Desempenho funcional de crianças com paralisia cerebral de níveis socioeconômicos alto e baixo

Abstract

Objective: To investigate the influence of socioeconomic status on the functional performance of children with cerebral palsy.Methods: Cross-sectional quantitative study of 49 children diagnosed with cerebral palsy from a convenience sample. Children of both genders aged three to seven and a half years were studied. They were classified according to the level of severity of cerebral palsy based on the Gross Motor Function Classification System. Participants were organized in two groups considering their high or low socioeconomic status, according to the Brazilian Economic Classification Criteria. Functional performance was assessed by the Pediatric Evaluation of Disability Inventory. The Student's t-test was applied for independent samples in order to compare means between groups.Results: Socioeconomic status did not affect functional performance of children with mild cerebral palsy. Those with moderate cerebral palsy and low socioeconomic status presented lower social function scores (p=0.027) than those with high socioeconomic status. Children with severe cerebral palsy with low socioeconomic status presented worse performance in self-care skills (p=0.021) and mobility (p=0.005). These children were more dependent regarding mobility (p=0.015) than those with high socioeconomic status.Conclusions: Socioeconomic status may influence the development process of children with cerebral palsy and must be considered as a risk factor in educational and health practices aimed at this population.

Prevalence of Developmental Coordination Disorder signs in children 5 to 14 years in São Carlos

“…Some studies were significantly related to the low economic class with motor difficulties (Grantham-Mcgregor et al, 2007;Assis-Madeira & Blascovi-Assis, 2013). The data from this study confirm this hypothesis.…”

Assessment of Nutritional Status and Frequency of Complications Associated to Feeding in Patients With Spastic Quadriplegic Cerebral Palsy

“…The prevalence of individuals in group 5 was 35.6%, and in group 4, 34.6%. 15 However, these data differed from those found in the present study, which showed a higher proportion of individuals in group 5 (75% in group 5 versus 25% in group 4), suggesting that the pattern of patients seen at the HC-UFU Outpatient Clinic for Special Patients was of more committed, more serious individuals, and that, in most cases, require specialized interdisciplinary follow-up due to the need to use an alternative feeding route.…”

The Pediatric Evaluation of Disability Inventory and Its Contributions to Brazilian Studies / O Inventário de Avaliação Pediátrica de Incapacidade e Suas Contribuições para Estudos Brasileiros

“…27 The results showed that using PEDI it was possible to investigate the relationship between family Socioeconomic Status (SES) and performance of children with CP, finding that children with low SES had less independence and more impaired functional skills. 28 Adopting PEDI, an investigation revealed the effect of follow-up with a speech therapist and physiotherapist and only with the physiotherapist of children with CP. It was found that there was no significant improvement in either area when comparing follow-up with one treatment and both.…”