Resumo: Introdução: Um dos principais acometimentos crônicos que ocorrem na infância é a Paralisia Cerebral (PC), que tem como proposta terapêutica de atendimento, entre outras, a terapia assistida com cavalo, que no Brasil recebe o nome de Equoterapia. Objetivo: Este estudo se propôs a verificar o papel da Equoterapia na reabilitação da função motora em indivíduos com paralisia cerebral por meio de uma revisão sistemática de ensaios clínicos. Método: Foram utilizadas as bases PUBMed (MEDLINE), Cochrane,

Resumo O Denver II tem como objetivo avaliar o desenvolvimento de crianças entre 0 e 6 anos de idade. O objetivo deste estudo foi verificar a confiabilidade intra e interexaminadores, validade concorrente, sensibilidade e especificidade da versão brasileira do Denver II. Estudo metodológico transversal. Participaram 254 crianças, entre 0 e 72 meses, com risco para atraso no desenvolvimento. Dois examinadores verificaram a confiabilidade intra e interexaminadores do Denver II. Validade concorrente, sensibilidade e especificidade foram verificadas com relação à versão brasileira do Ages & Stages Questionnaires como teste de critério. Análise estatística utilizou o Intraclass Correlation Coeficiente, Teste de Correlação de Spearman e Tabela de Contingência, nível de significância α=0.05. Os resultados identificaram que a confiabilidade intra e interexaminadores foi excelente em toda a amostra. A validade concorrente apresentou índices moderados a muito fortes entre 13 e 60 meses. Índices de sensibilidade e especificidade variaram de 73-99% e 58-92%, respectivamente. A versão brasileira do Denver II apresenta bons índices de propriedades psicométricas sendo um instrumento confiável e válido para ser aplicado em crianças brasileiras sob risco de atraso no desenvolvimento.

Objective: The aim of this study was to verify the adequacy of affordances in the home environment of children at risk of developmental delay and to identify factors associated with their frequency. Methods: The cross-sectional study included 97 families who responded to the Affordances in the Home Environment for Motor Development — Infant Scale (AHEMD-IS) for 3–18 months (n=63), or AHEMD – Self-Report (AHEMD-SR) for 18–42 months (n=34). The Mann-Whitney U test was used to identify the differences between the frequencies of affordances between the groups. Multiple linear regression was used to verify the association between the child’s sex, mother’s marital status, education, socioeconomic level, child and mother’s ages, house residents’ number, per capita income, and AHEMD scores (α=0.05). Results: The home affordances’ frequency in the AHEMD-IS ranged from less than adequate to excellent, while in the AHEMD-SR, the highest predominance was medium. The offer of stimuli in the AHEMD-IS was significantly higher. Higher socioeconomic level and house residents’ number were associated with greater affordances. Conclusions: The higher the socioeconomic level and house residents’ number, the greater the affordances in the homes of children at risk of delay. It is necessary to provide families with some alternatives to make their home environments richer in affordances that favor child development.

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Objective: Verify therapeutic intervention efficacy in children between the ages of 0 to 12, with cerebral palsy, evaluated by Thick Motor Function Measure. Method: PUBMed (MEDLINE), Cohrane, Web of Science, Scopus, Lilacs and PEDro. During phase 1, titles and abstracts of all identified references were independently displayed to 2 investigators. In phase 2, the same researchers applied the inclusion criteria for complete articles text. Key data from each of the included studies were extracted, such as author, year of publication, sample size, relevant characteristics, and conclusions on therapeutic interventions in children with cerebral palsy. Results: 15 articles were combined for qualitative analysis. Total scores for methodological quality ranged from 5 to 9 points. Covering the included articles for qualitative analysis, 14 studies were included in meta-analysis. Results demonstrated a significant variation when compared to conventional therapy performed through physical therapy in total scores and subgroup training, but not in hippotherapy, activity tasks and other therapies. Conclusion: Commonly therapies applied to children with CP when integrated with functional tasks appear to have better results when only compared to conventional physiotherapy.