Cibelle Kayenne Martins Roberto Formiga

Motor development curve from 0 to 12 months in infants born preterm

Aim:  To trace a reference curve for motor development from birth up to 12 months of corrected chronological age in infants born preterm and low birth weight.

Avaliação do desenvolvimento inicial de crianças nascidas pré-termo

El nacimiento prematuro es un evento que trae implicaciones en el desarrollo saludable del nino. Diversos estudios han sido efectuados sobre la evaluacion de ninos nacidos prematuramente y la influencia de multiples factores de riesgo en la trayectoria de su desarrollo. Este estudio realizo una revision sistematica de la literatura de 2.000 a 2,005 sobre la evaluacion del desarrollo de ninos prematuros hasta los 24 meses de edad. Los factores de riesgo biologicos estuvieron presentes en todos los estudios, destacandose la hemorragia interventricular, la enterocolitis necrosante, la enfermedad pulmonar cronica y el retardo del crecimiento intrauterino como los mas estudiados. El desarrollo motor del nino fue el area mas investigada. En lo que se refiere a la edad, las primeras evaluaciones fueron dirigidas a los seis primeros meses de vida. El riesgo neonatal, bajo peso al nacer, el sexo masculino del bebe, las lesiones cerebrales y los movimientos espontaneos anormales en las primeras semanas, fueron factores indicadores del desarrollo de los ninos prematuros a los dos anos de edad.Preterm birth is an event that affects the childs healthy development. Several studies have addressed the evaluation of children born preterm and the influence that multiple risk factors have on the course of their development. This study performed a systematic review of the literature from 2000 to 2005 about the evaluation of the development of children born preterm until the age of 24 months. The biological risk factors were present in every study, with highlights on intraventricular hemorrhage, necrotizing enterocolitis, chronic pulmonary disease, and retardation of intrauterine development as the most studied risks. The childs motor development was the most studied area. In terms of age, the first evaluations focused on the first six months of life. Neonatal risk, low birth weight, baby boys, cerebral injuries, and first-week abnormal spontaneous movements were predicting factors of preterm child development at the age of two years.Preterm birth is an event that affects the childs healthy development. Several studies have addressed the evaluation of children born preterm and the influence that multiple risk factors have on the course of their development. This study performed a systematic review of the literature from 2000 to 2005 about the evaluation of the development of children born preterm until the age of 24 months. The biological risk factors were present in every study, with highlights on intraventricular hemorrhage, necrotizing enterocolitis, chronic pulmonary disease, and retardation of intrauterine development as the most studied risks. The childs motor development was the most studied area. In terms of age, the first evaluations focused on the first six months of life. Neonatal risk, low birth weight, baby boys, cerebral injuries, and first-week abnormal spontaneous movements were predicting factors of preterm child development at the age of two years.

Avaliação longitudinal do desenvolvimento motor e da habilidade de sentar em crianças nascidas prematuras

Os bebes prematuros apresentam maior risco para atrasos na aquisicao das habilidades neuromotoras. O objetivo do estudo foi detectar atrasos no desenvolvimento motor de criancas prematuras com baixo peso, analisar a evolucao da habilidade do sentar e verificar a associacao entre essa habilidade com outras aquisicoes motoras ate os 8 meses de idade corrigida (IC). Foram avaliadas 10 criancas nascidas pre-termo, de ambos os sexos, dos 4 aos 8 meses de IC, pela escala motora infantil de Alberta AIMS (Alberta Infant Motor Scale). Cada crianca foi avaliada tres vezes, aos 4 para 5 meses, 5 para 6 meses, e 7 para 8 meses; os escores foram comparados para verificar alteracoes ao longo do tempo e identificacao de possiveis atrasos no desenvolvimento motor. Os resultados mostram que, aos 7 para 8 meses, 30% das criancas apresentaram desenvolvimento motor atrasado e foram encaminhadas para tratamento fisioterapeutico. A habilidade de sentar foi melhorando progressiva e significativamente com a idade, tendo se mostrado fortemente correlacionada com outras posturas do desenvolvimento motor e com o escore total na AIMS.

Avaliação do desenvolvimento de bebês nascidos pré-termo: a comparação entre idades cronológica e corrigida

To compare the global and motor development of infants born preterm, regarding the performance in the chronological age and corrected age for prematurity METHODS: This is a cross-sectional study. The sample was comprised of 182 preterm infants ( Comparar o desenvolvimento global e motor de bebes nascidos pre-termo, considerando-se o desempenho das criancas na idade cronologica e na idade corrigida para a prematuridade METODO: O estudo e do tipo corte-transversal. A amostra foi constituida por um total de 182 recem-nascidos pre-termo (

Healthy preterm infants: global motor coordination and early intervention

Introduction Studies recommend a participation by preterm children (PT) in Early Intervention Programs (EIP), as the coordination dysfunctions appear to occur more frequently in premature school children. Objectives Describe the global motor coordination (MC) in PT children that participate in an EIP; verify the difference in MC between the sexes and correlate the coordination results of PT children and those with gestation age (GA) and the birth weight (BW); and compare the results of MC between PT children and full-term children (FT). Materials and methods 57 children (5-6 years old) – 20 PT that participate in EIP, and 37 FT. For the analysis of MC, it was used the Korperkoordination fur Kinder (KTK) – Test of Body Coordination for Children. To the comparisons, it was used independent-samples T-test and the Mann-Whitney test (α = 0.05), and the Pearson correlation to verify the influence of GA and BW in the coordinated results. Results 80% of the PT children presented normal MC; the girls demonstrated a better performance on the tasks balance beam and lateral jumps and with regard to the MC corresponding to the sum of the gross scores on the tasks; the GA and BW did not influence MC; and, there was no difference between MC in PT and FT children. Conclusion The PT children presented, in their majority, satisfactory levels of MC, and the girls presented better results. In addition, the GA and BW did not interfere in the MC results. Lastly, there was no difference in the coordination performance between PT and FT children.

Assessment of preterm children's early development

El nacimiento prematuro es un evento que trae implicaciones en el desarrollo saludable del nino. Diversos estudios han sido efectuados sobre la evaluacion de ninos nacidos prematuramente y la influencia de multiples factores de riesgo en la trayectoria de su desarrollo. Este estudio realizo una revision sistematica de la literatura de 2.000 a 2,005 sobre la evaluacion del desarrollo de ninos prematuros hasta los 24 meses de edad. Los factores de riesgo biologicos estuvieron presentes en todos los estudios, destacandose la hemorragia interventricular, la enterocolitis necrosante, la enfermedad pulmonar cronica y el retardo del crecimiento intrauterino como los mas estudiados. El desarrollo motor del nino fue el area mas investigada. En lo que se refiere a la edad, las primeras evaluaciones fueron dirigidas a los seis primeros meses de vida. El riesgo neonatal, bajo peso al nacer, el sexo masculino del bebe, las lesiones cerebrales y los movimientos espontaneos anormales en las primeras semanas, fueron factores indicadores del desarrollo de los ninos prematuros a los dos anos de edad.Preterm birth is an event that affects the childs healthy development. Several studies have addressed the evaluation of children born preterm and the influence that multiple risk factors have on the course of their development. This study performed a systematic review of the literature from 2000 to 2005 about the evaluation of the development of children born preterm until the age of 24 months. The biological risk factors were present in every study, with highlights on intraventricular hemorrhage, necrotizing enterocolitis, chronic pulmonary disease, and retardation of intrauterine development as the most studied risks. The childs motor development was the most studied area. In terms of age, the first evaluations focused on the first six months of life. Neonatal risk, low birth weight, baby boys, cerebral injuries, and first-week abnormal spontaneous movements were predicting factors of preterm child development at the age of two years.Preterm birth is an event that affects the childs healthy development. Several studies have addressed the evaluation of children born preterm and the influence that multiple risk factors have on the course of their development. This study performed a systematic review of the literature from 2000 to 2005 about the evaluation of the development of children born preterm until the age of 24 months. The biological risk factors were present in every study, with highlights on intraventricular hemorrhage, necrotizing enterocolitis, chronic pulmonary disease, and retardation of intrauterine development as the most studied risks. The childs motor development was the most studied area. In terms of age, the first evaluations focused on the first six months of life. Neonatal risk, low birth weight, baby boys, cerebral injuries, and first-week abnormal spontaneous movements were predicting factors of preterm child development at the age of two years.

Estudo da independência funcional, motricidade e inserção escolar de crianças com Paralisia Cerebral

Cerebral Palsy is a medical condition that causes high prevalence of functional sequelae. For this reason, children with this diagnosis can present several problems in functional activities related to controlling voluntary movements. The aim of this study was to examine the level of functional independence, motor skills and school integration of children with cerebral palsy. The sample consisted of 14 children aged one to 11 years attending regularly the Clinical Sector of the Pestalozzi Association−Goiânia Unit, their parents and/or guardians and school teachers. The results showed that the higher the level of functional independence and the better their performance in gross motor function of these children with cerebral palsy, the lower the assistance provided by caregivers and fewer the adjustments needed for these children to perform tasks required of them in school. The study showed the importance of health professionals and teachers working together whenever needed, through orientation and contributions, for the educational inclusion of children with disabilities.

Quality of life in low-risk preterm children at preschool age.

This prospective longitudinal study examined prediction models of quality of life (QoL) in preterm-born individuals at preschool age by considering predictors factors from the neonatal phase (clinical, socioeconomic, and neurobehavioral variables), the first year (developmental variables), and preschool age (clinical, socioeconomic, developmental, and functional variables). The neurobehavioral performance of 24 low-risk preterm-born children was evaluated before reaching term. Psychomotor development was evaluated during their first year. At 5 years, preschoolers’ functionality was assessed and the Child Health Questionnaire-50 Parent Form was used to assess child’s QoL from the perspective of their parents. Children displayed deficits in 7 of 15 domains of the QoL measure. Prediction models indicated that the children’s lower QoL values were associated with the following risk factors: sexually transmitted disease in the mother during gestation, male gender, lengthy hospitalization period after birth, use of corticotherapy, poor alertness and orientation in the neonatal phase, risk in motor development at 4–6 months, respiratory disease, use of medications, history of severe accidents, risk in personal–social behavior, poor social function at preschool age, and low socioeconomic status. In conclusion, the QoL in low-risk preterm children at preschool age could be affected by clinical and developmental risk factors. Thus, the multiple risk factors should be examined in preventive follow-up programs of premature infants.

Motor Skills: Development in Infancy and Early Childhood

This article describes motor development in infancy and early childhood, especially highlighting the major motor skills in the first year of a childs life. The continuing development of motor skills in children means the acquisition of independence and the ability to adapt to the physical and social environment. Motor skills in posture horizontal, vertical, and locomotor skills allow the child greater body control and improvement of social skills and interaction. The motor behavior is the basis for the development of other skills throughout childhood.

Evolution of a child with Treacher Collins syndrome undergoing physiotherapeutic treatment

Introduction Treacher Collins syndrome, or mandibulofacial dysostosis, is a hereditary disorder and is manifested by craniofacial malformations. The incidence is close to one case per 40,000 live births, without relation to gender or race. The infant carrier may present neurological development. This rare syndrome requires documentation of its main clinical and kinetic-functional consequences.Objectives The purpose of this study was to describe the clinical and kinetic-functional findings for a child who has Treacher Collins syndrome and receives treatment in the Physiotherapy Department at the Pestalozzi Association in Goiania, and to present the evolution of motor function and psychomotor development during rehabilitation.Materials and methods The information was obtained through interviews with the mother, and evaluation of the child at nine and eleven months old, using the infant neurological assessment sheet, Inventory Operational Portage (IPO) and Gross Motor Function Measure (GMFM).Results The GMFM showed that the child had a higher trend in the items for lying and rolling, sitting, crawling and kneeling and minor changes in the items for standing, walking, running and jumping. In the IPO, the child progressed in all of the assessed areas: infant stimulation, motor development, socialization, self-care, cognition and language.Conclusion The child showed progress in psychomotor development in accordance with that expected for their age and initial assessment. It is suggested that children with this syndrome be treated by multidisciplinary teams in the first years of life, preventing delays and deviations in development.