Evidence of training influence on infant manual behavior: a systematic review

  • Andressa Lagoa Nascimento Programa de Pós-Graduação em Saúde e Desenvolvimento na Região Centro-Oeste, Universidade Federal de Mato Grosso do Sul
  • Natália Matos Tedesco Programa de Pós-Graduação em Saúde e Desenvolvimento na Região Centro-Oeste, Universidade Federal de Mato Grosso do Sul
  • Daniele de Almeida Soares-Marangoni Programa de Pós-Graduação em Saúde e Desenvolvimento na Região Centro-Oeste, Universidade Federal de Mato Grosso do Sul
Palavras-chave: desenvolvimento infantil, lactente, intervenção precoce, destreza motora

Resumo

Introdução: Pesquisadores tem amplamente investigado como o treino pode melhorar comportamentos manuais em lactentes. No entanto, nenhuma revisão sistemática foi encontrada sobre este tópico. Objetivo: Analisar a qualidade da evidência científica considerando a qualidade metodológica e o nível de evidência por tipo de estudo em pesquisas sobre treino de comportamentos manuais direcionados a objetos em lactentes nos primeiros 18 meses de vida. Método: Foram utilizadas as bases de dados da Biblioteca Nacional de Medicina (PubMed / MEDLINE), Literatura Latino-Americana e do Caribe (LILACS), Biblioteca Virtual em Saúde (BIREME / BVS), Science Direct, SciELO e Physiotherapy Evidence Database (PEDro). Apenas ensaios clínicos que avaliaram os benefícios do treino manual orientado a objetos em lactentes e que foram publicados até fevereiro de 2018, em inglês, foram incluídos. O Modelo de Colaboração Cochrane foi adaptado para extrair dados bibliográficos dos artigos e sua qualidade metodológica foi avaliada pela escala PEDro e pelo Nível de Evidência Científica por Tipo de Estudo de Oxford. Resultados: Vinte e um ensaios clínicos foram incluídos. Os estudos investigaram lactentes nascidos a termo, prematuros e lactentes de risco para distúrbios do espectro autista. Os treinos foram administrados aos lactentes por meio das abordagens do paradigma de “luvas aderentes”, prática específica da tarefa ou reforço de contingência. A maioria dos estudos apresentou qualidade metodológica razoável ou fraca. Apenas os estudos que utilizaram a prática ativa específica da tarefa apresentaram qualidade metodológica alta. Conclusão: Há evidência de alta qualidade de que o treino específico da tarefa aprimora comportamentos manuais orientados a objetos em lactentes com desenvolvimento típico e lactentes prematuros nos primeiros 2-4 meses de vida. Estudos abordando lactentes com diagnósticos estabelecidos de disfunção do desenvolvimento não foram encontrados.

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Publicado
2019-11-05
Seção
ORIGINAL ARTICLES