Programa de Fisioterapia Aplicado no Desenvolvimento Motor de Bebês Saudáveis em Ambiente Familiar

Abstract

O objetivo deste estudo foi avaliar as alterações existentes no desenvolvimento motor de bebês a partir de orientações aos pais e ou cuidadores em um programa interventivo de fisioterapia no contexto familiar. Dele participaram vinte e dois bebês, divididos em dois grupos: grupo interventivo (GI) e grupo controle (GC). Os grupos foram avaliados no início e no fim de oito semanas. As mães do GI receberam orientações de um programa de fisioterapia para bebês e de mudanças no contexto a cada semana. Os instrumentos utilizados nesta pesquisa forama a escala Alberta e o questionário AHEMD-SR. Na análise estatística foram utilizados os testes não paramétricos de Wilcoxon, Mann-Whitney, McNemar e a Correlação de Spearman. Observou-se significância no desenvolvimento motor no GI do pré para o pós-intervenção (p=0,029). Os resultados sugerem que bebês, quando estimulados de maneira correta em ambiente familiar, desenvolvem maior qualidade em seu aprendizado motor. Palavras-chave: Desenvolvimento infantil. Relações entre o profissional e a família.

Motor development of preterm and term infants in the fundamental movement phase: a cross-sectional study

“…The activities proposed in the child's family environment, via physiotherapy intervention, can promote experiences in different settings and attitudes that facilitate motor learning (12).…”

O contexto ambiental e o desenvolvimento na primeira infância: estudos brasileiros

“…There is a considerable amount of Brazilian studies focused on risk factors to child development and, from these findings, it is important to advance towards intervention studies, still scarce in Brazil 30,43,44 . Although intervention strategies in the family are important, the intervention in collective environments benefit more children.…”

“…The study by Oliveira et al 30 was the only focused on the family, more specifically with guidance for mothers. In it, infants were divided into experimental and control group matched for age.…”

Environmental influence on preterm and term infants over rolling movement.

“…(1,2) A weak family ties can also provide neuropsicomotor delays, once the development is built by the interaction of the child with other people in your environment, particularly those with more affectively and effectively involved in their care. (3) The interaction between mother and her child have been considered an important tool for studying the behavioral organization competencies and baby, clipping it because the quality of the interaction is considered an important mediating factor between perinatal events and its further development, particularly in relation to communication, socialization and cognition, moreover, can be a competent parent rich source of stimuli, triggering appropriate responses to the child. (4) There are still factors that act positively in the course of child development, helping the child to interact with the environment in which it operates, among these stands out the global motor stimulation, which becomes especially beneficial when performed by the caretaker of the baby.…”

“…Despite the extensive relationship between the medium in which the child is embedded and its development, Oliveira, Almeida and Valentini (3) show that still little is known about the effects of the environment on the development of the baby, especially with regard to measures directed to motor learning. This study therefore aims to examine the relationship between the positioning of the cradle and rolling motion of preterm infants born at term and, also examining whether small actions like changing the baby in the crib (rotations) is connected in how this motor act (rolling) is performed.…”