Recursos de tecnologia assistiva no desempenho funcional de crianças com encefalopatia por síndrome congênita do Zika vírus

Abstract

Objective: The aim of this study is to evaluate the effects of the use of Assistive Technology resources on the functional performance of children with Zika Virus Congenital Syndrome encephalopathy from the perspective of the family member and / or caregiver through the Canadian Occupational Performance Measure (COPM). Methodology: Evaluation study of intervention with caregivers of children diagnosed with Zika Virus microcephaly and consequent Cerebral Palsy with different topographies that received Assistive Technology resources. The research was carried out at the UFC Early Treatment and Stimulation Center. The scale used was the COPM, which identifies problems, concerns or issues related to occupational performance and need for indication of adapted therapies and resources, furniture, orthoses and adaptations of Assistive Technology. The protocol was initially applied at the entrance of the service in 2016 with parents and / or caregivers of children to assess functional performance without the use of resources and after 2 years of use of resources in 2018. Performance and satisfaction levels were analyzed. parents pre and post use of assistive technology resources. Results: The study included 23 children, 12 males and 11 females. The average age of all children was 7.02 months, with encephalopathy caused by Zika virus with GMFCS level V. The main complaints reported by parents in the beginning were 23.8% (6) holding the head and 34.2% (9) sitting. The average number of complaints by caregivers was 1.13. Complaints from caregivers extracted from COPM after two years of resource use were rolling 4% (1), sitting down; 64% (16); head balancing 20% (5); crawl 4% (1) and fine motor 8% (2) of the total demands of caregivers. The average number of complaints by caregivers was 1.08. Therefore, it was observed that the caregivers' complaints regarding the child's performance for Rolling, Head Balancing, Dragging, Prone and Fine Motor were lower after the 2 years of resource use. Conclusions: There was no statistical significance in the performance and satisfaction of assistive technology resources before and after for both sexes due to the severity of musculoskeletal disorders.