Carvalho, Jovanka Bittencourt Leite deBezerra, Dayse Aleixo2019-07-192019-07-192019-04-15BEZERRA, Dayse Aleixo. Affordances motoras no ambiente domiciliar de crianças com microcefalia e o desempenho cognitivo. 2019. 101f. Dissertação (Mestrado Profissional em Práticas de Saúde e Educação) - Escola de Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019.https://repositorio.ufrn.br/jspui/handle/123456789/27349Microcephaly is a congenital malformation characterized by a reduction of the cephalic perimeter in at least two standard deviations of the expected mean for age and sex, presenting motor and cognitive alterations that vary according to the degree of cerebral involvement. It is considered that a home environment rich in opportunities for motor stimulation has a positive impact on the motor and cognitive performance of children who are early exposed to these stimuli. The objective was to evaluate motor affordances in the home environment of children with microcephaly and their cognitive performance. This was an exploratory-descriptive study, with a cross-sectional, quantitative approach, carried out at the Child Rehabilitation Center and the Clinical School of Physiotherapy. The sample consisted of 30 children with microcephaly, between 18 and 42 months of age, and their families. The Affordances in the Home Environment for Motor Development (AHEMD) and the cognitive scale of the Bayley Scales of Infant and Toddler Development III (BSITD-III) were used as instruments of data collection. The study was approved by the Research Ethics Committee under opinion No. 2,765,621. It was observed that there were the same percentage of male and female children and that 50% had a Z score of head circumference of -3 at birth, with a mean gestational age of 38.44 weeks and the mean birth weight of 2,798.67 grams. The majority (56.67%) underwent therapy up to twice weekly. Considering characteristics of the family, it was observed that there were up to two adults (70.00%), with half having only one child and the other half presenting two or more children in the majority of the residences. Most of the children (96.67%) have never been attended nursery or school and lived in a house (96.67%). The fathers and mothers had scholar education between fifth and eighth grade, with 51.72% and 46.67%, respectively. Most households had a family income above a minimum wage (56.67%), with socioeconomic status D. Regarding motor affordances in the home environment, the majority of households had a weak physical income (53.33%) and very good interior (70.00%), stimulation variety with very low yield (50.00%) and toys and materials in the very weak housing (100.00%). Therefore, the majority of the children (73.33%) lived in homes with low motor affordances, with a mean of 8.47 (± 1.72) points in the total standardized AHEMD score. Most children presented extremely low cognitive performance (96.67%). As a research product, a guide for parents and family with guidelines on stimulating and expanding affordances in the home environment has been developed to help children reach their full potential. Therefore, it was concluded that the majority of children with microcephaly were from families with socioeconomic vulnerability, presented few opportunities for motor stimulation in their homes and severe cognitive impairment. In addition, it was suggested the promotion of a home environment rich in motor affordances, since a stimulating environment seems to favor children's development.Acesso AbertoMicrocefaliaCogniçãoDestreza motoraDesenvolvimento infantilmasterThesisCNPQ::CIENCIAS DA SAUDE