Development of infants with a risk indicator for hearing loss associated to living environment

Autores

  • Danielle Mendonça Araujo Departamento de Desenvolvimento Humano e Reabilitação - Universidade Estadual de Campinas - UNICAMP - Campinas (SP)
  • Natália Caroline Rovere
  • Maria Cecília Marconi Pinheiro Lima

DOI:

https://doi.org/10.7322/jhgd.127652

Palavras-chave:

infant development, risk factors, environment, hearing impairment, infants.

Resumo

Introduction: Infants with a risk indicator of hearing loss (RIHL) are more likely to have delays in their development. Besides the biological risk, the infant’s environment may determine the outcome of their development. Objective: To compare the motor, cognitive and language development of infants with and without RIHL and to know the affordances of the home environment of those infants. Methods: This was an observational research exploratory, cross-sectional and quantitative study, in which the development of 77 infants with RIHL (Study Group) were compared to 77 infants without RIHL (Compared Group). Cognition, language and motricity were evaluated according to the Bayley Scale of Infant Development, and the home environment according to the Affordability of the Home Environment for Motor Development – Baby Scale questionnaire. Results: The most frequent risk indicators were family history (25.6%) and hyperbilirubinaemia (24.4%). In the Study Group, 13 (16.8%) infants presented delays in at least one domain and in the Control Group 3 (3.9%) infants presented delays. There was a statistically significant difference in the motor (p = 0.0001), cognitive (p = 0.001) and language (p = 0.0304) domains, with a better score in the Control Group. Regarding the home environment, 70.2% of houses in the Study Group were classified as less than adequate or mildly adequate, while in the Control Group this was 50.7%. Conclusion: The average development of the infants with risk indicators for hearing loss is below the average  development of infants without them. Also, the number of environments below adequate is higher in the group with infants with risk indicators.

Referências

Almeida CGM, Salgado MH, Rodrigues OMPR. Diferenças no desenvolvimento de meninos e meninas em condições de risco. Bol Psicol. 2012;62(136):1-14.

Almeida AC, Mendes LC, Sad IR, Ramos EG, Fonseca VM, Peixoto MVM. Use of a monitoring tool for growth and development in Brazilian children-systematic review. Rev Paul Pediatr. 2016;34(1):122-31. DOI: http://dx.doi.org/10.1016/j.rppede.2015.12.002

Lewis DR, Marone SAM, Mendes BCA, Cruz OLM, Nóbrega M. Comitê multiprofissional em saúde auditiva: COMUSA. Braz J Otorhinolaryngol. 2010; 76(1):121-8. DOI: http://dx.doi.org/10.1590/S1808-86942010000100020

Gabbard C, Caçola P, Rodrigues LP. A New Inventory for Assessing Affordances in the Home Environment for Motor Development (AHEMD-SR). Early Child Educ J. 2008;36(1):5-9.

Freitas TCB, Gabbard C, Caçola P, Montebelo MIL, Santos DCC. Family socioeconomic status and the provision of motor affordances in the home. Braz J Phys Ther. 2013;17(4):319-27. DOI: http://dx.doi.org/10.1590/S1413-35552013005000096

Bayley N. Screening Test of Bayley Scales of Infant and Toddler Development-III San Antonio: Pearson; 2006.

Caçola PM, Gabbard C, Montebelo MIL, Santos DCC. The new affordances in the home environment for motor development – infant scale (AHEMD-IS): Versions in English and Portuguese languages. Braz J Phys Ther 2015;19(6):507-25. DOI: http://dx.doi.org/10.1590/bjpt-rbf.2014.0112

Gibson JJ. The ecological approach to visual perception. New York: Pshychology Press; 1986.

Parker S, Greer S, Zuckermann B. Double jeopardy: the impact of poverty on early child development. Pediatr Clin North Am. 1988;35(6):1227-40. DOI: http://dx.doi.org/10.1016/S0031-3955(16)36580-4

Baltieri L, Santos DCC, Gibim NC, Souza CT, Batistela ACT, Tolocka RE. Desempenho motor de lactentes frequentadores de berçários em creches públicas. Rev Paul Pediatr. 2010;28(3):283-9. DOI: http://dx.doi.org/10.1590/S0103-05822010000300005

Fernandes LV, Goulart AL, Santos AMND, Barros MCDM, Guerra CC, Kopelman BI. Avaliação do neurodesenvolvimento de prematuros de muito baixo peso ao nascer entre 18 e 24 meses de idade corrigida pelas escalas Bayley III. J Pediatr. 2012;88(6): 471-8. DOI: http://dx.doi.org/10.1590/S0021-75572012000600005

Souza CT, Santos DCC, Tolocka RE, Baltieri L, Gibim NC, Habechian FAP. Avaliação do desempenho motor global e em habilidades motoras axiais e apendiculares de lactentes frequentadores de creche. Rev Bras Fisioter. 2010;14(4):309-15. DOI: http://dx.doi.org/10.1590/S1413-35552010000400007

Tiensoli LO, Goulart LMHF, Resende LM, Colosimo EA. Triagem auditiva em hospital público de Belo Horizonte, Minas Gerais, Brasil: deficiência auditiva e seus fatores de risco em neonatos e lactentes. Cad Saúde Pública. 2007;23(6):1431-41. DOI: http://dx.doi.org/10.1590/S0102-311X2007000600018

Amado BCT, Almeida EOC, Berni PS. Prevalência de indicadores de risco para surdez em neonatos em uma maternidade paulista. Rev CEFAC. 2009;11(Supl.1):18-23. DOI: http://dx.doi.org/10.1590/S1516-18462009005000020

Barbosa CP, Menezes DC, Curado NRPV, Silveira AK, Teixeira DA. Indicadores de risco para perda auditiva em neonatos e lactentes atendidos em um programa de triagem auditiva neonatal. Rev CEFAC. 2011;13(2). DOI: http://dx.doi.org/10.1590/S1516-18462010005000071

Ribeiro J, Beltrame TS. Características neuromotoras e biopsicossocias de lactentes com histórico de risco biológico. Fisioter Mov. 2010;23(1):25-34. DOI: http://dx.doi.org/10.1590/S0103-51502010000100003

Fernandes LV, Goulart AL, Santos AM, Barros MC, Guerra CC, Kopelman BI. Neurodevelopmental assessment of very low birth weight preterm infants at corrected age of 18-24 months by Bayley III scales. J Pediatr (Rio J). 2012;88(6):471-8. DOI: http://dx.doi.org/10.2223/JPED.2230

Anderson PJ, De Luca CR, Hutchinson E, Roberts G, Doyle LW; Victorian Infant Collaborative Group. Underestimation of developmental delay by the new Bayley-III Scale. Arch Pediatr Adolesc Med. 2010;164(4):352-6. DOI: http://dx.doi.org/10.1001/archpediatrics.2010.20

Formiga CKMR, Vieira MEB, Linhares MBM. Developmental assessment of infants born preterm: comparison between the chronological and corrected ages. J Hum Growth Dev. 2015;25(2):230-6. DOI: http://dx.doi.org/10.7322/jhgd.103020

Zerbeto AB, Cortelo FM, Élio Filho BC. Association between gestational age and birth weight on the language development of Brazilian children: a systematic review. J Pediatr. 2015;91(4):326-32. DOI: http://dx.doi.org/10.1016/j.jped.2014.11.003

Spittle AJ, Spencer-Smith MM, Eeles AL, Lee KJ, Lorefice LE, Anderson PJ, et al. Does the Bayley-III Motor Scale at 2 years predict motor outcome at 4 years in very preterm children? Dev Med Child Neurol. 2013;55(5):448-52. DOI: http://dx.doi.org/10.1111/dmcn.12049

Saccani R, Valentini NC. Desenvolvimento motor de crianças de 0 a 18 meses de idade: um estudo transversal. Pediatr Mod. 2012;48(2):57-64.

Buschmann A, Jooss B, Rupp A, Dockter S, Blaschtikowitz H, Heggen I, et al. Children with developmental language delay at 24 months of age: results of a diagnostic work‐up. Dev Med Child Neurol. 2008;50(3):223-9. DOI: http://dx.doi.org/10.1111/j.1469-8749.2008.02034.x

Defilipo EC, Frônio JS, Teixeira MT, Leite IC, Bastos RR, Vieira MT, et al. Opportunities in the home environment for motor development. Rev Saude Publica. 2012;46(4):633-41. DOI: http://dx.doi.org/10.1590/S0034-89102012005000040

Nobre FSS, Costa CLA, Oliveira DL, Cabral DA, Nobre GC, Caçola P. Análise das oportunidades para o desenvolvimento motor (affordances) em ambientes domésticos no Ceará- Brasil. Rev Bras Crescimento Desenvol Hum. 2009;19(1):9-18. DOI: http://dx.doi.org/10.7322/jhgd.19898

Mancini MC, Paixão ML, Silva TT, Magalhães LC, Barbosa VM. Comparação das habilidades motoras de crianças prematuras e crianças nascidas a termo. Rev Fisioter Univ. 2000;7(1/2):25-31. DOI: http://dx.doi.org/10.1590/fpusp.v7i1-2.79362

Abbott AL, Bartlett DJ, Fanning JEK, Kramer J. Infant motor development and aspects of the home environment. Pediatr Phys Ther. 2000;12(2):62-7. DOI: http://dx.doi.org/10.1097/00001577-200012020-00003

Halpern R, Giugliani ER, Victora CG, Barros FC, Horta BL. Risk factors for suspicion of developmental delays at 12 months of age. J Pediatr (Rio J). 2000;76(6):421-8.

Publicado

2017-04-13

Edição

Seção

Artigos Originais