Functionality, school participation and quality of life of schoolchildren with cerebral palsy

Abstract

Introduction: The quality of life (QoL) of schoolchildren with cerebral palsy (CP) should be evaluated considering the functional variability of the child with CP with an extended view on functionality in the school context and the determinants of QoL. Objective: to evaluate the school participation and the QoL of schoolchildren with CP in Recife's municipal public network, as well as to analyze the influence of GMFCS levels and motor performance on these variables in the study population. Method: This is an exploratory observational study whose evaluation model was structured based on the International Classification of Functioning, Disability and Health (CIF). Children with CP were classified in the Gross Motor Function Classification System (GMFCS) and evaluated according to Gross Motor Function Measure-88 (GMFM-88). The School Function Assessment (SFA) and the Quality of Life Questionnaire for Cerebral Palsy (CPQOL-Caregiver) were answered by teachers and mothers, respectively. Results: In the study population, the higher the GMFCS level, the lower the participation and the lower the independence in school activities, aspects that add to the QoL construct, mainly with less functionality, less emotional well-being and self-esteem, and lower family health. Conclusion: GMFCS levels and motor performance of schoolchildren with CP can affect school participation and QoL, and it is important to consider each child's individual and contextual factors. These results can help the development of functional, care, inclusion and pedagogical strategies for students with CP.

Fisioterapia: uma abordagem contemporânea - Volume 3

“…QVRS refere-se à percepção subjetiva de um paciente sobre o nível de contentamento de seu próprio estado de saúde. A QVRS é um campo de estudo que se concentra na conscientização do indivíduo sobre o fato de que o nível de bem-estar físico, psicológico e social de uma pessoa e o tratamento de uma doença trazem certos efeitos em seu cotidiano (TAVARES NETTO et al, 2020).…”

Anísio Teixeira’s Experiences at Teachers College and the Quest to Foster Democracy Through Education in Brazil

“…However, this “struggle in his spirit” dissipated after his time in the United States. He recalled, “Around 1927, I felt that I had overcome these deadly contradictions, reconciling myself with the philosophy that first influenced me, the naturalistic and scientific spirit from which the Jesuits tried to keep me away from” (Tavares, 2002, p. 199).…”

“…During the visit to the United States, the educator also took the opportunity to be a student in the summer courses offered by Teachers College, Columbia University, where he would receive a master’s degree one year later. He recollected the moment as one that granted him “not only this spiritual peace but a program of struggle for education in Brazil” (Tavares, 2002, p. 199). Teixeira was born and raised in Catholicism, but in the United States, he converted to Deweyism.…”

“… 2. In an interview with Odorico Tavares, Anísio Teixeira called the invitation “the incident” (Tavares, 2002, p. 199). He was ready to be a clergy member and pursue an ecclesiastical career, but governor Calmon’s invitation changed his life path. …”

Cognitive Orientation to Daily Occupational Performance (CO-OP) in Children with Cerebral Palsy: A Systematic Review with Meta-analysis

“…Cerebral palsy (CP) is caused by a non-progressive brain lesion that occurs before, during, or soon after birth, leading to abnormal posture and muscle tone, motor limitations, and intellectual disabilities (Case-Smith & O’Brien, 2014; Rassafiani & Sahaf, 2011). Children with CP experience a wide set of cognitive and motor dysfunctions, which can impact on their participation in important life activities, including school participation (Tavares Netto et al, 2020), leisure and play (Ghaffari et al, 2020; Longo et al, 2020), activities of daily living (Østensjø et al, 2004), social interaction (Tan et al, 2020), and self-care (Öhrvall et al, 2010). Based on child and parent reports, the main priorities for children and their families are to enhance children's functional performance and to get sufficient mobility and ambulation, dressing, feeding, and other self-care activities (Jalili et al, 2019).…”