Mobilidade em pré-escolares com e sem síndrome de Down: um estudo transversal exploratório
DOI:
https://doi.org/10.1590/1809-2950/e23007124ptPalavras-chave:
Síndrome de Down, Velocidade de Caminhada, Limitação de Mobilidade, CogniçãoResumo
Poucos estudos investigaram a mobilidade de pré-escolares com síndrome de Down (SD). Dessa forma, os objetivos desta pesquisa foram comparar a mobilidade de pré-escolares com e sem SD, bem como verificar se a função cognitiva e a idade de aquisição da marcha podem explicar os desfechos de mobilidade. Estudo transversal exploratório com 38 crianças: 19 do grupo SD
e 19 do grupo desenvolvimento típico (DT). O teste de caminhada de 10 metros e o timed up and go modificado (mTUG) foram utilizados para avaliar a mobilidade.
Os fatores exploratórios foram: a pontuação da triagem da função cognitiva e a idade de aquisição da marcha. Foram usados modelos de regressão linear múltipla
stepwise. As crianças do grupo SD apresentaram menor velocidade de marcha (p=0,0001) e necessitaram de mais tempo para completar o mTUG (p=0,0001). A pontuação da triagem da função cognitiva e a idade de aquisição da marcha explicaram a variabilidade na velocidade da marcha (R2 =0,52; p=0,0001) e o tempo para completar o teste mTUG (R2 =0,68; p=0,0001). Crianças com SD apresentaram pior capacidade de mobilidade quando comparadas às com DT. Os desfechos de mobilidade nessa faixa etária foram parcialmente explicados pela idade de aquisição da marcha e pelo escore da triagem da função cognitiva
Downloads
Referências
National Down Syndrome Society. Facts about Down Syndrome
[Internet]. Washington, DC; [2012] [cited 2020 Oct 30].
Available from: https://www.ndss.org/about-down-syndrome/
down-syndrome-facts/
Barca D, Tarta-Arsene O, Dica A, Iliescu C, Budisteanu M, et
al. Intellectual disability and epilepsy in down syndrome.
Maedica (Buscur). 2014;9(4):344-50.
Alesi M, Battaglia G, Pepi A, Bianco A, Palma A. Gross motor
proficiency and intellectual functioning A comparison among
children with down syndrome, children with borderline
intellectual functioning, and typically developing children.
Medicine (Baltimore). 2018;97(41):e12737. doi: 10.1097/
MD.0000000000012737.
Houwen S, Visser L, van der Putten A, Vlaskamp C. The
interrelationships between motor, cognitive, and language
development in children with and without intellectual and
developmental disabilities. Res Dev Disabil. 2016;53-4:19-31.
doi: 10.1016/j.ridd.2016.01.012.
Schott N, Holfelder B. Relationship between motor skill
competency and executive function in children with Down’s
syndrome. J Intellect Disabil Res. 2015;59(9):860-72.
doi: 10.1111/jir.12189.
Palisano RJ, Walter SD, Russell DJ, Rosenbaum PL, Gémus M,
et al. Gross motor function of children with Down syndrome:
Creation of motor growth curves. Arch Phys Med Rehabil.
;82(4):494-500. doi: 10.1053/apmr.2001.21956.
Meneghetti CHZ, Deloroso FT, Blascovi-Assis SM, Rodrigues
GM. Static balance assessment among children and adolescents
with Down syndrome. Braz J Phys Ther. 2009;13(3):230-5.
Rigoldi C, Galli M, Albertini G. Gait development during
lifespan in subjects with Down syndrome. Res Dev Disabil.
;32(1):158-63. doi: 10.1016/j.ridd.2010.09.009.
Nicolini-Panisson RDA, Donadio MVF. Normative values for
the Timed ‘Up and Go’ test in children and adolescents and
validation for individuals with Down syndrome. Dev Med Child
Neurol. 2014;56(5):490-7. doi: 10.1111/dmcn.12290.
Neal GE, Effgen SK, Arnold S, Baldwin J, Jeffries LM.
Description of School-Based Physical Therapy Services and
Outcomes for Students with Down Syndrome. J Autism Dev
Disord. 2019;49(10):4019-29. doi: 10.1007/s10803-019-04109-7.
Pereira AC, Ribeiro MG, Araújo AP. Timed motor function tests
capacity in healthy children. Arch Dis Child. 2016;101(2):147-51.
Pirpiris M, Wilkinson AJ, Rodda J, Nguyen TC, Baker RJ,
et al. Walking speed in children and young adults with
neuromuscular disease: comparison between two assessment
methods. J Pediatr Orthop. 2003;23(3):302-7.
Geyh S, Cieza A, Schouten J, Dickson H, Frommelt P, et al. ICF
Core Sets for stroke. J Rehabil Med. 2004; (44 Suppl):135-41.
doi: 10.1080/16501960410016776.
Verbecque E, Vereeck L, Boudewyns A, Van De Heyning P,
Hallemans A. A modified version of the timed up and go
test for children who are preschoolers. Pediatr Phys Ther.
;28(4):409-15. doi: 10.1097/PEP.0000000000000293.
Martin K, Natarus M, Martin J, Henderson S. Minimal detectable
change for TUG and TUDS tests for children with down syndrome. Pediatr Phys Ther. 2017;29(1):77-82. doi: 10.1097/
PEP.0000000000000333.
Heineman KR, Schendelaar P, van den Heuvel ER, HaddersAlgra M. Motor development in infancy is related to
cognitive function at 4 years of age. Dev Med Child Neurol.
;60(11):1149-55. doi: 10.1111/dmcn.13761.
Chiarello LA, Effgen SK, Jeffries L, McCoy SW, Bush H. Student
outcomes of school-based physical therapy as measured by
goal attainment scaling. Pediatr Phys Ther. 2016;28(3):277-84.
doi: 10.1097/PEP.0000000000000268.
Mancini MC, Silva PC, Gonçalves SC, Martins SD. Comparação
do desempenho funcional de crianças portadoras de Síndrome
de Down e crianças com desenvolvimento normal aos 2 e
anos de idade. Arq Neuro-Psiquiatr. 2003;61(2B):409-15.
Watson MJ. Refining the ten-metre walking test for use
with neurologically impaired people. Physiotherapy.
;88(7):386-97.
Jain M, Passi GR. Assessment of a modified mini-mental
scale for cognitive functions in children. Indian Pediatr.
;42(9):907-12.
Majnemer A, Rosenblatt B. Reliability of parental recall of
developmental milestones. Pediatr Neurol. 1994;10(4):304-8.
doi: 10.1016/0887-8994(94)90126-0.
Associação Brasileira das Empresas de Pesquisa (ABEP).
Critério de classificação Econômica Brasil [Internet]; c2003-
[cited 2019 Dec 15]. Avaliable from: https://www.abep.
org/criterio-brasil
Beerse M, Lelko M, Wu J. Biomechanical analysis of the
timed up-and-go (TUG) test in children with and without
Down syndrome. Gait Posture. 2019;68:409-14. doi: 10.1016/j.
gaitpost.2018.12.027.
Ulrich DA, Ulrich BD, Angulo-Kinzler RM, Yun J. Treadmill
training of infants with Down syndrome: evidence-based
developmental outcomes. Pediatrics. 2001;108(5):201-4.
doi: 10.1542/peds.108.5.e84.
Valentín-Gudiol M, Mattern-Baxter K, Girabent-Farrés M,
Bagur-Calafat C, Hadders-Algra M, et al. Treadmill interventions
in children under six years of age at risk of neuromotor
delay. Cochrane Database Syst Rev. 2017;7(7):CD009242.
doi: 10.1002/14651858.CD009242.pub3.
Moura R, Andrade PMO, Fontes PLB, Ferreira FO, Salvador LS,
et al. Mini-mental state exam for children (MMC) in children
with hemiplegic cerebral palsy. Dement Neuropsychol.
;11(3):287-96. doi: 10.1590/1980-57642016dn11-030011.
Cimolim V, Galli M, Grugni G, Vismara L, Albertini G, et al.
Gait patterns in Prader-Willi and Down syndrome patients.
J Neuroeng Rehabil. 2010;7:28. doi: 10.1186/1743-0003-7-28.
Amboni M, Barone P, Hausdorff JM. Cognitive contributions
to gait and falls: evidence and implications. Mov Disord.
;28(11):1520-33. doi: 10.1002/mds.25674.
Yamauchi Y, Aoki S, Koike J, Hanzawa N, Hashimoto K. Motor
and cognitive development of children with Down syndrome:
The effect of acquisition of walking skills on their cognitive and
language abilities. Brain Dev. 2019;41(4):320-26. doi: 10.1016/j.
braindev.2018.11.008.
Rodriguez EB, Chagas PSC, Silva PLP, Kirkwood RN, et al.
Impact of leg length and body mass on the stride length
and gait speed of infants with normal motor development:
a longitudinal study. Braz J Phys Ther. 2013;17(2):163-9.
doi: 10.1590/S1413-35552012005000080.
Lin LY, Cherng RJ, Chen YJ. Relationship between time
use in physical activity and gross motor performance of
preschool children. Aust Occup Ther J. 2017;64(1):49-57.
doi: 10.1111/1440-1630.12318.
Grantham-McGregor S, Cheung YB, Cueto S, Glewwe P, Richter
L, et al. Developmental potential in the first 5 years for children
in developing countries. Lancet. 2007;369(9555):60-70.
doi: 10.1016/S0140-6736(07)60032-4.
Peviani V, Scarpa P, Vedovelli S, Bottini G. Mini-Mental
State Pediatric Examination (MMSPE) standardization
and normative data on Italian children aged 36 to 72
months. Appl Neuropsychol Child. 2020;9(1):92-6.
doi: 10.1080/21622965.2018.1522590.
Müller J, Müller S, Baur H, Mayer F. Intra-individual gait speed
variability in healthy children aged 1-15 years. Gait Posture.
;38(4):631-6. doi: 10.1016/j.gaitpost.2013.02.011.
Schoufour JD, Mitnitski A, Rockwood K, Hilgenkamp TIM,
Evenhuis HM, et al. Predicting disabilities in daily functioning
in older people with intellectual disabilities using a frailty
index. Res Dev Disabil. 2014;35(10):2267-77. doi: 10.1016/j.
ridd.2014.05.022.
Shields N, Plant S, Warren C, Wollersheim D, Peiris C. Do adults
with Down syndrome do the same amount of physical activity
as adults without disability? A proof of principle study. J Appl
Res Intellect Disabil. 2018;31(3):459-65. doi: 10.1111/jar.12416.
Barnhart, RC, Connolly B. Aging and Down syndrome:
implications for physical therapy. Phys Ther. 2007;87(10):1399-
doi: 10.2522/ptj.20060334.
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2024 Barbara Raiza Taranto Silva, Marina Almeida de Souza, Isabella Saraiva Christovão, Ana Cristina Resende Camargos
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.
