Competência física percebida de crianças com paralisia cerebral: Que relações com a percepção dos seus pais e a sua função motora?

 

Rui Corredeira

Adília Silva

António M. Fonseca

 

Faculdade de Desporto, Universidade do Porto, Portugal

 

 

 

RESUMO

Este estudo teve como principal objectivo examinar a relação entre o grau de função motora real de crianças com Paralisia Cerebral, com idades entre os 4 e 9 anos, e a percepção de competência física percebida das mesmas e de seus pais relativamente a elas. Foram utilizadas as versões portuguesas da DutchPictorial Scale of Perceived Competence and Social Acceptance for children with Cerebral Palsy – EPPCASCPPp - a 81 crianças e seus pais, e da Gross Motor Function Measure (versão de 66 itens) – TMFM-66 - às crianças.

Da aplicação do TMFM-66 resultou a divisão das crianças em três grupos de diferente comprometimento motor.

A análise dos valores médios relativos à EPPCASCPCp (subescala de competência física), atribuídos pelas crianças e seus pais, permitiu constatar que, de uma forma geral, independentemente do seu comprometimento motor, aquelas apresentavam valores de percepção de competência elevados. Verificou-se também que a avaliação que as crianças faziam da sua competência física fora sempre superior à atribuída pelos seus pais, e que os valores médios de competência física percepcionados por ambos, decresciam à medida que aumentava o grau de comprometimento motor avaliado pela TMFM-66.

As correlações entre a função motora e a competência física percebida foram moderadas sendo superiores no caso da avaliação por parte dos pais (r=0,621) comparativamente à percepção manifestada pelas crianças (r=0,503).

Estes resultados sugerem a adequação da utilização da EPPCASCPCp, como indicador indirecto para avaliação de função motora em crianças com paralisia cerebral.

Palavras-chave: paralisia cerebral, competência física percebida, função motora

 

 

ABSTRACT

Physical Perceived Competence in children with Cerebral Palsy: what relationships with parents perception and their own motor function

 The aim of this study was to investigate the relationship between the actual motor function level of children with cerebral palsy, aged between 4 and 9 years old, their physical self-perceived competence and their parents’ when compared to them. The Portuguese version of the Dutch Pictorial Scale of Perceived Competence and Social Acceptance for children with Cerebral Palsy – EPPCASCPPp – was used in 81 children and their parents, and the Portuguese version of the Gross Motor Function Measure (66 items version) – TMFM-66 – was used only for the children.

Three different groups of motor impairment were defined by using the TMFM-66 aplication.

The EPPCASCPCp (physical competence subscale) scores of the children and their parents showed that in general and independently of their motor impairment, those children presented high perceived competence levels. We also found that the children’s physical competence evaluation was always higher when comparing to that of their parents, and concomitantly, the average physical competence scores perceived by both decreased as the level of motor impairment assessed by TMFM-66 increased.

The correlations between motor function and physical perceived competence were moderate, but higher when comparing the parents evaluation (r=0,621) to the children’s perceptions (r=0,503).

These findings suggest that the EPPCASCPCp is adequate as an indirect pointer of motor function evaluation in cerebral palsy children.

Key-words: cerebral palsy, physical perceived competence, motor function

 

 

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REFERÊNCIAS

1. Anderssen N, Wold B (1992). Parental and peer influences on leisure-time physical activity in young adolescents. Research Quarterly for Exercise and Sport  63: 341-348.         [ Links ]

2. Andrada MG, Gimenez JP (1991). Teste de Medida das Funções Motoras (TMFM) - Guia do Utilizador. Adaptação do Gross Motor Function Measure de Russell e colaboradores (1989). Centro de Paralisia Cerebral Calouste Gulbenkian. Lisboa.

3. Bandura A (1982). Self-efficacy mechanism in human agency. American Psychologist 37: 122-147.

4. Bax M, Goldstein M, Rosenbaum P, Levinton A, Paneth N (2005). Proposed definition and classification of Cerebral Palsy: Introduction. Developmental Medicine & Child Neurology 47: 571- 576.

5. Biddle S, Armstrong N (1992). Children’s physical activity: An exploratory study of psychological correlates. Social Science and Medicine 34: 325-331.

6. Bobath K (1984). Uma base neurofisiológica para o tratamento da Paralisia Cerebral. S.Paulo: Manole.

7. Bortoli l, Robazza C (1997). Italian Version of the Perceived Physical Ability Scale. Perceptual and Motor Skills 85: 187-192.

8. Burns RB (1979). The self-concept: Theory, measurement, development and behaviour. London: Longman.

9. Calsyn R, Kenny D (1977). Self-concept of ability and perceived evaluation of others: Cause or effect of academic achievement? Journal of Educational Psychology 69: 136-145.

10. Chapman J (1988). Learning disabled children’s self-concepts. Review of Educational  Research 58: 347-371.

11. Cole D, Maxwell S, Martin J (1997). Reflected self-appraisals, strength and structure of the relation of teacher, peer and parent ratings to children’s self-perceived competencies. Journal of Educational Psychology, 89 (1), 55-70.

12. Cooley EJ, Ayres R (1988). Self-concept and success-failure attributions of non-handicapped students with Learning Disabilities. Journal of Learning Disabilities 21: 174-178.

13. Corredeira R, Côrte-Real NJ, Dias C, Silva MA, Fonseca, AM (2007). Como avaliar a Percepção de Competência e Aceitação Social de Crianças com Paralisia Cerebral?

Estudo inicial para a determinação das propriedades psicométricas da versão portuguesa da Dutch Pictorial Scale of Perceived Competenceand Social Acceptance in Children with Cerebral Palsy. Revista Brasilera de Educação Especial (In press).

14. Crocker PR, Eklund RC, Kowalski KC (2000) Children´s physical activity and physical self-perceptions. Journal of  Sports Science 18: 383-94.

15. Čurdová J, Vermeer A, Válková H (2001). Measuring perceived and social acceptance in young children with cerebral palsy: the construction of Czech Pictorial Scale. Gymnica 1(1): 27-36.

16. Dunn J, Watkinson E (1994). A study of the relationship between physical awkwardness and children’s perceptions of physical competence. Adapted Physical Activity Quarterly 11: 275-283.

17. Ebbeck V,  Weiss MR (1998). Determinants of children's self-esteem: Influence of perceived competence and affect. Pediatric Exercise Science 10: 285-298.

18. Eccles J, Wigfield A, Harold R (1993). Age and gender differences in children´s self – and task perceptions during elementary school. Child Development 64: 830-47.

19. Faria L (2005). Desenvolvimento do auto-conceito físico nas crianças e nos adolescentes. Análise Psicológica 4: 361-371.

20. Fox KR (2000). The effects of exercise on self-perceptions and self-esteem. In: SJH Biddle, KR Fox, SH Boutcher (eds). Physical activity and psychological well-being (pp. 88-117). London: Routledge.

21. Glenn S, Cunningham C (2001). Evaluation of self by young people with Down Syndrome. International Journal of Disability, Development and Education 48: 163-177.

22. Goodway J, Rudisill M (1996). Influence of a motor skill intervention program on perceived competence of at-risk african-american pre-schoolers. Adapted Physical Activity Quarterly 13: 288-301.

23. Hagger M, Biddle SJ, Wang CK (2005). Physical Self-Concept in Adolescence: Generalizability of a Multidimensional, Hierarchical Model Across Gender and Grade. Educational and Psychology Measurement 65: 297-322.

24. Harter S (1982). The perceived competence scale for children. Child Development 53: 87-97.

25. Harter S, Pike R (1984). The Pictorial Scale of Perceived Competence and Social Acceptance for Young Children. Child Development 55: 1968-1982.

26. Harter S (1985). Competence as a dimension of self-evaluation: toward a comprehensive model of self-worth. In: Leahy R (ed.). The Development of the Self. (pp. 55-121). New York: Academic Press.

27. Harter S (1999). The Construction of the Self – A developmental Perspective. New York: The Guilford Press.

28. Horn T, Hasbrook C (1987). Psychological characteristics and the criteria children use for evaluation. Journal of Sport Psychology 9: 208-221.

29. Hoza B, Gerdes A, Hinshaw S, Arnold L (2004). Self-perceptions of competence in children with ADHD and comparison children. Journal of Consulting and Clinical Psychology 72: 382-391.

30. Jacobs JE, Lanza S, Osgood DW (2002). Changes in children’s self-competence and values: gender and domain differences across grades one through twelve. Child Development 73: 509-27.

31. King G, Spetch J, Schultz I, Warr-Leeper G, Redekop W, Risebrough N (1997). Social skills training for withdraw unpopular children with physical disabilities – A preliminary evaluation. Rehabilitation Psychology 42: 47-60.

32. Klein S, Evans J (1998). Perceptions of competence and peer acceptance in young children with motor and learning difficulties. Physical and Occupational Therapy in Paediatrics: A Quarterly Journal of Development 18: 39-52.

33. Kunnen E (1992). Mastering (with) a handicap – Development of task-attitudes in physically handicapped children. Groningen: Stitching Kinder studies.

34. Lerner RM (1991). Changing organism-context relations as a basic process of development: A developmental contextual perspective. Developmental Psychology 27: 27-32.

35. Miller G (2002). Paralisias Cerebrais: Uma visão geral. In: G Miller, GD Clark (eds). Paralisias Cerebrais – Causas, consequências e conduta (pp. 1-40). São Paulo: Manole.

36. Morris C, Kurinczuk JJ, Fitzpatrick R, Rosenbaum PL (2006). Who best to make the assessment? Professionals’ and families’ classifications of gross motor function in cerebral palsy are highly consistent. Archives of Disease in Childhood 91: 675-679.

37. Nicholls J (1978). The development of the concepts of effort and ability, perception of academic attainment, and the understanding that difficult tasks require more ability. Child Development 49: 800–814.

38. Nicholls DS, Case-Smith J (1996). Reliability and validity of the Pediatric Evaluation of Disability Inventory. Pediatric Physical Therapy 8:15-24.

39. Palisano RJ, Rosenbaum PL, Walter SD, Russell DJ, Wood EP, Galuppi BE (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Development Medicine Child Neurology  39: 214-223.

40. Poole JR, Mathias K, Stratton, Richard K (1996). Higher-Skilled and Lower-Skilled Children’s Perceived Ability and Actual Performance with Kicking and Striking Tasks. The Physical Educator 53: 214-221.

41. Raudsepp L, Liblik R (2002). Relationship of perceived and actual motor competence in children. Perceptual and Motor Skills 94: 1059-1070.

42. Rodger S, Ziviani J, Watter P, Ozanne A, Woodyatt G, Springfield E (2003). Motor and functional skills of children with developmental coordination disorder: a pilot investigation of measurement issues. Human Movement Science 22: 461-478.

43. Rudisill ME, Mahar MT, Meaney KS (1993). The Relationship between Children’s Perceived and Actual Motor Competence. Perceptual And Motor Skills 76: 895-906.

44. Russell DJ, Rosembaum PL, Cadman DT, Gowland C, Hardy S, Jarvis S (1989). The Gross Motor Function Measure: a mean to evaluate the effects of physical therapy. Development Medicine Child Neurology 31: 341-52.

45. Russell DJ, Rosembaum PL, Avery LM, Lane M (2002). Gross Motor Function Measure (GMFM-66 & GMFM-88)  User’s Manual. London: Mac Keith Press.

46. Russell DJ, Rosembaum PL, Raina PS, Walter SD, Palisano RJ (2000). Improved Scaling of the Gross Motor Function Measure for Children With Cerebral Palsy: Evidence of Reliability and Validity. Physical Therapy 80: 873-885.

47. Scholtes V, Vermeer A, Meek G (2002). Measuring perceived competence and social acceptance in children with cerebral palsy. European Journal of Special Needs Education 17: 77-87.

48. Schwarz D (1998). The Pictorial Scale of Perceived Competence and Social Acceptance for Children with Cerebral Palsy: a reliability and validation study of a German version. Dissertação de Mestrado. Freie Universitat Berlin: Berlin.

49. Shavelson RJ, Bolus R (1982). Self-concept: the interplay of theory and methods. Journal of Educational Psychology 74: 3-17.

50. Silon E, Harter S (1985). Perceived competence, motivational orientation and anxiety in mainstreamed and self-contained educable mentally retarded children. Journal of Educational Psychology 77: 217-230.

51. Sollerhed A–C, Apitzsch E, Råstam L, Ejlertsson G (2007). Factors associated with young children’s self-perceived physical competence and self-reported physical activity. Health Education Research 12: 3-12.

52.  Sternberg RJ (1993). The Princess grows up: A satiric fairy tale about intellectual development. In: RJ Sternberg, CA Berg (eds.). Intellectual development (pp. 381-394). Cambridge: Cambridge University Press.

53. Stipek DJ (1981). Children´s perceptions of their own and their classmates’ ability. Journal of Educational Psychology 73: 404-410.

54. Stipek DJ, Kowalski PS (1989). Learned helplessness in task-oriented versus performance-oriented testing conditions. Journal of Educational Psychology 81: 384-91.

55. Stone CA, May AJ (2002). The accuracy of academic self-perceptions in adolescents with learning disabilities. Journal of Learning Disabilities 35: 370-383.

56. Ulrich BD (1987). Perceptions of Physical Competente, Motor Competente, and Participation in Organized Sport: their interrelationship in young children. Research Quarterly for Exercise and Sport 58: 57-67.

57. Vaughn S, Hoga A, Kouzekanani K, Shapiro S (1990). Peer Acceptance, Self-Perceptions, and Social Skills of Learning Disabled Students Prior to Identification. Journal of Educational Psychology 82: 101-106.

58. Vermeer A, Lanen W, Hendriksen J, Speth L, Mulderij K (1994). Measuring perceived

competence in children with cerebral palsy. In: JHA van Rossum, JI Laszlo (eds.). Motor Development: Aspects of normal and delayed development (pp. 133–144). Amsterdam: VU University Press.

59. Vermeer A, Veenhof C (1997). The Dutch Pictorial Scale of Perceived Competence and Social Acceptance for Children with Cerebral Palsy: a reliability and validation study. Dissertação de Mestrado. Vrije Universiteit Amsterdam: Amsterdam.

60. Welk GJ, Corbin CB, Dowell MN, Harris H (1996). The Relationship Between Physical Self-Perception and Physical Fitness in: Children  Research Quarterly for Exercise and Sport  67: Supplement p. A-102.

61. Yun J, Ulrich D (1997). Perceived and actual physical competence in children with mild mental retardation. Adapted Physical Activity Quarterly 14: 285-297.

 

 

CORRESPONDÊNCIA

Rui Corredeira

Gabinete de Actividade Física Adaptada

Faculdade de Desporto, Universidade do Porto

Rua Dr. Plácido Costa, 91

4200-450 Porto

e-mail: rcorredeira@fade.up.pt