Postural control of small for gestational age infants born at term

Abstract

Objective: This study compared the postural control of small (SGA) and appropriate (AGA) for gestational age infants born at term, at the ages of 3, 6, 9 and 12 months. Method: This was a cohort study of infants born at term, with birth weight less than the 10 th percentile for the SGA group and between the 10 th and 90 th percentiles for the AGA group. Infants with genetic syndromes, malformations, congenital infections and internment in neonatal intensive care unit were excluded. The evaluation instrument was the Alberta Infant Motor Scale. Results: Comparison of the SGA and AGA groups did not show any significant differences (p>0.05) at the assessment times. However, the postural control of the SGA group was influenced by the gestational age (r=-0.83; p= 0.006) and 5 th minute Apgar (r= 0.79; p= 0.01) in the 3 rd month, and by maternal occupation (r= 0.67; p= 0.01) in the 6 th month. Conclusion: It was concluded that the postural control was similar in the groups. However, the postural control of the SGA group was influenced by biological and environmental factors.Key words: infant, fetal growth retardation, child development. RESUMO Controle Postural de Lactentes Nascidos a Termo Pequenos para a Idade GestacionalObjetivo: Este estudo teve por objetivo comparar o controle postural de lactentes nascidos a termo, pequenos (PIG) e adequados para a idade gestacional (AIG) nos 3º, 6º, 9º e 12º meses. MÉTODO: Estudo longitudinal de lactentes nascidos a termo, com peso de nascimento menor que o percentil 10 para o grupo PIG e entre o percentil 10 e 90 para o grupo AIG. Síndromes genéticas, más--formações, infecções congênitas e internados em unidade de terapia intensiva neonatal foram excluídos. O instrumento de avaliação foi Alberta Infant Motor Scale. Resultados: A comparação do grupo PIG e AIG não mostrou diferença significativa (p> 0,05) nos meses avaliados. Entretanto, o controle postural do grupo PIG foi influenciado pela idade gestacional (r= -0,83/ p= 0,006) e Apgar de 5' (r= 0,79/p= 0,01) no 3º mês; e pela ocupação materna (r= 0,67/p= 0,01) no 6º mês. Conclusão: Concluiu--se que o controle postural foi similar nos grupos; porém o controle postural do grupo PIG foi influenciado por fatores biológicos e ambientais.Palavras-chave: lactente, retardo do crescimento fetal, desenvolvimento infantil. 8 Campos D, Santos DCC, Gonçalves VMG, Montebelo MIL, Goto MMF e Gabbard C Rev. bras. fisioter.

Cross-cultural analysis of the motor development of Brazilian, Greek and Canadian infants assessed with the Alberta Infant Motor Scale

“…In this work, the different motor trajectories of Brazilian children may have been determined by risk factors hat increase vulnerability and predisposition to motor abnormalities ( 26 ) . Children in developing countries have greater exposure to biological risk factors, such as prematurity and malnutrition ( 13 , 26 ) , and local conditions, such as low demand for health services ( 27 ) , inappropriate maternal practices ( 28 - 30 ) , as well as low maternal and paternal education, socioeconomic vulnerability, and little stimulation at home ( 31 , 32 ) . This exposure has negative repercussion on the acquisition of motor milestones of childhood.…”

Escala Motora Infantil de Alberta: validação para uma população gaúcha

“…In Brazil, the challenge of diagnosing developmental changes is aggravated by the lack of normative data and instruments standardized and validated for early childhood. The Alberta Infant Motor Scale (AIMS) is an example of an instrument used for Brazilian children without proper validation (5,(7)(8)(9) . The use of this instrument without considering the required cross-cultural adaptations may lead to erroneous categorizations of motor developmental delays (10) .…”

Early diagnosis of abnormal development of preterm newborns: assessment instruments

“…Outra vantagem é a larga faixa etária que o teste atinge, Embora o instrumento não seja validado em nosso país, foi realizada uma adaptação cultural do instrumento de pontuação, o qual vem sendo utilizado para triagem de anormalidades em crianças, demonstrando ser uma boa ferramenta no acompanhamento evolutivo de lactentes de risco sob intervenção precoce 54,63,[65][66][67][68][69][70] .…”