Avaliação da acuidade visual em crianças com hidrocefalia : um estudo eletrofisiológico por potencial visual evocado de varredura

Pereira, Silvana Alves

doi:10.11606/d.47.2008.tde-10062008-105554

Cited by 1 publication

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References 47 publications

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“…A partir da dissertação de mestrado (Pereira, 2008) realizada também com bebês, mas na ocasião em uso de derivação ventricular, bem como a experiência profissional dentro de unidade de terapia intensiva neonatal, deparei-me com a dura realidade de um serviço de fisioterapia especializado, onde as diversas áreas de especialidades, respiratória, motora, neurológica, sensorial, não integram satisfatoriamente seus conhecimentos no campo da saúde curativa, onde a preocupação em prevenir sequelas deixa de ser soberana e a intervenção em tempo hábil a fim de atenuar ou evitar danos futuros ocorra após a alta hospitalar.…”

Section: Movimentos Ocularesunclassified

Avaliação precoce do comportamento oculomotor em bebês com displasia broncopulmonar

Pereira¹

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This study evaluated the oculomotor system measured by eye movements in infants diagnosed with bronchopulmonary dysplasia (BPD). Infants ≤ 37 weeks gestational age, oxygen-dependent at concentrations above 21% for more than 28 days were included in the BPD group, term infants (gestational age > 37 weeks), not hospitalized were included in term groups and preterm infants (gestational age < 37 weeks), who remained hospitalized and did not use oxygen for more than 10 days were included in the premature group. The three groups of babies had eye examination and biomicroscopy of the fundus with normal results. Excluded from the study, babies on oxygen in mechanical ventilation and/ or vasoactive drugs; with a diagnosis of intracranial hemorrhage, retinopathy of prematurity, motor and/or neurological congenital or acquired malformations identified in neonatal or during the stay in the nursery. All infants made a single binocular assessment. The evaluations were conducted with babies seated comfortably and were composed by the evaluation of four eye movements: saccades (SAC), slow pursuit (PL), vestibuloocular reflex (VOR) and optokinetic nystagmus (NOC). Eye movements were transcribed into a categorical variable (present or absent) and statistical analysis were made between BPD group, term group and premature group (Cochran Q test) to ensure reliable of the results presented during the evaluation, 28 % of the sample was evaluated by three observers and an adherence X 2 test was used to measure the reliable between three observers. During the study, 109 infants were evaluated, 107 were included in the study, two infants with GA < 37 weeks, were excluded by using oxygen for a time equal to 15 days. Of the 107 infants evaluated, 23 were included in the BPD group, 47 in the term group and 37 in the premature group. Babies in the BPD group had GA of 32 weeks ± 3 weeks, APGAR 1 st minute 6 ± 1, 5 th minutes 8 ± 2, 37 days ± 10 days in oxygen, in the median amount of 2 L / min ± 0.5 L / min. Birth weight, gestational age, APGAR score at 1 st and 5 th minutes from the term group, DBP and Premature differ significantly (Kruskal-Wallis test p = 0.0000, 0.0000, 0.0013 and 0.0001, respectively). The term group had higher values when compared to the BPD and premature. Babies with BPD manifest absence of three of the four types of eye movements measured when compared with the term group and preterm (Cochran Q test where Q > 2 and p < 0.05).

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Section: Movimentos Ocularesunclassified

Avaliação precoce do comportamento oculomotor em bebês com displasia broncopulmonar

Pereira¹

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Avaliação da acuidade visual em crianças com hidrocefalia : um estudo eletrofisiológico por potencial visual evocado de varredura

Cited by 1 publication

References 47 publications

Avaliação precoce do comportamento oculomotor em bebês com displasia broncopulmonar

Avaliação precoce do comportamento oculomotor em bebês com displasia broncopulmonar

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