Nivel de participación social, recreativa, deportiva e independencia de adolescentes y adultos jóvenes con osteogénesis imperfecta / Osteogenesis imperfecta: Level of independence and of social, recreational and sports participation among adolescents and youth

Introducción. La osteogénesis imperfecta comprende un grupo heterogéneo de síndromes del tejido conectivo, que produce fragilidad ósea, amplia variabilidad clínica con diversos grados de discapacidad motora. Objetivos. Describir el nivel de independencia, la participación social, recreativa y deportiva en adolescentes con osteogénesis imperfecta. Población y métodos. Estudio descriptivo-analítico y transversal en pacientes con osteogénesis imperfecta mayores de 15, atendidos en el Consultorio de Displasias Esqueléticas del Hospital "Prof. Dr. Juan P. Garrahan" (mayo de 2013-diciembre de 2014). Encuesta autoadministrada. El déficit de talla fue una variable indicadora de gravedad. Resultados. 18 pacientes; edad: 19,17 (±3,4 sDE); 83%, con formas moderas-graves; mediana de talla: -7,9 sDE. El 50% usaba silla de ruedas. Promedio de años de estudio: 12,2; 56% participaba en actividades deportivas; 78%, en actividades recreativas y sociales. Alto nivel de independencia. Encontramos correlación entre el déficit de talla y el uso de silla de ruedas (r: -0,77) y entre el déficit de talla y la participación deportiva (r: 0,66). No encontramos correlación con años de estudio (r: -0,15), participación social (r: -0,22) o recreativa (r: 0,35).

Introduction. Osteogenesis imperfecta is a group of hereditary connective tissue disorders that cause bone fragility, with a wide clinical variability resulting in varying degrees of motor disability. Objectives. To describe the level of independence and of social, recreational and sports participation among adolescents with osteogenesis imperfecta. Population and methods. Descriptive, analytical and crosssectional study conducted in patients with osteogenesis imperfecta older than 15 years old attending the Skeletal Dysplasia Office of Hospital "Prof. Dr. Juan P. Garrahan" (May 2013 through December 2014). Self-administered survey. Short stature was an outcome measure that indicated severity. Results. There were 18 patients; age: 19.17 (±3.4 sDE); 83% had moderate-severe forms of OI; median height: -7.9 sDE; 50% used a wheelchair. Average education years: 12.2; 56% participated in sporting activities; and 78% were involved in recreational and social activities. A high level of independence was observed. We found a correlation between short stature and use of wheelchair (r: -0.77) and between short stature and participation in sporting activities (r: 0.66). No correlation was observed with years of education (r: -0.15), participation in social activities (r: -0.22) or recreational activities (r: 0.35).

A hospitalização e o adoecimento pela perspectiva de crianças e jovens portadores de fibrose cística e osteogênese imperfeita / The hospitalization and the process of becoming ill through the children's and adolescents' perspective with cystic fibrosis and osteogenesis imperfecta

O presente artigo visa discutir os resultados de uma pesquisa realizada em um hospital localizado no município do Rio de Janeiro, considerado referência em saúde da criança, do adolescente e da mulher. Analisamos os significados da hospitalização e do adoecimento crônico na infância e adolescência pela perspectiva de crianças e adolescentes com fibrose cística e osteogênese imperfeita durante suas internações hospitalares com vistas a explorar suas vivências e suas possibilidades de expressão enquanto sujeitos de conhecimento. Para tanto, privilegiamos a observação e a construção de suas produções mediadas pelo suporte lúdico, utilizando o desenho e/ou história como relevantes vias de acesso aos conteúdos infanto-juvenis. Os dados advindos desse estudo apontam para a capacidade de aquisição e produção de conhecimento que crianças e jovens possuem acerca de sua situação de adoecimento.

The present article intends to discuss the results of a study completed in a hospital located in the municipal district of Rio de Janeiro, considered most prominent for child, adolescent and woman's health. We analyzed the meanings of hospitalization and chronic illness in childhood and adolescence through the perspective of children and adolescents with cystic fibrosis and osteogenesis imperfecta during their hospitalizations in order to explore their experience and communicative possibilities as knowledgeable informants. Hence, we privileged the observation and the construction of their productions through games, using drawings and/or story-telling as a relevant approach to childhood and adolescence contents. The data collected signify the acquisition and knowledge production capacity of children and adolescents concerning their illness processes.