Opinião de profissionais da educação e da saúde sobre o uso da prancha ortostática para o aluno com paralisia cerebral

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

Recursos de Alta-Tecnologia Assistiva Disponíveis no Mercado Nacional:ferramentas para alunos com paralisia cerebral

In Brazil, the interest on the applicability of assistive technology resources in the school environment has grown for children with cerebral palsy, according to the evidences on the diffi culties in their process of scholarization. The objective of the project was the construction of a data base about the resources of high assistive technology in the national market, indicated for the use in the classroom environment for children with cerebral palsy, with the purpose to systemize information, to assist in the selection, prescription and implementation of this type of resource. From a search in the literature available in existing national sites, a computerized archive on the availability of these resources was constructed, having as parameters the applied methodology already used in previous study. Therefore, information on adapted resources had been systemized, constituting an accessible source of data to all the interested parties, aiming to contribute for a effective implementation of these resources in the promotion of the scholarization of children with cerebral palsy in the country.

Mobiliários adaptados para pessoas com paralisia cerebral: um levantamento das teses e dissertações produzidas no Brasil

The Assistive Technology makes the lives of people without disabilities more practical, but for people with disabilities it can make things possible. For these individuals can provide the conditions, making their limitations are not obstacles to their social and personal empowerment, and may contribute to their effective participation in tasks that were previously impossible, such as remaining seated correctly. A segment on which the necessary assistive technology works, is the adaptation of furniture such as chairs, tables, chairs-to-wheels for individuals with disabilities, as well as cerebral palsy. The study aimed to conduct a survey and brief description of theses and dissertations produced in Brazil on furniture adapted for students with cerebral palsy. We made searching in databases of libraries of major universities and federal state national banks, theses and dissertations. Nine studies were selected for description. It was concluded that there is a considerable array of professionals, both in engineering as the field of rehabilitation, to contribute in the adaptation, creation and even the manufacture of furniture for children with cerebral palsy and that the securities most studied are the chairs and their components.

Sistemas suplementares e alternativos de comunicação nas habilidades expressivas de um aluno com paralisia cerebral

The objective of this research was to describe the use of an augmentative and alternative system for a student with cerebral palsy during intervention. A 10-year-old male student with cerebral palsy participated in this investigation. He attended special classes for people with disability in a public school in a city of the interior of Sao Paulo. The scheduled activities were carried out twice a week for two years at the Laboratory of Special Education of a public University of São Paulo. All of the tapes describing the activities that were filmed during the assessment and implementation of augmentative and alternative communication resource were watched and described using a specific protocol. Based on the information from the protocols, the sessions with intervals greater than 20 days and the ones with activities involving the communication board with the time equal or greater than 20 minutes during the first year of intervention were selected. The chosen sessions were transcribed in full and, after analyzing the text, the following categories were established, according to the stated goal: the graphic system helped the student with utterances of vertical structure (56%) associated with the oral (14%) and non-oral and non-verbal form (30%), while the use of the graphic system along with other forms collaborated to enhance statements, enabling better understanding of the child s intention. The use of augmentative and alternative communication systems provided the expansion of effective dialogical situations for the student during the activities carried out in speech therapy.

Tecnologia assistiva para a criança com paralisia cerebral na escola: identificação das necessidades

Studies about Assistive Technology have emphasized the need to integrate resources, services and strategies for inclusion and special education to foster the learning process and skill development of students with disabilities. The literature describes that the first step towards implementing assistive technology in schools should enable professionals to understand the situation involving the student in order to expand his or her participation in the teaching and learning process. This study aimed to identify the need for assistive technology services, resources and strategies for students with cerebral palsy in school. Two children with cerebral palsy and their teachers were selected. The data collection phase included three successive procedures: interviews with teachers, completing the identification protocol of the school routine and participant observation conducted in the classroom using filming and field diary. Based on the material gained from these three procedures, data triangulation was proposed, i.e., grouping information in a single document in order to establish categories of analysis. After preparing the material, the categories were assessed by judges from the field of knowledge. The results showed that after understanding the situation of the disabled student within the school context, it was possible to establish his or her skills and needs to indicate the appropriate assistive technology resources for the teacher's planning and thus provide proper teaching and learning for the children with disabilities. The study identified the need to establish specific procedures, an organized pedagogical plan and participation of health professionals as consultants on using assistive technology in school.

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.

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

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Atuação do Terapeuta Ocupacional no contexto escolar: o uso da tecnologia assistiva para o aluno com paralisia cerebral na educação infantil

A tecnologia assistiva favorece a participação do aluno com paralisia cerebral nas diferentes atividades do contexto escolar, pois possibilita que a criança atue de modo construtivo no seu processo de ensino e aprendizagem. O objetivo deste estudo foi operacionalizar as etapas de confecção de recursos da tecnologia assistiva para crianças com paralisia cerebral no contexto da Educação Infantil. Para contemplar este objetivo geral foram estabelecidos os seguintes objetivos específi cos: caracterizar os alunos que participaram do estudo, os seus professores e o contexto escolar que estavam inseridos. O estudo foi realizado em escolas municipais de Educação Infantil, sendo que seus participantes foram dois alunos com paralisia cerebral e seus respectivos professores. A coleta de dados ocorreu por meio da atuação colaborativa entre o terapeuta ocupacional e o professor e foi dividida em cinco etapas: entender a situação, gerar ideias, escolher as alternativas viáveis, representar a ideia e construir o recurso de tecnologia assistiva. Os procedimentos foram registrados por meio de fi lmagem, diário contínuo, gravação das entrevistas e protocolo de registro, após a organização do material coletado foi realizada a triangulação dos dados e em sequência a análise de seu conteúdo. Foi possível concluir que para a prescrição e confecção do recurso de tecnologia assistiva é necessário à implementação de um programa de intervenção por meio da atuação do terapeuta ocupacional e do professor durante as atividades na sala de aula em que o aluno esta inserido.

Saúde bucal e qualidade de vida em indivíduos com paralisia cerebral e Síndrome de Down: percepção dos cuidadores

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Paralisia cerebral: efeitos da escrita sobre a escrita

The aim of this research was to apprehend the effects of text reading in S.'s writing productions, a child in literacy process. S. is a child who can't speak or write by her own due to a dystonic quadriplegic CP. S. communicates with Blissymbols which were introduced in a school-clinic in São Paulo city when she was six years old. At the same time the literacy process took place and she indicated symbols, letters and numbers in a board by scanning. The teacher related S.'s difficulties concerning reading activities, so a weekly activity was proposed by the speech therapist in the classroom. The teacher and her assistant participated in the activity. A cutout of the activity involving a book reading when S. was between eight years and seven months old and nine years and one month old was analysed. The research was based in Borges (2006) grounded in The Brazilian Interactionism according to De Lemos (1992; 1995 and others) and proposes a literacy process among students from the first series in a regular school by the reading of different texts. The activity guided by the speech therapist took place side by side with the literacy program guided by the teacher and resulted in various S's text productions. The data was collected through film transcriptions from the activities in the classroom and from materials produced by S. through the reading of the chosen book. These data integrates NALíngua-CNPq databases coordinated by Dr. Alessandra Del Ré whose aim is to investigate the language acquisition process. S.'s reading and writing acquisition occurred in a singular way, affected by the using of Blissymbols that became S.'s speech modality: a written-speech with symbols and alphabetic writing

Paralisia cerebral: efeitos da escrita sobre a escrita

The aim of this research was to apprehend the effects of text reading in S.'s writing productions, a child in literacy process. S. is a child who can't speak or write by her own due to a dystonic quadriplegic CP. S. communicates with Blissymbols which were introduced in a school-clinic in São Paulo city when she was six years old. At the same time the literacy process took place and she indicated symbols, letters and numbers in a board by scanning. The teacher related S.'s difficulties concerning reading activities, so a weekly activity was proposed by the speech therapist in the classroom. The teacher and her assistant participated in the activity. A cutout of the activity involving a book reading when S. was between eight years and seven months old and nine years and one month old was analysed. The research was based in Borges (2006) grounded in The Brazilian Interactionism according to De Lemos (1992; 1995 and others) and proposes a literacy process among students from the first series in a regular school by the reading of different texts. The activity guided by the speech therapist took place side by side with the literacy program guided by the teacher and resulted in various S's text productions. The data was collected through film transcriptions from the activities in the classroom and from materials produced by S. through the reading of the chosen book. These data integrates NALíngua-CNPq databases coordinated by Dr. Alessandra Del Ré whose aim is to investigate the language acquisition process. S.'s reading and writing acquisition occurred in a singular way, affected by the using of Blissymbols that became S.'s speech modality: a written-speech with symbols and alphabetic writing

A criança com paralisia cerebral na educação infantil: um olhar sobre a prática docente

La inclusión de los niños con discapacidad en la educación infantil, además de ser un tema poco planteado en la comunidad científica, es un reto actual en lo que se refiere a la práctica docente. Basándose en este aspecto, nuestro objetivo en esta investigación realizada, que resultó en la elaboración de este trabajo, fue analizar cómo se procesa la práctica docente con vistas a la inclusión escolar de un niño con parálisis cerebral, en un Centro Municipal de Educación Infantil (CMEI), en la ciudad de Natal / RN. Más específicamente, buscamos: reflexionar sobre la práctica de la profesora responsable por la clase, en lo que se refiere al desarrollo del niño con parálisis cerebral; analizar las interacciones entre educador y niño con parálisis cerebral; observar la práctica docente en la perspectiva de favorecer la interacción entre el niño con parálisis cerebral y otros niños. Para ello, realizamos una pesquisa exploratoria, cualitativa, y así que optamos por el método del Estudio de Caso. Utilizamos como procedimientos metodológicos el análisis documental, la investigación bibliográfica, la entrevista semiestructurada, la observación y la filmación de escenas relacionadas a la práctica docente. Los sujetos de la investigación fueron la profesora y el niño con parálisis cerebral. Los datos construidos durante la investigación señalaron el hecho de que la práctica de la profesora no estaba encaminada a las necesidades específicas de la alumna con parálisis cerebral, todavía, se desarrollaba de una manera similar para todos los niños en la clase. La presencia de limitaciones significativas para la inclusión de la niña con parálisis cerebral en la educación infantil puede ser considerado como el resultado de la ausencia de una adecuada preparación docente, tanto en el nivel de la formación inicial, cuanto de una formación continua y también la escasez de directrices para el maestro, en proceso; directrices estas acerca de la educación de los niños con parálisis cerebral, lo que hacía imposible a la profesora contribuir de manera efectiva a su mayor desarrollo cognitivo y social.

Todos os sentidos no coração: Estudo de caso de intervenção precoce em criança com paralisia cerebral

Dissertação de Mestrado apresentada no Instituto Superior de Psicologia Aplicada para obtenção do grau de Mestre na especialidade de Psicologia Clínica conforme

Estudo do comportamento parental face à criança com paralisia cerebral

Dissertação de Mestrado apresentada no Instituto Superior de Psicologia Aplicada para obtenção de grau de Mestre na especialidade de Psicologia Clínica

Função vísuo-espacial em paralisia cerebral e proposta de novo teste com a ajuda de computador

The first idea of this study is trat there may be a disturbance of the visuo-spatial function in cerebral palsy. This idea is based upon the theories of Luria and Piaget. The second idea of this study is that the computer can help the investigation of visuo-spatial function. With the intention of evaluating the spatial function in cerebral palsy, the literature related to these themes was revised. We justify the proposal of a new test to study visuo-spatial function. This test uses straight lines in four different orientations and the subject has to recognize and arrange them individually or sets of them. This was done through the use of pencil and papel, and computer. The results confirm that there is a spatial disturbance and that a better understanding of the subject's difficulties was made possible through the use of the computer and the Logo computer language.