A marcha de base alargada na síndrome de Down e a relação com o engatinhar e os primeiros passos: um estudo transversal

Autores

  • Camila Valero Centro Universitário Saúde ABC
  • Zan Mustacchi Setor de Genética do Hospital Infantil Darcy Vargas, São Paulo/ SP, Brazil; Centro de Estudos e Pesquisas Clínicas (CEPEC) – São Paulo (SP), Brazil
  • Patricia Melo Bezerra Centro Universitário FMABC - Santo André/SP, Brazil
  • Francisco Winter dos Santos Figueiredo Departamento de Epidemiologia e Análise de Dados do Centro Universitário FMABC, Santo André/ SP, Brazil
  • Patricia Merly Martinelli Laboratório de Epidemiologia e Análise de Dados do Centro Universitário FMABC, Santo André, São Paulo, Brazil
  • Alzira Alves de Siqueira Carvalho Departamento de Neurologia do Centro Universitário FMABC, Santo André/SP, Brazil
  • David Feder Departamento de Farmacologia do Centro Universitário FMABC, Santo André/SP, Brazil.

DOI:

https://doi.org/10.36311/jhgd.v31.11279

Palavras-chave:

sindrome de down, marcha, locomoção, destreza motora, postura

Resumo

Introdução: As pessoas com síndrome de Down apresentam diferentes padrões de marcha, incluindo algumas características específicas como a marcha de base alargada.

Objetivo: O objetivo deste estudo foi analisar a relação entre a marcha de base alargada e a aquisição motora prévia engatinhar em quatro apoios em crianças com síndrome de Down, bem como a provável associação desta marcha com gênero, etnia, comorbidades e tratamentos de fisioterapia e terapia ocupacional.

Método: Neste estudo transversal, foram selecionados 361 indivíduos que apresentaram ou não marcha de base alargada. Um questionário on-line foi administrado para pais / responsáveis destas crianças.

Resultados: O engatinhar em quatro apoios diminuiu a prevalência da marcha de base alargada em crianças com síndrome de Down. Quanto maior o tempo em meses para os primeiros-passos, maior a prevalência de base alargada, sendo que, a cada mês de atraso, a prevalência aumenta em 7%. Foi observada significância entre as alterações ortopédicas em joelhos e pés planos e a marcha de base alargada.

Conclusão: Os achados deste estudo mostraram que o aparecimento da base alargada pode estar relacionado às aquisições motoras descritas acima, em especial ao engatinhar em quatro apoios, e aos primeiros passos.

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Publicado

2021-08-03

Edição

Seção

ORIGINAL ARTICLES