Introduction: the multifactorial nature of motor development is reinforced by the combination of biological and environmental risk factors, which intensify the chances of impaired motor development. Objectives: to verify the relationship between functional mobility skills of children with risk factors and motor stimulus opportunities in their home environment. Methods: transversal study conducted with 112 patients aged 18-42 months from follow-up services. Motor stimulus opportunities were evaluated by the Affordance in the Home Environment for Motor Development (AHEMD-SR) and Functional mobility skills by the Pediatric Evaluation Disability Inventory (PEDI). Student t test and multiple linear regression analysis were carried out. Results: predominance of good performance of functional mobility skills and "average level" of environmental stimulus opportunities were observed. There was no significant association between HFM-PEDI and AHEMD-SR. The results showed significant association only between HFM-PEDI and presence of health problems (p = 0.004). Children with health problems had lower mean PEDI normative score. Multiple linear regression analysis showed significant result for health problems in the interaction among environment, control variables and HFM-PEDI (p = 0.003). Conclusion: there was no association between functional mobility skills of children with risk factors and motor stimulus opportunities in their home environment. On the other hand, children with some health problem showed lower performance in functional mobility skills.

OBJETIVO: Avaliar o desempenho funcional de crianças em idade pré-escolar nascidas com diferentes graus de prematuridade e baixo peso, acompanhados em serviço de follow-up. MATERIAL E MÉTODOS: Estudo transversal, que utilizou o instrumento Inventário de Avaliação Pediátrica de Incapacidade - PEDI, uma entrevista estruturada para cuidadores de crianças que avalia as habilidades funcionais e o nível de independência nas áreas de autocuidado, mobilidade e função social. O teste foi realizado com 98 participantes divididos em três grupos, em um momento de acordo com o grau de prematuridade e em outro de acordo com o peso ao nascer. Utilizou-se o teste qui-quadrado e a análise de variância para verificar a associação e diferença entre os grupos com diferentes graus de prematuridade e baixo peso ao nascer e o PEDI. Em todas as análises considerou-se o nível de significância de α = 0,05. RESULTADOS: Houve atraso nas habilidades funcionais de autocuidado (HFAC), de mobilidade (HFM), e de função social (HFFS) de 10,2%, 12,2% e 14,3%, respectivamente, e no nível de assistência recebida do cuidador de 11,2% em autocuidado (ACAC), 19,4% em mobilidade (ACM) e 15,3% em função social (ACFS). Não foram encontradas diferenças estatisticamente significativas entre os grupos de diferentes graus de prematuridade e baixo peso ao nascer em relação a nenhum dos domínios do PEDI. CONSIDERAÇÕES FINAIS: Crianças prematuras e com baixo peso ao nascer apresentaram alterações na idade pré-escolar do desempenho funcional nas áreas autocuidado, mobilidade e função social que não variaram em magnitude entre os diferentes graus de prematuridade e peso ao nascimento.

Artigo baseado em dissertação de mestrado cujos resultados, discussão e resultados serão apresentados em forma de artigos sendo este um deles. Defesa em 2011. Instituição UFJF. INTRODUCTIONSystematic evaluation of motor changes and associated morbidities in neonates in the Neonatal Intensive Care Unit (NICU) may provide important information about neurodevelopmental outcomes 1 and may accelerate the initiation of intervention and facilitate the future development of these children 2 . The number of adverse morbidities in the peri-and neonatal periods increases the risk of delayed developmental changes between 18 and 24 months of corrected age 3 . Studies demonstrate that newborns from the NICU, mainly the extremely preterm newborns, may have delay in their neuromotor and cognitive development due to their biological characteristics (such as gestational age and birth weight) 4,5 or interventions and complications in the peri-and neonatal periods [6][7][8] . Identifying factors which may increase an infant's risk of delay would allow clinicians to focus on children with higher risk and would also allow the enforcement of preventive measures aiming at avoiding the occurrence of such factors.Evaluations of the practices carried out in the maternal and infant units are widely discussed in developed countries. In developing countries, systematic evaluation is just beginning, and data is available through databases such as the Vermont Oxford Network and the Brazilian Net of Neonatal Research 9 .Studies about the relationship between the delay in developmental motor and events observed during the neonatal period usually involve clinical assessments carried out after hospital discharge. In such cases, the links identified might suffer from the interference of factors that took place between discharge from the NICU and the assessment: socioeconomic and stimulation conditions. Assessing the newborns before hospital discharge may prevent these effects.A development evaluation at the time of discharge from the NICU couldbe used by hospital service to evaluate the discharge conditions of its users and to improve services quality, preventing risk factors to motor development delay in newborns. The aim of this study is to verify the . ABSTRACT Introduction: Studies on the association between motor developmental delay and events observed during the neonatal period are performed after discharge. In such cases, the associations found may be interfered by factors occurring between discharge from the NICU and evaluation. Evaluate newborns before hospital discharge can prevent these effects.The purpose of this study is to identify factors related to motor developmental delay of newborns when being discharged from Neonatal Intensive Care Unit. The method chosen to carry out this investigation was a prospective cohort, populationbased and analytic-descriptive study, and 178 newborns were assessed through the Test of Infant Motor Performance. Binomial logistic regression has been developed for analyzing the associated factors. Among th...

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