Effects of the Use of Assistive Technology Devices to Promote Independence in Daily Life Activities for a Child with Cerebral Palsy

LINO, Thaís Breternitz; MARTINEZ, Luciana Bolzan Agnelli; BOUERI, Iasmin Zanchi; LOURENÇO, Gerusa Ferreira

doi:10.1590/s1413-65382620000100003

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Research Report • Rev. bras. educ. espec. 26 (1) • Jan-Mar 2020 • https://doi.org/10.1590/s1413-65382620000100003 copy

Effects of the Use of Assistive Technology Devices to Promote Independence in Daily Life Activities for a Child with Cerebral Palsy² 2 This work is part of the first author’s Scientific Initiation, funded by the Programa de Apoio ao Docente Recém-Doutor (Support Program for the Recent-Doctor Professor) of the Dean of Research of the Federal University of São Carlos (PADRD/PROPq/UFSCar) 2015-2017, under the guidance of the other authors. Preliminary parts of this study were presented and published as summaries at the 14th Brazilian Congress of Occupational Therapy (2016) and at the Conference of the Council of Occupational Therapists for the European Countries (2016).

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT:

The objective of this study was to evaluate the implementation process of Assistive Technology resources to perform the feeding activity of a child with cerebral palsy. A five-year-old child with dystonic cerebral palsy and his mother were the participants. The target activities were feeding and intervention that occurred at their home. Data were collected by the following instruments: Pediatric Evaluation of Disability Inventory; Gross Motor Function Classification System for Cerebral Palsy; Manual Abilities Classification System; script to characterize the participant; descriptive and event logging protocols; and a social validation questionnaire. Interventions were performed with three activities for feeding independence: sitting at the table, using the glass and the cutlery. The activities comprised the multiple baseline design between behaviors in four phases: baseline, intervention, maintenance and follow up. The sessions were recorded on video for analysis and help level scoring in the event protocol. Score of the help level in the protocol of events. It was evidenced that the use of Assistive Technology resources enhances the autonomy and independence of the child with cerebral palsy, demonstrating the effectiveness of the use of the resource, corroborating the literature.

KEYWORDS:
Special Education; Assistive Technology; Cerebral Palsy; Occupational Therapy

BASIC SKILLS	DESCRIPTION
SITTING AT THE TABLE
Sit at the table Torso control Positioned feet Arms positioned Approach the table Pull chair near table Reach table objects Pull chair near table	Go to the table and be positioned in the chair next to the table. Keep torso erect and move it for posture adjustment. Feet flat on the floor or footrest. Hands resting on the armrest, table or side of the chair close to the torso. Lean the body close to the table. Grasp the chair and pull it close to the table. Take an object on the table, using the hand or fingers. Grasp the chair and pull it close to the table.
USE OF THE GLASS
Hold glass with the liquid in it. Lean the glass towards the mouth Get the glass Glass drinking position Position the straw Head direction to the glass Drink the liquid Back to the starting position	Keep the glass in hand with the liquid inside. Perform pronation of the forearm, with shoulder flexion bringing the glass to the mouth. Hold the glass with the hand. Drag the glass and set it close to the body in order to drink, with the use of the arm and/or hand. Straighten the straw with the hand, turning it towards the mouth. Lean the torso and straighten the head towards the glass and/or the straw to drink. Drink/swallow the liquid from the glass. With the arm and/or hand push the glass, returning it to the starting position.
USE OF THE CUTLERY
Pick up the cutlery Handle the cutlery Add the food Cut the food Put the food on the cutlery (or jab it) Bring food to mouth Return with the fork towards the table.	Reach the cutlery with the hand. Hold the cutlery with the hand. Put a quantity of food together, with the cutlery. Cut a piece of food into pieces, with the use of a knife. Push the food with the knife and place it on the fork. Bring the fork with food to the mouth. Return of the fork to the table.

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