Atraso do desenvolvimento neuropsicomotor: mapa conceitual, definições, usos e limitações do termo

Abstract

OBJECTIVE: To retrieve the origin of the term neuropsychomotor developmental delay" (NPMD), its conceptual evolution over time, and to build a conceptual map based on literature review. DATA SOURCE: A literature search was performed in the SciELO Brazil, Web of Science, Science Direct, OneFile (GALE), Pubmed (Medline), Whiley Online, and Springer databases, from January of 1940 to January of 2013, using the following keywords: NPMD delay, NPMD retardation, developmental delay, and global developmental delay. A total of 71 articles were selected, which were used to build the conceptual map of the term. DATA SYNTHESIS: Of the 71 references, 55 were international and 16 national. The terms developmental delay and global developmental delay were the most frequently used in the international literature and, in Brazil, delayed NPMD was the most often used. The term developmental delay emerged in the mid 1940s, gaining momentum in the 1990s. In Brazil, the term delayed NPMD started to be used in the 1980s, and has been frequently cited and published in the literature. Delayed development was a characteristic of 13 morbidities described in 23 references. Regarding the type of use, 19 references were found, with seven forms of use. Among the references, 34 had definitions of the term, and 16 different concepts were identified. CONCLUSIONS: Developmental delay is addressed in the international and national literature under different names, various applications, and heterogeneous concepts. Internationally, ways to improve communication between professionals have been indicated, with standardized definition of the term and use in very specific situations up to the fifth year of life, which was not found in Brazilian publications.

Psychomotor development screening of children from kindergarten units of Belém, Pará, Brazil

“…Less than 30% of children with mental retardation, language disorders or other developmental problems had such situations detected by the clinical trial. [7][8][9][10] With the purpose of promoting some form of early intervention for the so-called deviations of development, the use of standardized instruments have been -182 -Psychomotor development screening of children from kindergarten units of Belém, Pará, Brazil J Hum Growth Dev. 2016; 26(2): 181-189 …”

“…Less than 30% of children with mental retardation, language disorders or other developmental problems had such situations detected by the clinical trial. [7][8][9][10] With the purpose of promoting some form of early intervention for the so-called deviations of development, the use of standardized instruments have been DOI: http://dx.doi.org/10.7322/jhgd.119261 indicated and recommended by experts and institutions [2][3][4][5][6] since it enables the action of anticipatory recommendations to parents, caregivers and professionals.…”

“…The impact of these factors on child development has been the subject of many studies in recent decades, pointing out that identifi cation and early intervention are key to the prognosis of children with development disorders. [7][8][9] It is important to note that the assessment of the child's development seems ineffi cient when it is based only on clinical impressions. Less than 30% of children with mental retardation, language disorders or other developmental problems had such situations detected by the clinical trial.…”

Triagem do desenvolvimento neuropsicomotor de crianças brasileiras: uma revisão sistemática da literatura

“…The screening of the neuropsychomotor development (NPMD) of children refers to the process of applying tests to a large population of children, in order to identify practical and standardized risks or delays in development [1][2][3] . Regarding the factors associated with delays, aspects ranging from conception, pregnancy and birth, to neurological causes, malnutrition, environmental, socioeconomic and family factors, causing permanent or transitional delay conditions, are some of the most prominent, assuming an adequate and periodical monitoring of the child [3][4][5][6][7] .…”

“…Regarding the factors associated with delays, aspects ranging from conception, pregnancy and birth, to neurological causes, malnutrition, environmental, socioeconomic and family factors, causing permanent or transitional delay conditions, are some of the most prominent, assuming an adequate and periodical monitoring of the child [3][4][5][6][7] . Despite their importance, there are few studies with national approaches, in particular those that make a systematic review of the literature and address issues related to the surveillance of the development of children, both typical and atypical, as well as its outcomes 2,3,8,9 . One of the main instruments of the NPMD used in national studies is the Denver Development Screening Test II (DDST II), due to its practicality, low cost and quick implementation in relation to other existing instruments 2,5,[7][8][9][10][11][12] .…”