Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Research, Society and Development |
| Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/16347 |
Resumo: | The study aimed to characterize the gross motor performance and motor stimulation opportunities present in the home environment of infants with microcephaly by Zika virus (ZIKV), comparing them with infants without microcephaly from public health institutions in Northeast Brazil, and to verify the impact of microcephaly and associated factors on the outcomes assessed. Case-control study that used infants' birth, gestational, and maternal sociodemographic data, and the tests: Gross Motor Function Measure (GMFM), Affordances in the Home Environment for Motor Development (AHEMD), and Gross Motor Function Classification System (GMFCS). Multiple linear regression was used to analyze the impact of microcephaly on tests associated with sociodemographic or clinical factors. Forty infants with microcephaly due to ZIKV, mean age 15.3 (3.1) months, and 40 infants without involvement, mean age 14.8 (4.4) months participated. 85% of the infants with microcephaly due to ZIKV classified in level V of the GMFCS. Significant differences (p<0.001) were evidenced for all dimensions of the GMFM, for stimulation variety, fine motricity toy and AHEMD total score, with values always lower in infants with ZIKV microcephaly. Microcephaly associated with infant, maternal and residence variables are factors that may explain the GMFM score (p<0.001). The results reinforce the need for comprehensive, family-centered care, since the resolutivity of ZIKV impacts on motor development and care provided by families is an important public health issue. |
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Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control studyRendimiento y oportunidad de la estimulación motora en bebés con y sin microcefalia: estudio de Casos y controlesDesempenho e oportunidade motora em lactentes com e sem microcefalia: Estudo caso-controleLactenteMicrocefaliaInfecção por Zika vírusDesempenho psicomotorCaracterísticas de residência.InfantMicrocephalyZika virus infectionPsychomotor PerformanceResidence characteristics.LactanteMicrocefalia; Infección por el virus del ZikaRendimiento psicomotorCaracterísticas de la residencia.The study aimed to characterize the gross motor performance and motor stimulation opportunities present in the home environment of infants with microcephaly by Zika virus (ZIKV), comparing them with infants without microcephaly from public health institutions in Northeast Brazil, and to verify the impact of microcephaly and associated factors on the outcomes assessed. Case-control study that used infants' birth, gestational, and maternal sociodemographic data, and the tests: Gross Motor Function Measure (GMFM), Affordances in the Home Environment for Motor Development (AHEMD), and Gross Motor Function Classification System (GMFCS). Multiple linear regression was used to analyze the impact of microcephaly on tests associated with sociodemographic or clinical factors. Forty infants with microcephaly due to ZIKV, mean age 15.3 (3.1) months, and 40 infants without involvement, mean age 14.8 (4.4) months participated. 85% of the infants with microcephaly due to ZIKV classified in level V of the GMFCS. Significant differences (p<0.001) were evidenced for all dimensions of the GMFM, for stimulation variety, fine motricity toy and AHEMD total score, with values always lower in infants with ZIKV microcephaly. Microcephaly associated with infant, maternal and residence variables are factors that may explain the GMFM score (p<0.001). The results reinforce the need for comprehensive, family-centered care, since the resolutivity of ZIKV impacts on motor development and care provided by families is an important public health issue.El estudio tuvo como objetivo caracterizar el desempeño motor grueso y las oportunidades de estimulación motora presentes en el entorno familiar de los bebés con microcefalia por el virus del Zika (ZIKV), comparándolos con los bebés sin microcefalia de las instituciones de salud pública en el noreste de Brasil, y verificar el impacto de la microcefalia y los factores asociados en los resultados evaluados. Estudio de casos y controles que utilizó datos del nacimiento de los bebés, datos sociodemográficos gestacionales y maternos, y las pruebas: Medida de la Función Motora Gruesa (GMFM), Asequibilidad en el Entorno del Hogar para el Desarrollo Motor (AHEMD), y Sistema de Clasificación de la Función Motora Gruesa (GMFCS). Se utilizó la regresión lineal múltiple para analizar el impacto de la microcefalia en las pruebas asociadas a factores sociodemográficos o clínicos. Participaron 40 lactantes con microcefalia debida al ZIKV, con una edad media de 15,3 (3,1) meses; y 40 lactantes sin afectación, con una edad media de 14,8 (4,4) meses. El 85% de los bebés con microcefalia debida al ZIKV se clasificaron en el nivel V del GMFCS. Se evidenciaron diferencias significativas (p<0,001) para todas las dimensiones del GMFM, para la variedad de estimulación, el juguete de motricidad fina y la puntuación total del AHEMD, con valores siempre más bajos en los bebés con microcefalia por el ZIKV. La microcefalia asociada a variables infantiles, maternas y de residencia son factores que pueden explicar la puntuación del GMFM (p<0,001). Los resultados refuerzan la necesidad de una asistencia integral, centrada en la familia, una vez que la resolución de los impactos del ZIKV sobre el desarrollo motor y el cuidado prestado a las familias es una cuestión de salud pública importante.O estudo objetivou caracterizar o desempenho motor grosso e as oportunidades de estimulação motora presentes no ambiente domiciliar de lactentes com microcefalia por Zika vírus (ZIKV), comparando-os com lactentes sem microcefalia de instituições públicas de saúde do Nordeste do Brasil, além de verificar o impacto da microcefalia e fatores associados nos desfechos avaliados. Estudo caso-controle que foram utilizados dados de nascimento dos lactentes, gestacionais e sociodemográficos maternos, e dos testes: Gross Motor Function Measure (GMFM), Affordances in the Home Environment for Motor Development (AHEMD), e Sistema de Classificação da Função Motora Grossa (GMFCS). Para analisar o impacto da microcefalia nos testes associada a fatores sociodemográficos ou clínicos utilizou-se a regressão linear múltipla. Participaram 40 lactentes com microcefalia por ZIKV, com média de idade de 15,3 (3,1) meses; e 40 lactentes sem acometimento, com média de idade de 14,8 (4,4) meses. 85% dos lactentes com microcefalia por ZIKV classificou no nível V do GMFCS. Diferenças significativas (p<0,001) foram evidenciadas para todas as dimensões do GMFM, para variedade de estimulação, brinquedo motricidade fina e pontuação total do AHEMD, com valores sempre menores nos lactentes com microcefalia por ZIKV. Microcefalia associada a variáveis dos lactentes, maternas e da residência são fatores que podem explicar a pontuação no GMFM (p<0,001). Os resultados reforçam a necessidade de uma assistência integral, centrada na família, uma vez que a resolutividade dos impactos do ZIKV sobre o desenvolvimento motor e o cuidado prestado pelas famílias é uma questão de saúde pública importante.Research, Society and Development2021-06-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/1634710.33448/rsd-v10i7.16347Research, Society and Development; Vol. 10 No. 7; e7110716347Research, Society and Development; Vol. 10 Núm. 7; e7110716347Research, Society and Development; v. 10 n. 7; e71107163472525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/16347/14541Copyright (c) 2021 Emanuele Mariano de Souza Santos; Íkaro Daniel Carvalho Barreto; Flávia Calheiros da Silva; Ricardo Queiroz Gurgel; Andréa Monteiro Correia Medeiroshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSantos, Emanuele Mariano de Souza Barreto, Íkaro Daniel CarvalhoSilva, Flávia Calheiros da Gurgel, Ricardo Queiroz Medeiros, Andréa Monteiro Correia 2021-07-18T21:07:03Zoai:ojs.pkp.sfu.ca:article/16347Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:36:54.999143Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
| dc.title.none.fl_str_mv |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study Rendimiento y oportunidad de la estimulación motora en bebés con y sin microcefalia: estudio de Casos y controles Desempenho e oportunidade motora em lactentes com e sem microcefalia: Estudo caso-controle |
| title |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study |
| spellingShingle |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study Santos, Emanuele Mariano de Souza Lactente Microcefalia Infecção por Zika vírus Desempenho psicomotor Características de residência. Infant Microcephaly Zika virus infection Psychomotor Performance Residence characteristics. Lactante Microcefalia ; Infección por el virus del Zika Rendimiento psicomotor Características de la residencia. |
| title_short |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study |
| title_full |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study |
| title_fullStr |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study |
| title_full_unstemmed |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study |
| title_sort |
Performance and opportunity of motor stimulation in infants with and without microcephaly: Case-control study |
| author |
Santos, Emanuele Mariano de Souza |
| author_facet |
Santos, Emanuele Mariano de Souza Barreto, Íkaro Daniel Carvalho Silva, Flávia Calheiros da Gurgel, Ricardo Queiroz Medeiros, Andréa Monteiro Correia |
| author_role |
author |
| author2 |
Barreto, Íkaro Daniel Carvalho Silva, Flávia Calheiros da Gurgel, Ricardo Queiroz Medeiros, Andréa Monteiro Correia |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Santos, Emanuele Mariano de Souza Barreto, Íkaro Daniel Carvalho Silva, Flávia Calheiros da Gurgel, Ricardo Queiroz Medeiros, Andréa Monteiro Correia |
| dc.subject.por.fl_str_mv |
Lactente Microcefalia Infecção por Zika vírus Desempenho psicomotor Características de residência. Infant Microcephaly Zika virus infection Psychomotor Performance Residence characteristics. Lactante Microcefalia ; Infección por el virus del Zika Rendimiento psicomotor Características de la residencia. |
| topic |
Lactente Microcefalia Infecção por Zika vírus Desempenho psicomotor Características de residência. Infant Microcephaly Zika virus infection Psychomotor Performance Residence characteristics. Lactante Microcefalia ; Infección por el virus del Zika Rendimiento psicomotor Características de la residencia. |
| description |
The study aimed to characterize the gross motor performance and motor stimulation opportunities present in the home environment of infants with microcephaly by Zika virus (ZIKV), comparing them with infants without microcephaly from public health institutions in Northeast Brazil, and to verify the impact of microcephaly and associated factors on the outcomes assessed. Case-control study that used infants' birth, gestational, and maternal sociodemographic data, and the tests: Gross Motor Function Measure (GMFM), Affordances in the Home Environment for Motor Development (AHEMD), and Gross Motor Function Classification System (GMFCS). Multiple linear regression was used to analyze the impact of microcephaly on tests associated with sociodemographic or clinical factors. Forty infants with microcephaly due to ZIKV, mean age 15.3 (3.1) months, and 40 infants without involvement, mean age 14.8 (4.4) months participated. 85% of the infants with microcephaly due to ZIKV classified in level V of the GMFCS. Significant differences (p<0.001) were evidenced for all dimensions of the GMFM, for stimulation variety, fine motricity toy and AHEMD total score, with values always lower in infants with ZIKV microcephaly. Microcephaly associated with infant, maternal and residence variables are factors that may explain the GMFM score (p<0.001). The results reinforce the need for comprehensive, family-centered care, since the resolutivity of ZIKV impacts on motor development and care provided by families is an important public health issue. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-06-14 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
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article |
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publishedVersion |
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https://rsdjournal.org/index.php/rsd/article/view/16347 10.33448/rsd-v10i7.16347 |
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https://rsdjournal.org/index.php/rsd/article/view/16347 |
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10.33448/rsd-v10i7.16347 |
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por |
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por |
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https://rsdjournal.org/index.php/rsd/article/view/16347/14541 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
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openAccess |
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application/pdf |
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Research, Society and Development |
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Research, Society and Development |
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Research, Society and Development; Vol. 10 No. 7; e7110716347 Research, Society and Development; Vol. 10 Núm. 7; e7110716347 Research, Society and Development; v. 10 n. 7; e7110716347 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
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Universidade Federal de Itajubá (UNIFEI) |
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UNIFEI |
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UNIFEI |
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Research, Society and Development |
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Research, Society and Development |
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Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
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rsd.articles@gmail.com |
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1797052806995116032 |