Motor development in the hospitalized infant and its biological and environmental characteristics

Introduction: Hospitalization is a risk factor for delayed motor development, due to the lack of adequate stimulation; therefore, it is important to assess child development during hospital admission. Methods: In this study, motor development of previously healthy hospitalized infants was assessed...

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Main Authors: Alessandra Bombarda Müller, Eunice Cristina Pufal, Paulo Felipe Ribeiro Bandeira, Nadia Cristina Valentini
Format: Article
Language:English
Published: Hospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS) 2018-04-01
Series:Clinical and Biomedical Research
Subjects:
Online Access:http://seer.ufrgs.br/hcpa/article/view/75638
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author Alessandra Bombarda Müller
Eunice Cristina Pufal
Paulo Felipe Ribeiro Bandeira
Nadia Cristina Valentini
author_facet Alessandra Bombarda Müller
Eunice Cristina Pufal
Paulo Felipe Ribeiro Bandeira
Nadia Cristina Valentini
author_sort Alessandra Bombarda Müller
collection DOAJ
description Introduction: Hospitalization is a risk factor for delayed motor development, due to the lack of adequate stimulation; therefore, it is important to assess child development during hospital admission. Methods: In this study, motor development of previously healthy hospitalized infants was assessed and associated with biological and environmental characteristics, including length of hospital stay and physiotherapeutic treatment. The assessment was made before discharge, with questionnaires and a motor assessment scale. Results: The sample of 32 infants aged from zero to 18 months had an average length of hospital stay of 4.94 ± 2.39 days. 50% of infants were girls (n = 16) and mostly belonged to socioeconomic class C (n = 16). Length of hospital stay explained only 3.3% of motor development variation, showing no significant impact. Infants from lower socioeconomic classes were nearly six times more susceptible to motor delays than those belonging to higher classes (p = 0.05). During hospitalization, 25% of the sample (n = 8) was treated with physiotherapy. All these patients were hospitalized for respiratory dysfunction and presented five times less chance of altered motor development when compared to those who did not undergo physiotherapy. Conclusion: These results should be interpreted with caution, since the type of physiotherapy care provided and infant’s degree of motor impairment were unknown. In this study, length of stay and hospital environment were not significant risk factors when analyzed individually, concluding that the greater the exposure and the amount of associated factors, the more susceptible the infant will be to present motor delays. Keywords: Child development; hospitalization; developmental disabilities
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spelling doaj.art-60669e74d97a466b9556ea1cdbcdeb042022-12-22T01:28:35ZengHospital de Clinicas de Porto Alegre ; Universidade Federal do Rio Grande do Sul (UFRGS)Clinical and Biomedical Research0101-55752357-97302018-04-0138136640Motor development in the hospitalized infant and its biological and environmental characteristicsAlessandra Bombarda Müller0Eunice Cristina Pufal1Paulo Felipe Ribeiro Bandeira2Nadia Cristina Valentini3School of Physical Therapy, School of Health, Universidade do Vale do Rio dos Sinos (UNISINOS). São Leopoldo, RS, Brazil.Graduate Program in Human Movement Sciences, Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, RS, Brazil. Universidade Regional do Cariri (URCA). Crato, CE, Brasil.Center of Health Sciences, Universidade do Vale do Rio dos Sinos (UNISINOS). São Leopoldo, RS, Brazil. Graduate Program in Human Movement Sciences, Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, RS, Brazil.Graduate Program in Human Movement Sciences, Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, RS, Brazil.Introduction: Hospitalization is a risk factor for delayed motor development, due to the lack of adequate stimulation; therefore, it is important to assess child development during hospital admission. Methods: In this study, motor development of previously healthy hospitalized infants was assessed and associated with biological and environmental characteristics, including length of hospital stay and physiotherapeutic treatment. The assessment was made before discharge, with questionnaires and a motor assessment scale. Results: The sample of 32 infants aged from zero to 18 months had an average length of hospital stay of 4.94 ± 2.39 days. 50% of infants were girls (n = 16) and mostly belonged to socioeconomic class C (n = 16). Length of hospital stay explained only 3.3% of motor development variation, showing no significant impact. Infants from lower socioeconomic classes were nearly six times more susceptible to motor delays than those belonging to higher classes (p = 0.05). During hospitalization, 25% of the sample (n = 8) was treated with physiotherapy. All these patients were hospitalized for respiratory dysfunction and presented five times less chance of altered motor development when compared to those who did not undergo physiotherapy. Conclusion: These results should be interpreted with caution, since the type of physiotherapy care provided and infant’s degree of motor impairment were unknown. In this study, length of stay and hospital environment were not significant risk factors when analyzed individually, concluding that the greater the exposure and the amount of associated factors, the more susceptible the infant will be to present motor delays. Keywords: Child development; hospitalization; developmental disabilitieshttp://seer.ufrgs.br/hcpa/article/view/75638Child developmenthospitalizationdevelopmental disabilities
spellingShingle Alessandra Bombarda Müller
Eunice Cristina Pufal
Paulo Felipe Ribeiro Bandeira
Nadia Cristina Valentini
Motor development in the hospitalized infant and its biological and environmental characteristics
Clinical and Biomedical Research
Child development
hospitalization
developmental disabilities
title Motor development in the hospitalized infant and its biological and environmental characteristics
title_full Motor development in the hospitalized infant and its biological and environmental characteristics
title_fullStr Motor development in the hospitalized infant and its biological and environmental characteristics
title_full_unstemmed Motor development in the hospitalized infant and its biological and environmental characteristics
title_short Motor development in the hospitalized infant and its biological and environmental characteristics
title_sort motor development in the hospitalized infant and its biological and environmental characteristics
topic Child development
hospitalization
developmental disabilities
url http://seer.ufrgs.br/hcpa/article/view/75638
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AT nadiacristinavalentini motordevelopmentinthehospitalizedinfantanditsbiologicalandenvironmentalcharacteristics