICF (mobility item). The correlation between PedsQl 4.0 questionnaires for children and parents was weak, as well as the correlation of both with GMFM, ICF (mobility item) and the walking test. The lack of interrelation between physical function tests and quality of life, indicates that, regardless of the severity of the motor impairment and the difficulty with mobility, children and teenagers suffering of PC spastic, functional level I, II and III GMFCS and their parents have a varied opinion regarding the perception of well being and life satisfaction.

Intervenção mediacional na aprendizagem do braille: um estudo com crianças deficientes visuais

This study aimed to construct and evaluate a proposed mediational intervention with preschool children through reading workshops and writing in Braille system. The proposal is based on the concepts of Vygotsky on defectology and approach to the Mediated Learning Experience (MLE) developed by Feuerstein. For the research were drawn up ten Mediational workshops, in which they developed a work by reading a children's story and from her reading activities and writing in Braille system. The workshops took place within in kindergarten room of the institution. Study participants were four blind children, six and seven years in an institution that assists visually impaired people in the city of Uberaba / MG, and their mothers and the teacher responsible for the room in which they study. During the workshops, the children showed interest in participating in the activities of reading and writing in Braille. We believe that the data built during the research are not sufficient to establish a generalization, due to the small number of participants. However, at the end of the workshops and the assessment of participants' responses can infer the relevance of the proposal, because in addition to the interest shown and the request of the children there were more activities like that, it was noticed greater fluency in reading and greater ease in writing.