Neuropsychomotor development and functional skills in preschool children with liver diseases

• Autor(a) principal: Santos, Juliana Costa
• Data de Publicação: 2022
• Outros Autores: Barreto, Nilo Manoel Pereira Vieira, Silva, Luciana Rodrigues
• Tipo de documento: Artigo
• Idioma: eng; por
• Título da fonte: Fisioterapia em Movimento
• Texto Completo: https://periodicos.pucpr.br/fisio/article/view/29620

Introduction: Children with chronic liver diseases areexposed to biological and/or environmental risk factorsthat can compromise their neuromotor acquisition anddevelopment of functional skills. Objective: To describethe neuropsychomotor development (NPMD) andfunctional skills of children with chronic liver diseases.Methods: Cross-sectional, descriptive and exploratorystudy carried out with children up to 6 years old whowere selected at a reference hospital in the state of Bahia,Brazil, from November 2019 to March 2020. Children inoutpatient care with clinical, laboratory and histologicaldiagnosis compatible with chronic liver disease wereconsidered eligible. The instrument for assessingneuropsychomotor development was Denver II.Functional skills were obtained by applying the PediatricEvaluation of Disability Inventory computer-adaptive test(PEDI-CAT) to parents or primary caregivers, Speedyversion (Speedy-CAT). Results: Of the 34 children withchronic liver disease, 52.9% were female, aged between4 and 6 years (64%). The results of the Denver II testshowed that 68.7% (22/32) of the sample were at riskfor NPMD. In the PEDI-CAT, the scores of children withliver disease at risk for NPMD were 60.7 ± 9.1 in the dailyactivity domains, 57.6 ± 11.8 in mobility and 48.3 ± 6.2 inthe social/cognitive domains. Conclusion: Children withchronic liver disease are at risk for NPMD, although notpresenting impaired functional skills when evaluated bythe PEDI-CAT.