Purpose: to analyze and to compare parents and therapists perceptions regarding of early intervention effects in developing of their children, as well as child's development and future outlook. Methods: this research studied nine individuals from Early Intervention Clinic. Parents and responsible were interviewed. They were recorded and literately transcribed. The information was analyzed qualitatively and confronted considering the following child development aspects: linguistic, motor, social and psychic.Results: seven out of nine individuals analyzed showed similar parental and therapeutic perception concerning the development characteristics analyzed. In two cases, there was disagreement between family members and therapists regarding children development, when family members expressed different expectations from the therapists about the future of their child. Regarding communication advances, all parents and therapist realized improvements. Conclusions: the perception of therapists and parents demonstrated positive effects of interdisciplinary early intervention as manifested in the concordance between therapists and parents views in seven out of nine individuals analyzed. This study also reinforced the importance of conducting a qualified monitoring of family difficulties regarding to limitation of their children and guide them appropriately depending on the disease or disorder presented. Keywords: Child Development; Early Intervention (Education); Child Language RESUMO Objetivo: analisar e comparar a percepção dos pais e dos terapeutas referente aos efeitos da intervenção precoce no desenvolvimento de seus filhos, bem como acerca da evolução da criança e perspectivas futuras. Métodos: participaram deste estudo nove sujeitos, incluídos na clínica de Intervenção Precoce. Para a coleta dos dados realizaram-se entrevistas com os pais e/ou responsáveis pelas crianças e com os terapeutas de referência, as quais foram gravadas em áudio e transcritas literalmente. As informações foram analisadas qualitativamente e confrontadas, considerando os aspectos do desenvolvimento linguístico, motor, social e psíquico das crianças. Resultados: dos nove sujeitos analisados, sete apresentaram percepção parental e terapêutica semelhante para as questões do desenvolvimento abordadas e em dois casos houve divergência entre a visão dos familiares e dos terapeutas acerca do desenvolvimento das crianças, em que os familiares demonstram expectativas muito distintas das dos terapeutas quanto ao futuro dos filhos. Em relação à comunicação, todos os pais percebem avanços como as terapeutas. Conclusão: a percepção das terapeutas e pais demonstrou efeitos positivos da intervenção precoce interdisciplinar, manifestada na concordância de pontos de vista em relação aos sete dos nove sujeitos analisados. O estudo reforçou, ainda, a importância de se realizar a escuta qualificada das dificuldades da família quanto à limitação de seus filhos e orientá-las adequadamente a depender da patologia e/ou distúrbio apresentado.
This study aimed to measure the effects of a Computer-based Auditory Training Program (CBATP) on an adolescent diagnosed with Autism Spectrum Disorder (ASD) and Central Auditory Processing Disorder (CAPD). This is the case report of a male, 14-year-old adolescent diagnosed with ASD. The individual was submitted to basic audiological evaluation, central auditory processing assessment and hearing electrophysiology (EP), pre- and post-therapeutic intervention. Central auditory processing (CAP) was assessed by means of the following instruments: Time-compressed Speech Test (TCST), Random Gap Detection Test (RGDT), Staggered Spondaic Word Test (SSWT), Frequency (Pitch) Pattern Sequence Test (FPST), and Duration Pattern Test (DPT). The P300 component of the Event-related Potential (ERP) was used in the hearing EP. Pre-intervention assessment of CAP showed changes in the auditory skills of closure, figure-ground and temporal ordering, but normal temporal resolution ability. Post-intervention evaluation of CAP showed improvement in all previously mentioned auditory skills, except for the figure-ground ability, which remained unchanged. Regarding the findings of the hearing EP, a decrease in the latency of the P300 component was observed pre- and post-intervention. This study demonstrated that the use of a CBATP resulted in improvement in the hearing abilities assessed in an adolescent diagnosed with ASD.
Purpose To investigate the association of sociodemographic, obstetrical and psychosocial factors with fine and gross motor developmental delay in preterm and term infants, in the age group of three months and one day to twelve months and twenty-nine days. Methods The term and preterm infants were evaluated by the Denver II Test for fine and gross motor skills, investigated in three phases: 165 infants in phase 1 (3 months and 1 day to 4 months and 29 days), 130 infants in stage 2 (8 months and 1 day to 9 months and 29 days) and 102 infants in phase 3 (11 months and 1 day to 12 months and 29 days). Sociodemographic, obstetrical and psychosocial data were obtained through an initial interview with family members and the psychic risk assessment through the Child Development Risk Indicators and PREAUT protocols. Statistical analysis was performed using the logistic regression model. Results Significant factors in the association with fine and gross motor delay were: maternal gestational and obstetric history (planned pregnancy, type of delivery, number of prenatal consultations, use of medication and gestational intercurrence), features and biological risks of the baby (gender, mechanical ventilation, feeding difficulty), sociodemographic factors (career and level of maternal schooling, number of children and people in the house) and psychosocial issues concerning to the family routine participation and presence of psychic risk. Conclusion There was a significant association between motor development delay of the infants, environmental and biological variables, with emphasis on psychic risk.
A doença do coronavírus 2019 (Covid-19) é uma doença respiratória aguda infecciosa causada por um novo coronavírus, sendo que uma porcentagem significativa da população infectada evolui sem sintomas ou com sintomas leves a moderados, porém uma parcela dos pacientes apresenta manifestações mais graves e necessitam de hospitalização, dos quais poderão evoluir para a Síndrome Respiratória Aguda Grave (SRAG). Estudos vêm demonstrando que pacientes sobreviventes da Covid-19 têm apresentado uma longa permanência hospitalar, nos quais poderão evoluir para uma série de sintomas e anormalidades denominada Síndrome Pós-Covid-19. Entretanto, cabe destacar que mesmo pacientes diagnosticados com a forma leve e moderada da doença podem manifestar sinais e sintomas a médio e longo prazo. Partindo desse contexto, o objetivo desta comunicação é apresentar uma breve contextualização da epidemiologia e fisiopatologia da doença, bem como abordar a Síndrome Pós-Covid-19 e a necessidade da implementação de núcleos de assistência multidisciplinar. Mediante tal demanda clínica, em janeiro do corrente ano, o Hospital Universitário de Santa Maria (HUSM) implementou as atividades do Ambulatório Pós-Covid-19 com o intuito de proporcionar ao paciente uma proposta de reabilitação integral a médio e longo prazo com atenção multidisciplinar à saúde. Pelo exposto, o HUSM através das ações implementadas no Ambulatório Pós-Covid-19 está em consonância com as premissas do Sistema Único de Saúde (SUS), assim como reafirma o seu compromisso com o ensino e a formação qualificada integrando os saberes dos núcleos atuantes no Ambulatório Pós-Covid-19.
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