Very Low Birth Weight Preterm Children Motor Performance in the First Year of Life

  • Lenise Baldin Cavazzola Universidade de Caxias do Sul
  • Natiele de Mello de Oliveira Universidade de Caxias do Sul
  • Mayra Nathu Lodi
  • Bruna Chiarani Universidade de Caxias do Sul
  • Fernanda Trubian Universidade de Caxias do Sul
  • Caroline Cenci Sangali Universidade de Caxias do Sul
  • Laura de Moura Rodrigues Universidade de Caxias do Sul
  • Raquel Saccani Universidade de Caxias do Sul Universidade Federal do Rio Grande do Sul

Resumo

Abstract
Motor skills acquisition is negatively affected by low birth weight in preterm infants. This research aimed to evaluate the motor development of preterm babies from zero to 12 months of corrected age, born with very low birth weight. The sample of 45 children, from 2 to 12 months of chronological age, was divided into two groups: Group A (from 0 to 6 months, n=35) and Group B (from 7 to 12 months, n=10). In order to assess the motor skill development, Alberta Infant Motor Scale (AIMS) was used along with two questionnaires to control the biological and environmental risk factors. In the results 53,3% of the children were preterm below 30 weeks gestational age, and more than 40% of the evaluated population presented a poor motor performance for the age, with 13.3% of the referred children as having abnormal motor development and 35.6%, suspicious of delayed motor development. The worst performance could be observed in Group B. The findings reinforce the importance of early assessment, considering that the first semester is the most critical period for the child’s neuropsychomotor development.
Key-words: Infant, Premature. Motor Skills. Infant, Very Low Birth Weight.

Resumo
O baixo peso ao nascer afeta negativamente as aquisições motoras dos prematuros. Esta pesquisa teve como objetivo avaliar o desenvolvimento motor de bebês pré-termos de zero a 12 meses de idade corrigida, nascidos de muito baixo peso. Participaram da pesquisa 45 crianças, com idade entre 2 e 12 meses de idade cronológica, divididas em 2 grupos: Grupo A (0 a 6 meses, n=35) e grupo B (7 a 12 meses, n=10). Para avaliação motora foi utilizada a Alberta Infant Motor Scale (AIMS) e dois questionários para controle dos fatores de risco biológicos e ambientais. Nos resultados, 53,3% das crianças eram prematuras com idade gestacional menor que 30 semanas e mais de 40% da população avaliada apresentou desempenho motor inadequado, sendo que 13,3% apresentaram atraso e 35,6% suspeita de atraso. O pior desempenho foi observado no grupo A. Os achados reforçam a importância da avaliação precoce, considerando que o primeiro semestre é o período mais crítico ao desenvolvimento motor.

Palavras-chave: Recém-Nascido Prematuro. Destreza Motora. Recém-Nascido de muito Baixo Peso.

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Publicado
2020-12-21
Seção
Artigos