Banca de QUALIFICAÇÃO: MARILIA PINHEIRO DE BRITO PONTES

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : MARILIA PINHEIRO DE BRITO PONTES
DATE: 02/07/2025
TIME: 09:30
LOCAL: Plataforma Google Meet
TITLE:

Investigation of pediatric feeding disorder in children with myelomeningocele and its association with sensory and motor development

KEY WORDS:

Meningomyelocele; Child development; Feeding; Food selectivity; Childhood eating disorders

PAGES: 40
BIG AREA: Ciências da Saúde
AREA: Fonoaudiologia
SUMMARY:

Introduction: Myelomeningocele (MMC) is an embryonic malformation of the central nervous system where a segment of the spinal cord, most commonly in the lumbosacral region, along with its associated nerves and meninges, protrudes through a spina bifida and a skin defect. Its etiology is multifactorial, involving genetic and environmental factors that affect folic acid metabolism. Neurogenic bowel, neurogenic bladder, and hydrocephalus are common complications that have implications for elimination, feeding, and learning in children with myelomeningocele. The acquisition of feeding skills is an essential neurofunctional area, as it ensures survival and contributes adequately to growth and development. Pediatric feeding disorder (PFD) is a term used to refer to feeding problems in children, characterized as a feeding dysfunction in which both physiological and psychosocial factors contribute to its onset and maintenance.Objective: The objective of this study was to investigate the presence of feeding difficulties in children with myelomeningocele and their possible relationship with clinical aspects. Method: This was an observational, cross-sectional, qualitative, and descriptive study. The sample consisted of 10 individuals with myelomeningocele presenting feeding complaints. Data were collected at the Speech-Language Pathology outpatient clinic of the Specialized Center of the Instituto Santos Dumont. The evaluation involved the application of questionnaires related to clinical conditions such as the presence of hydrocephalus, intestinal constipation, and the presence of a ventriculoperitoneal shunt (VPS). Data analysis encompassed descriptive and inferential statistics using Fisher's exact test, at a significance level of 0.05, and qualitative analysis of each evaluated case. Results: Article 1 aims to analyze which clinical aspects associated with myelomeningocele may be related to the emergence of pediatric feeding disorders, with the objective of characterizing the clinical condition of children with myelomeningocele, investigating the possible association between this congenital malformation and the development of pediatric feeding disorders. Furthermore, it seeks to identify the most frequent comorbidities in myelomeningocele, such as hydrocephalus, presence of a ventriculoperitoneal shunt, and intestinal constipation, and to analyze the influence of such factors on the emergence of feeding disorders. The hypothesis of Article 1 is that children with myelomeningocele have a greater propensity to develop pediatric feeding disorders due to the presence of associated comorbidities. The article 2 proposes to evaluate the associations between functional performance related to feeding, especially concerning the efficiency and safety of the feeding process and its clinical factors such as oral motor function, sensory integrity, comorbidities, and general clinical condition. From this, it intends to establish relationships between the presence of PFD and alterations in orofacial motor and sensory functions, as well as to identify distinct clinical patterns among the evaluated cases. The hypothesis of Article 2 was that the emergence of pediatric feeding disorder could be related to the impairment of motor, sensory, and functional performance.

COMMITTEE MEMBERS:
Externa à Instituição - GEOVANA DE PAULA BOLZAN - UFSM
Interno - ***.018.964-** - GIORVAN ANDERSON DOS SANTOS ALVES - UFPB
Presidente - 1753208 - HIPOLITO VIRGILIO MAGALHAES JUNIOR