Abstract

ANJOS, Clarissa Cotrim dos et al. Environmental factors of children with Down Syndrome according to International Classification of Functioning. Cad. Pós-Grad. Distúrb. Desenvolv. [online]. 2019, vol.19, n.2, pp. 9-24. ISSN 1519-0307.  http://dx.doi.org/10.5935/cadernosdisturbios.v19n2p9-24.

INTRODUCTION: In Down Syndrome (DS), the environment is an important factor in development, which may be a facilitator or a barrier to learning. It is the use of the International Classification of Functioning, Disability and Health (ICF) that helps identify the real needs of the patient. OBJECTIVE: To describe the characteristics of a group of children with DS related to environmental factors through the CIF, carried out in a Specialized Center in Rehabilitation (CER) of a public university in the State of Alagoas. MATERIALS AND METHODS: This is a cross-sectional, descriptive, quantitative trait study of 10 children with DS who underwent physiotherapeutic follow-up. A data collection instrument was used for the sociodemographic and rehabilitation aspects and the use of the ICF for the collection of environmental factors. RESULTS: It was verified that products and technologies were considered as the main facilitators for children's performance. Nuclear family support/relatives, the presence of caregivers and personal assistants, the presence of health professionals, and the availability of transportation and education services are identified as the main barriers. FINAL CONSIDERATIONS: The identification of environmental factors through the use of CIF has allowed the recognition of modifiable aspects to improve the child's performance in therapy, which will reflect in the different contexts in which the child will be inserted (domicile/school). But it is known that change in such complex aspects goes beyond physiotherapeutic practice, but recognition of the interference of such factors is the first step.

Keywords : International Classification of Functioning Disability and Health; Down Syndrome; Physical therapy specialty; Family relationships; Psychomotor performance.

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