Made available in DSpace on 2016-06-02T20:44:18Z (GMT). No. of bitstreams: 1 6818.pdf: 1252035 bytes, checksum: 52e42522856cc051b44d586e98122cfb (MD5) Previous issue date: 2015-04-27 / The Developmental Coordination Disorder (DCD) happens because of delay of development of children motor skills, which bring forth difficulties to do their daily activities. Therefore, it is necessary assume a number of diagnostic criteria to identify this disorder, to this end, we have adopted in this work, the identification criteria proposed by the American Psychiatric Association (APA) in DSM-5. These criteria have started from empirical observation of researcher by instruments of patterns tests, targeted questionnaires to parents and direct observation of children. The main purpose of this thesis is identify the prevalence of Developmental Coordination Disorder In 7 Years Old Children Enrolled in Public Schools From Itirapina-Sp. Furthermore, the specific purposes of this thesis are: characterize the motor development of these children by application of instruments MABC-2 and DCDQ-Brasil; identify evidences of DCD in these children by application of instrument SNAP-IV and compare differences in motor development between genres. Sixty-three children enrolled in four public schools from Itirapina-Sp were assessed by application of the instrument MABC-2. The instrument DCDQ-Brasil was applied by interviews with parents or guardians. Likewise, the instrument SNAP-IV was applied by interviews with parents and guardians to identify children with ADHD. The prevalence of DCD in Itirapina was 7,93% of children, despite the fact of there was no statistic correlation between instruments. It is important highlight the necessity of instruments association in order to comply with criteria A and B, once there is no reports of a unique instrument able to comply with the proposition of DSM-5. Considering the criteria A and B, there was applied instruments MABC-2 and DCDQBrazil. Considering the criteria C and D, the researcher analyzed interviews with parents, guardians and schoolteachers to conclude about the necessity of a multidisciplinary research team to comply with this criteria in a properly. The group analyzed reveal a bigger rate of children with difficulty in handedness (61,1%). There was identified seven children with evidences of ADHD, however there was not possible to observe statistic correlation between instruments or ADHD comorbidity in DCD identified children. Moreover, there was no significant difference between genres. In conclusion, new multidisciplinary researches should be done in Brazil in order to comply with the four DCD identifying criteria proposed by DSM in them current version, once this research was the first identified study about this subject in Brazilian literacy until this date. / O Transtorno do Desenvolvimento da Coordenação (TDC) decorre do atraso no desenvolvimento das habilidades motoras da criança, o que gera uma série de dificuldades para que ela possa desempenhar suas atividades diárias. Diante disto, há a necessidade de adotar uma série de critérios para o diagnóstico do transtorno, para tanto, adotamos, neste trabalho, os critérios de identificação propostos pela Associação Americana de Psiquiatria (APA) no DSM-5. Esses critérios partiram da observação empírica da pesquisadora por meio de instrumentos de avaliação padronizados, de questionários direcionados aos pais e, também, da observação direta das crianças. O objetivo geral do trabalho foi identificar a prevalência do TDC em crianças de 7 anos matriculadas em escolas públicas do município de Itirapina (SP). Especificadamente, o trabalho pretende dar uma caracterização do desempenho motor dessas crianças por meio dos instrumentos MABC-2 e DCDQ-Brasil, além de identificar os indícios de TDAH nas crianças por meio do instrumento SNAP-IV e de comparar o desempenho motor entre os sexos. Foram avaliadas 63 (sessenta e três) crianças matriculadas em quatro escolas públicas, por meio do instrumento MABC-2, com a aplicação do DCDQ-Brasil por meio de entrevistas realizadas com os pais ou responsáveis. Ainda em entrevista com os pais, aplicamos o instrumento SNAP-IV, para que as crianças, com sinais de TDAH, fossem identificadas. A prevalência do TDC encontrada no Município de Itirapina foi de 7,93% das crianças, embora não tenha sido observada correlação estatística entre os instrumentos. Destaca-se a necessidade de associação de instrumentos para que os critérios A e B sejam cumpridos, uma vez que não há relatos na literatura de um único instrumento que cumpra o que é proposto pelo DSM-5. No presente estudo, visando atender aos critérios A e B do DSM-5, foram aplicados os instrumentos MABC-2 e DCDQ-Brasil. Os critérios C e D deram-se a partir da observação da pesquisadora e do relato dos pais e professores, apontando para a necessidade de uma equipe de pesquisa multidisciplinar que venha contemplá-los de forma mais adequada. Dentre as crianças avaliadas pelo MABC-2, foi possível observar maiores dificuldades com as atividades de Destreza Manual (61,1%). Foram identificadas 7 crianças com indicativos de TDAH, mas como não foi possível observar correlação estatística entre os instrumentos, não foi possível identificar comorbidade do TDAH nas crianças identificadas com TDC. Em relação aos sexos, não foram observadas diferenças significativas no desempenho motor. Conclui-se que novos estudos realizados por grupos multidisciplinares de pesquisa devam ser realizados no Brasil visando contemplar os quatro critérios de identificação do TDC propostos pelo DSM em sua versão mais recente, uma vez que o presente estudo foi o primeiro identificado na literatura nacional até o momento.

O objetivo deste estudo foi avaliar o efeito do biofeedback (BIO) associado à terapia ocupacional (TO) e à estimulação elétrica funcional (FES) na espasticidade, movimento ativo e função do membro superior de pacientes hemiplégicos. Este estudo foi realizado na Divisão de Medicina de Reabilitação do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. Cinqüenta e nove pacientes acometidos por acidente vascular cerebral participaram do estudo por um ano; 31 receberam TO+FES duas vezes por semana + BIO uma vez por semana e 28 receberam somente TO+FES duas vezes por semana. Os pacientes foram avaliados inicialmente, após 6 meses e após 1 ano através da Avaliação da Função Manual, do Teste de Destreza Manual Minnesota, do Teste de Amplitude de Movimento e da Escala de Ashworth modificada. TO+FES+BIO melhoraram significativamente a amplitude de movimento e função dos membros superiores após 6 meses e 12 meses, quando comparado com somente TO+FES. Ambos os grupos melhoraram significativamente a espasticidade, após 6 meses e 12 meses, com diferença não significante entre eles. O uso adicional do biofeedback mostrou efeito positivo em amplitude de movimento e recuperação da função do membro superior no grupo estudado e pode representar uma importante ferramenta para a reabiltação de pacientes hemiplégicos / The objective of this was to study the effect of biofeedback (BIO) associated to occupational therapy (OT) and functional electrical stimulation (FES) on spasticity, range of motion and upper extremity function of hemiplegic patients. The study took part at the Division of Rehabilitation Medicine of the Hospital das Clínicas of the University of São Paulo School of Medicine. Fifty-nine stroke patients were studied for one year; 31 received OT+FES twice a week + BIO once-a-week and 28 received only OT+FES twice-aweek. The patients were evaluated initially, after six months and after one year with the use of Manual Function Evaluation, Minnesota Manual Dexterity Test, Range of Joint Motion Test and Modified Ashworth Scale. OT+FES+BIO significantly improved range of motion and upper extremity function after 6 months and 12 months, compared to only OT+FES. Both groups showed significant improvement of spasticity, after 6 months and 12 months, with no significant difference between them. The additional use of BIO had a positive effect in range of motion and function recovery of upper extremity in the studied group and may represent an important therapeutic tool for stroke rehabilitation

Introdução: A distrofia muscular de Duchenne (DMD) é uma doença genética recessiva. Caracterizada pelo enfraquecimento progressivo e irreversível da musculatura, levando a um quadro grave de deficiência física. Devido às alterações motoras presentes na DMD, é relevante verificar dispositivos de interação que auxiliem na funcionalidade e participação social, principalmente utilizando tecnologia e atualidades de ambientes virtuais. Objetivo: Identificar qual dispositivo de interação virtual propicia melhor desempenho em uma tarefa virtual em indivíduos com DMD. Método: Foram incluídos no estudo, 120 indivíduos, 60 com DMD entre 9 e 34 anos (média 16 anos) e 60 indivíduos com desenvolvimento típico pareados por sexo e idade (grupo controle). Foi utilizada uma tarefa virtual, que consiste em alcançar o maior número de bolhas, durante as fases de aprendizagem motora (aquisição, retenção e transferência) utilizando diferentes interfaces (Kinect, Leap Motion ou Touch Screen). Para análise estatística utilizou-se o número de bolhas alcançadas para cada participante. Resultados: Todos os participantes tiveram melhora no seu desempenho com a prática, independente da interface usada. Porém o grupo DMD, obteve resultado inferior quando comparado ao grupo controle. Houve melhora significativa no desempenho, em uma das fases, com a utilização da interface Leap Motion para grupo DMD, e Touch Screen para o grupo controle. Conclusão: O desempenho dos indivíduos com DMD é inferior quando comparado ao grupo controle, em todas as interfaces, devido a fraqueza muscular advinda da progressão da doença. Porém, há a possibilidade de melhorar o desempenho em uma tarefa, com a utilização que utilize dispositivo virtual, como o Leap Motion, exigindo funcionalidade de grupos musculares distais, nos indivíduos com distrofia muscular / Introduction: Duchenne muscular dystrophy (DMD) is a recessive genetic disease. Characterized by progressive and irreversible weakening of the musculature, leading to a serious physical disability. Due to the motor alterations present in the DMD, it is important to verify interaction devices that aid in functionality and social participation, mainly using technology and the news of virtual environments. Objective: To identify which virtual interaction device is best to provide performance in a virtual task in individuals with DMD. Methods: The study included 120 individuals, 60 DMD ranging from 9 to 34 years (mean 16 years) and 60 typically developed individuals matched by age and gender (control). A virtual task was used to achieve the greatest number of bubbles during the motor learning (acquisition, retention and transfer) phases, using different interfaces (Kinect, Leap Motion or Touch Screen). For statistical analysis, the number of bubbles reached for each participant was used. Results: All participants improved their performance with practice, regardless of the interface used. However, the DMD group had lower results when compared to the control group. There was a significant performance improvement in one of the phases, using the Leap Motion interface for DMD group, and Touch Screen for the control group. Conclusion: The performance of individuals with DMD is lower when compared to the control group, at all interfaces due to muscle weakness due to disease progression. However, there is the possibility of improving performance in a task using virtual device, such as Leap Motion, requiring functionality of distal muscle groups in individuals with muscular dystrophy

Objetivo: Determinar a responsividade do domínio subir e descer escada da escala de avaliação funcional em distrofia muscular de Duchenne (DMD), no período de um ano. Método: Participaram do estudo 26 pacientes com DMD. A análise utilizou o Tamanho do Efeito (ES) e a Média Padronizada de Resposta (SRM). Resultados: Atividade de subir escada: o ES mostrou responsividade baixa nos intervalos de avaliação de 3 meses (0,26; 0,35; 0,13; 0,17), baixa a moderada em 6 meses (0,58, 0,48; 0,33), moderada em 9 meses (0,70; 0,68) e alta em 1 ano (0,88). A análise com SRM mostrou responsividade baixa nos intervalos de avaliação de 3 meses (0,29; 0,38; 0,18 e 0,19), baixa a moderada em intervalos de 6 meses (0,59 e 0,51, 0,36), moderada em 9 meses (0,74 e 0,70) e alta em 1 ano (0,89). Atividade de descer escada: O ES apresentou responsividade baixa nos intervalos de avaliação de 3 meses (0,16; 0,25; 0,09; 0,08) e 6 meses (0,48; 0,35; 0,18), baixa a moderada em 9 meses (0,59, 0,44) e moderada em 1 ano (0,71). Análise com SRM mostrou responsividade baixa nos intervalos de 3 meses (0,25; 0,35; 0,12 e 0,09) e 6 meses (0,47; 0,38 e 0,21), moderada a baixa em 9 meses (0,62, 0,49) e moderada em 1 ano (0,74). Conclusão: A avaliação da atividade de subir escada, por meio da FES-DMD-D3, deve ser realizada em intervalos a partir de 9 meses, pois a responsividade é de moderada a alta. A avaliação do descer escadas deve ser realizada anualmente, pois houve responsividade moderada somente a partir de 12 meses / Objective: To determine the responsiveness of the domain up and down stair Functional Evaluation Scale for Duchenne Muscular Dystrophy (DMD) in one year follow-up. Method: The study included 26 patients with DMD. The analysis used the Effect Size (ES) and Standardized Response Mean (SRM) tests. Results: Climbing stairs activity: the ES test showed low responsiveness in the 3-month evaluation intervals (0.26; 0.35; 0.13; 0.17), low to moderate at 6 months (0.58, 0 48; 0.33), moderate in 9 months (0.70, 0.68) and high in one year (0.88). The SRM analysis showed low response in the 3 month evaluation interval (0.29, 0.38, 0.18 and 0.19), moderate to low every 6 months (0.59 and 51, 0, 36), moderate in 9 months (0.74 and 0.70) and high in one year (0.89). Down stairs activity: The ES test showed low responsiveness in the 3 month evaluation intervals (0.16; 0.25; 0.09; 0.08) and 6 months (0.48, 0.35, 0, 18), low to moderate at 9 months (0.59, 0.44) and moderate in 1 year (0.71). SRM Analysis showed low response at intervals of 3 months (0.25; 0.35; 0.12 and 0.09) and 6 months (0.47, 0.38 and 0.21), low to moderate 9 months (0.62, 0.49) and moderate in 1 year (0.74). Conclusion: The assessment of stair climbing up should be performed in 9 months or longer intervals, when responsiveness is moderate to high. Going down stairs assessment should be performed annually, because moderate responsiveness was observed in 1 year interval

This work deals with the effect the natural environment on the development of motor and cognitive abilities of preschool age. The aim is to determine the effect of education in the natural environment to the level of motor skills and knowledge of preschool children. The theoretical part describes the characteristics of preschool age. Acquaints with the development of motor skills and their training in the natural environment. It also deals with the cognitive component of the preschool child's personality and the possibilities of its development in the countryside. Zooms problems of education in a forest environment, types of learnin and methods of training in the various components of the child's personality just in a forest. The practical part is a qualitative research method used is a questionnaire survey among kindergarten teachers to determine the most commonly used educational environment, the method standardized test for 4-6-year old children to determine the level of motor skills of the children, and the method of diagnostic interview, which examined the effect of natural environments on children's knowledge. Results in agreement with reported literature confirm the positive influence of education in the natural environment for the development of several components of the child's personality.

Title: Evaluation of motor skills level in children of the primary education of selected Prague elementary schools Objectives: The main aim of the study was to evaluate current level of motor skills of primary education children of selected Prague elementary schools using standardized assessment battery MABC-2. A partial goal of the study was to compare the level achieved in the MABC-2 test with the data acquired through the questionnaire survey regarding physical activities of participating responders. (n = 134). Methods: A total number of 134 responders (60 girls and 74 boys) aged from 7 to 12 years from two selected Prague elementary schools participated in the research. The level of motor skills of all participants was examined using a standardized assessment battery MABC- 2. The testing was carried out in the form of field research during physical education lessons at selected schools. A questionnaire designed specifically for the purpose of this study, subsequently completed by legal representatives of the responders, was used for the orientation examination of the physical behaviour of the participants. The data from the questionnaire survey was subsequently compared with the level achieved in the MABC-2 test. MS Excel 2010 was used to interpret the results and to process the data...

Title: Electromyographic and clinical evaluation of vincristine-induced peripheral neuropathy in pediatric patients after treatment of acute lymphoblastic leukemia and correlation with the Bruinkins-Oseretsky Test of Motor Proficiency Second Edition Objectives: The aim of this work was to characterize the neurological consequences of vincristine-induced peripheral neuropathy (VIPN) clinically and electromyographically and to evaluate motor skills of pediatric patients after the end of treatment of acute lymphoblastic leukemia. We also determined the relationship between the results of the clinical and electromyographic evaluation of VIPN and the correlation with the results of motor skills tests. Methods: The study involved 35 probands (19 girls and 16 boys) with a mean age of 10.7 years (SD ± 4.3) and a mean time since the last dose of vincristine of 2.3 years (SD ± 1.2). VIPN was assessed using a clinical pediatric-modified Total Neuropathy Score (ped-mTNS) and nerve conduction studies (NCS). Motor skills were assessed using the Bruinkins-Oseretsky Test of Motor Proficiency, Second Edition (BOT-2). Results: The clinical presence of VIPN, according to ped-mTNS, was found in 20 % of probands. Abnormalities in nerve conduction studies were reported by 60.9 % of probands. Of these, 92.9 % had motor...

Syftet med denna kvalitativa studie är att söka kunskap om hur lärare i förskolan resonerar om förskolans kompenserande uppdrag när de planerar utbildningen som inkluderar fysisk och motorisk aktivitet. Vid insamling av empiriska data skickades ett kvalitativt frågeformulär med strukturerade intervjufrågor till lärare i förskolan som befann sig i olika geografiska områden inom ramen för socioekonomisk status. Resultatet belyste tre teman. Medvetenhet, tydlighet och detalj. Dessa teman visade sig skilja sig i grader kopplade till hur lärare i förskolan resonerar om den kompenserande uppgiften när de planerar för fysisk och motorisk aktivitet. Medvetenhet är något som framträder starkast i resultaten baserat på båda urvalsområdena, medan det för det socioekonomiskt utsatta området även klarhet och detaljer i stor utsträckning framgår av resonemanget. Denna medvetenhet görs bäst i beskrivningarna av lärarna i förskolan när de beskriver kompensationsuppgiften som helhet. När en riktning om hur uppdraget används vid planering av fysisk och motorisk aktivitet syns både diffusa och tydliga svar, varav alla teman, medvetenhet, tydliga och detaljerade, till stor del samlas i svaren från förskolan geografiskt belägen i socio -ekonomiskt missgynnade områden. / The purpose of this qualitative study is to seek knowledge about how teachers in preschool reason about the preschool’s compensatory assignment when they plan the education that includes physical and motor activity. When collecting empirical data, a qualitative questionnaire, with structured interview questions, was sent out to teachers in preschool who was located in different geographical areas within the framework of socioeconomic status.  The result highlighted three themes. Awareness, clarity and detail. These themes turned out to differ in degrees linked to how teachers in preschool reason about the compensatory task when planning for physical and motor activity. Awareness is something that emerges most strongly in the results based on both selection areas, while for the socio-economically vulnerable area, clarity and detail also appear to a great extent in the reasoning. This awareness is best done in the descriptions of the teachers in preschool when describing the compensatory assignment as a whole. When a direction on how the assignment is used in the planning of physical and motor activity, both diffuse and clear answers are visible, of wich all the themes, awareness, clear and detailed, are largely gathered in the answers from preschool geographically located in socio-economically disadvantaged areas.

Denna undersökning handlar om handskriftens närvaro i den digitala skolan 2021 och vilka attityder lärare och elever har till att skriva för hand respektive att skriva på datorn samt fördelar och nackdelar med de båda skrivmetoderna. Empirin har samlats in genom observationer i klassrum och intervjuer med lärare och elever. Samtalen var digitala för ena gruppen och genom enskilda fysiska möten i den andra gruppen. Resultaten i denna undersökning gav både väntade och oväntade svar. Eleverna ansåg att de skrev längst texter på datorn tack vare rättstavningsprogrammen vilket var ett förväntat svar på frågan. Men att två tredjedelar av eleverna ansåg att de skrev en text snabbare för hand än på datorn var en oväntad vinkling. Lärarnas attityder handlade om skriftsättens olika fördelar och nackdelar. Empirin gav förväntade svar om hur bra handskrift är för det långsiktiga lärandet och de digitala hjälpmedlens möjligheter. Observationen visade att det skrivs både för hand och på datorn i skolan idag samt att skillnaden i tid mellan skrivsätten är mindre än jag hade uppfattningen om när jag började samla in empirin. / This survey is about the handwriting's presence in the digital school in 2021 and what attitudes teachers and students have to writing by hand and writing on the computer, respectively and advantages and disadvantages of both writing methods. The empirics have been collected through classroom observations and interviews with teachers and students. The conversations were digital for one group and through individual physical meetings in the other group. The results in this examination provided both expected and unexpected answers. The students felt that they wrote the longest texts on the computer thanks to the spelling programs, which was an expected answer to the question. But the fact that two-thirds of students thought they were writing a text faster by hand than on the computer was an unexpected slant. Teachers' attitudes were about the different advantages and disadvantages of the two types of writing. Empirical services provided expected answers about the quality of handwriting for long-term learning and the possibilities of digital aids. The observation showed that it is written both by hand and on the computer at school today and that the difference in time between writing methods is smaller than I had the idea of when I started collecting the empirical.

I min SAG (Självständigt Arbete på Grundnivå) undersöktes den fysiska aktivitetens påverkan på elevers motorik, koncentration och skolprestation. Forskningen (Caterino & Polaks 1999; Ekblom 2011; Ericsson 2003; Schmidt, Egger & Conzelmanns 2015; Wrotniak et al. 2006) kom fram till att fysisk aktivitet har en positiv påverkan på alla tre områdena. I detta arbete vill jag undersöka elevernas kunskaper kring detta samt kunskaper om vad som händer i kroppen när de utför fysisk aktivitet. Idag rör sig barn allt mindre och det kan bero på lite olika faktorer, en av faktorerna kan vara deras attityd mot fysisk aktivitet.Syftet med detta arbete är att ta reda på elevers kunskaper i årskurs 2 om vad som händer i kroppen när de utför fysisk aktivitet. Syftet är också att undersöka deras kunskaper om hur fysisk aktivitet kan påverka deras motorik, koncentration och skolprestation. Dessutom vill jag även undersöka elevers attityder kring fysisk aktivitet.I teorin utgår jag dels från kunskapsteori som innefattar Platons teori samt kognitivismen. Det handlar om hur man tillägnat sig kunskaper, om det är sann fakta men även olika sätt att förklara och tolka saker. Kring attityden utgår jag från Nationalencyklopedins (u.å.) definition, att man antingen är för eller emot ett objekt, samt om kunskaper och attityder hänger samman. Detta ligger till grund för analysen av mitt material.I min metod valde jag att genomföra en enkät och fem gruppintervjuer varav en pilotintervju. Enkäten och intervjuerna har genomförts på två skolor i södra Skåne. De intervjuade eleverna valdes ut till intervju baserat på deras enkätsvar. Totalt 41 elever besvarade min enkät och 14 elever intervjuades. Alla intervjuerna har transkriberats och analyserats utifrån mina teorier.Resultatet visar att elever har väldigt liten kunskap om vad som biologiskt händer i kroppen när de utför fysisk aktivitet. Eleverna påvisar inte heller några kunskaper om hur fysisk aktivitet kan förbättra deras motorik eller skolprestation. Dock finns kunskaper kring hur koncentrationen kan påverkas då majoriteten av eleverna känner sig piggare och lugnare när de utövar fysisk aktivitet.