Avaliação do desempenho funcional e da qualidade do estímulo domiciliar oferecido à criança com deficiência visual

Abstract

Aiming to explore more about the functional performance of children with low vision were prepared two studies. For both, we selected 14 children, seven with low vision (32,29 ± 7,09 months) and seven with normal vision (31,57 ± 6,90 months). In the first, the aim was to compare and correlate the influence of the present affordances in the home environment in the functional skills and the level of caregiver assistance for the mobility of children with low vision and normal vision. Was used the questionnaire Affordances in the Home Environment for Motor Development-Self Report (AHEMD-SR) and the Pediatric Evaluation Disability Inventory (PEDI) relative to the parties I (functional skills) and II (caregiver assistance) in the mobility area. There was no significant difference between children with low vision and with normal vision in the functional skills (U=13,5; p=0,076) and the level of caregiver assistance (U=13,0; p=0,083), however, there was correlation (r=+0,756; p=0,049) between parties I and II for children with low vision. The present affordances in the home environment showed significant difference between children with low vision and normal vision for AHEMD total (U=8,0; p=0,035), fine-motor materials (U=7,5; p=0,024) and gross-motor (U=7,5; p=0,024). However, the classification of both was “average” according to the AHEMD total. The second study while assessed the caregiver´s assistance demand in the performance of functional skills of self-care of children with low vision. We used the parties I (functional skills) and II (caregiver assistance) of the PEDI in the self-care area. There was no significant difference in functional skills (t=0,655; p=0,525) and level of caregiver assistance (t=0,902; p=0,385) among children, however, there was correlation between parties I and II for children with low vision (r=+0,924; p=0,003) and normal vision (r=+0,790; p=0,035). On the results, it was found that children with low vision showed no differences in functional skills and caregiver assistance in the mobility and self-care. And the home environment offered reasonable affordances, which favored the functional skills and caregiver´s assistance in the mobility.