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MOTOR DELAY IN CYSTIC fiBROSIS INFANTS: AN OBSERVATIONAL STUDY
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Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento Nutricional. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Ensino. Curso de Pós-graduação em Fisioterapia Neonatal e Pediátrica. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento Nutricional. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Ensino. Curso de Pós-graduação em Fisioterapia Neonatal e Pediátrica. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Departamento de Pediatria. Rio de Janeiro, RJ, Brasil
Abstract
Objective: To verify the prevalence of delay in gross motor development in cystic fibrosis (CF) patients.
Study design: This is a cross-sectional observational study. A total of 15 children with CF were included in the
analyses. The selection criteria was age between 6 and 42 months. Data on demographic, anthropometric,
clinical characteristics and severity score (Shwachman) were obtained from patient records. The Bayley
Scales of Infant and Toddler Development® - III Edition (BSITD-III) was used to assess motor abilities.
Results: Motor development delay was observed in 26.7% (n= 4) of the children and, in 75% of these, there
were statistically significant differences between gross and fine motor scores. Low stature, low weight and
periods longer than 60 days at hospital showed statistically significant association with motor delay
(p= 0.025, 0.032, 0.003, respectively).
Conclusion: The prevalence of motor delay in the studied sample was high, suggesting that biological and
ambient conditions of risk present in CF contribute to early motor deficits. Thus, the observation of the motor
development in these patients is important for planning an adequate intervention.
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