Evidence of training influence on infant manual behavior: a systematic review

Abstract

Introduction: Researchers have widely investigated how interventions by means of training can improve manual behaviors in infants. However, no systematic review has been found on this topic. Objective: To analyze the quality of scientific evidence considering the methodological quality and level of evidence by type of study in research on training of object-directed manual behaviors in infants in the first 18 months of life. Methods: National Library of Medicine (PubMed/MEDLINE), Latin American and Caribbean Health Sciences (LILACS), Virtual Health Library (BIREME/BVS), Science Direct, SciELO, and Physiotherapy Evidence Database (PEDro) databases were used. Only clinical trials that assessed the benefits of manual object-directed training in infants and were published up to February 2018, in English, were included. The Cochrane Collaboration Model was adapted to extract bibliographical data from the articles and their methodological quality was assessed using the PEDro scale and the Oxford Centre for Evidence-Based Medicine’s Levels of Evidence. Results: Twenty one clinical trials were included. Studies investigated typically developing full-term infants, preterm infants, and infants at risk for autism spectrum disorders. Trainings were administered to infants by means of “sticky mittens” paradigm, task-specific practice, or contingency reinforcement. Most of the studies presented fair or poor methodological quality. Only studies that used task-specific active practice presented high methodological quality. Conclusions: The results indicate there is high quality evidence that task-specific training improves object-directed manual behaviors in typically developing infants and preterm infants in the first 2-4 months of life. Studies addressing infants with established diagnoses of developmental dysfunction are lacking.

Relato de um caso com rápida evolução e desfecho satisfatório em criança com provável Síndrome de Guillain- Barré

“…However, these functions were compromised during the course of the GBS, especially the ability to perform the pinch movement, taking up to 32 days for its full recovery. Nascimento and colleagues, in a recent systematic review, found no studies that analyzed manual function in children up to 18 months of age diagnosed with developmental dysfunction 15 , demonstrating the importance of monitoring this type case study in order to analyze the evolution of this function.…”

Efeito do treino específico e de curta duração na aquisição e retenção do alcance manual em lactentes prematuros e baixo peso ao nascimento

“…o longo do desenvolvimento do lactente, as habilidades motoras, como o alcance manual, sa o adquiridas e aprimoradas. O alcance manual e definido como a habilidade de localizar e tocar o objeto no espaço, por meio de uma trajeto ria realizada por uma ou ambas ma os 1,2 . O iní cio desta habilidade ocorre nos primeiros meses de vida (3-4 meses em lactentes sauda veis), de acordo com a interaça o de fatores, como mudanças no desenvolvimento, aquisiça o de coordenaça o, percepça o das propriedades fí sicas do objeto, força antigravitacional e melhor direcionamento dos membros superiores 3 .…”

An essay on individual self-determination

“…In this issue, It can be found articles on specific topics that include the development of infants and adolescents [13][14][15][16][17][18][19][20] , including scientific articles focusing on neonatal mortality 19 , clinical conditions of newborns exposed to syphilis 20 malformations of the nervous system 18 , respiratory system 15 and endocrine system 21 resulting in the development of syndromes during their development, as well as articles on infant feeding through maternal colostrum and its composition 13 , including feeding issues 14 and manual behavioral 16 .…”