Go zika go: estudo da viabilidade de carros de brinquedo motorizados modificados para a mobilidade de crianças com Síndrome Congênita do Zika (SCZ)
Bibliographic record
Abstract
Introduction: The clinical characteristics of Congenital Zika Syndrome (CZS) include a series of impairments and delays, mainly in cognitive and motor aspects, with a similar picture to Cerebral Palsy (CP). The prognosis of the motor performance of children with SCZ raises questions about the possibilities of these children's participation in everyday life. The literature points out that motorized mobility is a viable and effective possibility of intervention for children with motor disabilities, with positive impacts on general development, independent mobility, bodily functions, activities and participation. The Go Zika Go project was created to provide children with SCZ with an intervention model focused on participation results, using modified motorized toy cars, seeking to test the feasibility of this intervention. Objective: To explore the feasibility of a motorized mobility intervention for children diagnosed with SCZ without a prognosis for ambulation, including acceptability and preliminary efficacy. Materials and Methods: This is a feasibility study with a longitudinal design before and after the intervention, carried out at the Clínica Escola de Fisioterapia of the Faculdade de Ciências da Saúde do Trairi (Facisa/UFRN) with four children diagnosed with CZS. For this study, adherence, measured by attendance at intervention sessions, satisfaction, measured by the Quebec User Evaluation of Satisfaction with Assistive Technology (QUEST) and Satisfaction Perception Questionnaire tools, and mobility learning, classified as by the Assessment of Learning Powered Mobility (ALP). Secondary outcomes related to the effect of the intervention were goal achievement assessed using the Goal Attainment Scaling (GAS), mobility and social function using the Pediatric Evaluation of Disability Inventory – Computer Adaptive-test (PEDI-CAT), and participation through the Young Children's Participation and Environment Measure (YC-PEM) or Participation and Environment Measure for Children and Youth (PEM-CY). The intervention with the modified cars lasted 12 weeks of training and 4 weeks of follow-up, with a frequency of three times a week and a dosage of 40 minutes. Descriptive statistical analyzes were performed for sociodemographic data, children's motor classification, intervention feasibility data (adherence, satisfaction data and learning with ALP), GAS, YCPEM/PEM-CY and PEDI-CAT. We also summarize the feasibility variables (recruitment, adherence, evaluation, safety and intervention costs) by relative and absolute frequencies. To explore the effects of the intervention, on the PEDI-CAT (mobility and social/cognitive), and the YC-PEM/PEM-CY data, the Wilcoxon test was applied comparing the changes between week 0 before the intervention, and sixteen weeks after the intervention, standard error measures were also used to verify changes in the PEDI-CAT domains. Results: Median age of children with SCZ included in the study was 4.75 years, two females and two males, 3 classified using the Gross Motor Function Classification System (GMFCS) as level V and one as level V. I The results showed adherence of 75% of the total intervention time, satisfied or very satisfied family members, and gains in learning how to use cars after the intervention, indicating that the Go Zika Go intervention is feasible. There was also an increase in the scope of the targets established based on the GAS. Changes in PEDICAT medians and participation outcomes were not statistically significant. Individual changes were perceived by the standard error analyzes in the mobility and social/cognitive domains. Conclusion: Intervention with modified toy cars proved to be feasible to provide children with SCZ with goal achievement, satisfaction and learning to use the modified car. We suggest the development of clinical trials to explore the effect of the intervention on the functional gains and participation of children with SCZ.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".