Influence of the home environment on the motor development of infants with Down syndrome
DOI:
https://doi.org/10.1590/1809-2950/17006925022018Keywords:
Motor Development, Infant, Environment, Physical TherapyAbstract
Children with Down syndrome present impairments in neuro-psychomotor development, which are related to muscle tone, postural control and balance. Motor development is influenced by biological, psychological, social and environmental factors. Thus, the environment in which the infant is in can facilitate the neuro-psychomotor development. The objective of this study was to evaluate the influence of the home environment on the motor development of infants with Down syndrome. Sixteen infants with Down syndrome were divided into Group I (3 to 11 months of age) and Group II (12 to 18 months of age), evaluated by the Alberta Infant Motor Scale (AIMS) and the Affordances in the Home Environment for Motor Development Infant-Scale (AHEMD-IS) questionnaire. Data analysis was performed using the Kruskall-Wallis test, Spearman’s correlation coefficient and the likelihood ratio test. The results showed a significant positive relationship between the gross AIMS score and the variety of stimuli (p=0.01, r=0.78) and with the AHEMD-IS questionnaire score (p=0.02, r=0.74) in Group 2. Family income and affordances with motor function toys (p=0.05, r=0.49) were also correlated, but the correlation was weak. The home environment plays an important role in the motor development of children with Down syndrome aged between 12 and 18 months, as it provides opportunities for experiencing and experimenting. Better suited environments provide better motor performance.Downloads
References
Brasil. Ministério da Saúde. Departamento de Ações
Programáticas Estratégicas, Secretaria de Atenção à Saúde.
Diretrizes de atenção à pessoa com Síndrome de Down.
Brasília: Ministério da Saúde, 1; 2013.
Ferreira-Vasques AT, Lamônica DAC. Motor, linguistic, personal
and social aspects of children with Down syndrome. J Appl
Oral Sci. 2015;23(4):424-30. doi: 10.1590/1678-775720150102
Sugimoto D, Bowen SL, Meehan WP. Effects of neuromuscular
training on children and young adults with Down syndrome:
systematic review and meta-analysis. Res Dev Disabil.
;55:197-206. doi: 10.1016/j.ridd.2016.04.003
Malak R, Kotwicka M, Krawczyk-Wasielewska A, Mojs E,
Samborski W. Motor skills, cognitive development and
balance functions of children with Down syndrome. Ann
Agric Environ Med. 2013;20(4):803-6.
Kloze A, Brzuszkiewicz-Kuzmicka G, Czyzewski P. Use of the
TIMP in assessment of motor development of infants with
down syndrome. Pediatr Phys Ther. 2016;28(1):40-5. doi:
1097/PEP.0000000000000216
Volman MJ, Visser JJ, Lensvelt-Mulders GJ. Functional status
in 5 to 7-year-old children with down syndrome in relation to
motor ability and performance mental ability. Disabil Rehabil.
;29(1):25-31. doi: 10.1080/09638280600947617
Carvalho RL, Almeida GL. Controle postural em
indivíduos portadores da síndrome de Down: revisão de
literatura. Fisioter Pesqui. 2008;15(3):304-8. doi: 10.1590/
S1809-29502008000300015
Polastri PF, Barela JA. Perception-action coupling in infants
with Down syndrome: effects of experience and practice.
Adapt Phys Act Q. 2005;22(1):39-56. doi: 10.1123/apaq.22.1.39
Bueno EA, Castro AAM, Chiquetti SEM. Influência do
ambiente domiciliar no desenvolvimento motor de lactentes
nascidos pré-termo. Rev Neurociênc. 2014;22(1):45-52. doi:
4181/RNC.2014.22.914.8p
Gerzson LR, Catarino BM, Azevedo KA, Demarco PR, Palma
MS, Almeida CS. Frequência semanal de um programa de
intervenção motora para bebês de berçário. Fisioter Pesqui.
;23(2):178-84. doi: 10.1590/1809-2950/14923223022016
Caçola PM, Gabbard C, Montebelo MI, Santos DC. The new
affordances in the home environment for motor development
– infant scale (AHEMD-IS): versions in English and Portuguese
languages. Braz J Phys Ther. 2015;19(6):507-25. doi:
1590/bjpt-rbf.2014.0112
Saccani R, Valentini NC, Pereira KR, Muller AB, Gabbard C.
Associations of biological factors and affordances in
the home with infant motor development. Pediatr Int.
;55(2):197-203. doi: 10.1111/ped.12042
Defilipo EC, Frônio JS, Teixeira MT, Leite IC, Bastos RR,
Vieira MT, et al. Oportunidades do ambiente domiciliar
para o desenvolvimento motor. Rev Saúde Pública.
;46(4):633-41. doi: 10.1590/S0034-89102012005000040
Tudella E, Pereira K, Basso RP, Savelsbergh GJ. Description of
the motor development of 3-12 month old infants with Down
syndrome: the influence of the postural body position. Res
Dev Disabil. 2011;32(5):1514-20. doi: 10.1016/j.ridd.2011.01.046.
Piper MC, Pinnell LE, Darrah J, Maguire T, Byrne PJ.
Construction and validation of the Alberta Infant Motor Scale
(AIMS). Can J Public Health. 1992;83(2):46-50.
Valentini NC, Saccani R. Escala Motora Infantil de Alberta:
validação para uma população gaúcha. Rev Paul Pediatr.
;29:231-8. doi: 10.1590/S0103-05822011000200015.
Frônio JS, Coelho AR, Graças LA, Ribeiro LC. Estado
nutricional e desenvolvimento motor grosso de lactentes
entre seis e dezoito meses de idade nutricional. Rev Bras
Crescimento Desenvolv Hum. 2011;21(1):30-8.
Zar JH. Biostatistical analysis. 4th ed. Upper Saddle River:
Prentice Hall; 1999. 663 p.
Miquelote AF, Santos DC, Caçola PM, Montebelo MI, Gabbard
C. Effect of the home environment on motor and cognitive
behavior of infants. Infant Behav Dev. 2012;35(3):329-34. doi:
1016/j.infbeh.2012.02.002
Campos AC, Coelho MC, Rocha NACF. Desempenho motor
e sensorial de lactentes com e sem síndrome de Down:
estudo piloto. Fisioter Pesqui. 2010;17(3):203-8. doi: 10.1590/
S1809-29502010000300003
Pereira K, Tudella E. Perfil do desenvolvimento motor de
lactentes com síndrome de Down dos 3 aos 12 meses de
idade [dissertation]. São Carlos (SP): Universidade Federal
de São Carlos; 2008.
Bonomo LMM, Rossetti CB. Aspectos percepto-motores e
cognitivos do desenvolvimento de crianças com síndrome
de Down. J Human Growth Develop. 2010;20(3):723-34. doi:
7322/jhgd.19980
Willrich A, Azevedo CCF, Fernandes JO. Desenvolvimento
motor na infância: influência dos fatores de risco e programas
de intervenção. Rev Neurociênc. 2009;17(1):51-6.
Pereira KR, Valentini NC. Brazilian infant motor and cognitive
development: longitudinal influence of risk factors. Pediatr
Int. 2016;58(12):1297-306. doi: 10.1111/ped.13021
Nobre FSS, Costa CLA, Oliveira DL, Cabral DA, Nobre GC,
Caçola P. Análise das oportunidades para o desenvolvimento
motor (affordances) em ambientes domésticos no Ceará –
Brasil. Rev Bras Crescimento Desenvolv Hum. 2009;19(1):9-18.
Formiga CKM, Pedrazzani ES, Tudella, E. Desenvolvimento
motor de lactentes pré-termo participantes de um programa
de intervenção fisioterapêutica precoce. Rev Bras Fisioter.
;8(3):239-45.
Borba LS. Desenvolvimento motor e cognitivo e bebês de
mães adolescentes e adultas ao longo de quatro meses: os
principais preditores motores e cognitivos [master’s thesis].
Porto Alegre (RS): Universidade Federal do Rio Grande do
Sul; 2013.
Fraga DA, Linhares MBM, Carvalho AEV, Martinez FE.
Desenvolvimento de bebês prematuros relacionado
a variáveis neonatais e maternas. Psicol Estud.
;13(2):335-44. doi: 10.1590/S1413-73722008000200016
Sartori N, Saccani R, Valentini NC. Comparação do
desenvolvimento motor de lactentes de mães adolescentes
e adultas. Fisioter Pesqui. 2010;17(4):306-11. doi: 10.1590/
S1809-29502010000400004
Oliveira SMS, Almeida CS, Valentini NC. Programa de
fisioterapia aplicado no desenvolvimento motor de bebês
saudáveis em ambiente familiar. Rev Educ Fis. 2012;23(1):25-
doi: 10.4025/reveducfis.v23i1.11551
Organização Mundial da Saúde. Genes and human disease.
Geneva: WHO; 2017.
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