ABSTRACT
Infant's healthy development acquisition is related to sensorial and motor experiences acquired in their first living year. As a walking stimulating aid, parents believethat baby walker may anticipate walking OBJECTIVE: check the frequency of the use of child walker for infants and the influence of this procedure on the sensory motor development, and correlate the daily time spent with the acquisition of independent walking at 13 months METHODS: Initially, parents answered a questionnaire regarding the use or no use of the baby walker. Infants who used it developed walking skills earlier than those who did not use it (p = 0.044 RESULTS: Daily time of use influenced in the walk acquisition time (p = 0.005); and there was no association between the groups who used or did not use the baby walker compared to their current motor development assessed by Alberta Infant Motor Scale (p = 0.566) CONCLUSION: We concluded that the vesting period of the march is on the daily use of the walker, which is an important factor for this acquisition.
A aquisição do desenvolvimento normal infantil está relacionada com as experiências sensóriomotoras vivenciadas em seu primeiro ano de vida. Como recurso de estimular a marcha, os pais acreditam que o andador infantil possa facilitar esta prática OBJETIVO: Verificar a frequência da utilização do andador infantil por crianças de até 18 meses em duas escolas de educação infantil do município de Uruguaiana-RS MÉTODO: Partiu-se de uma pesquisa de campo, quantitativa com abordagem exploratória, onde os pais responderam um questionário quanto a utilizaçao ou não do andador RESULTADOS: O tempo de uso diário influenciado no tempo de aquisição pé (p = 0,005); e não houve Associação entre os grupos que usaram ou não usar o andador em comparação com o seu desenvolvimento motor de corrente avaliada por Alberta Infant Motor Scale (p = 0,566) CONCLUSÃO: Concluímos que o período de aquisição da marcha está no uso diário do andador, que é um fator importante para essa aquisição.
Subject(s)
Humans , Male , Female , Child , Child Development , Child Health , Developmental Disabilities , Motor Activity , Psychomotor Performance , Cross-Sectional Studies , Personal Autonomy , Schools, NurseryABSTRACT
Los andadores se utilizan frecuentemente a pesar de que su uso puede ocasionar lesiones. Se realizó una encuesta para obtener información sobre las actitudes y el abordaje de los pediatras respecto del uso de andadores. Se invitó a 247 pediatras que asistieron al 44° Congreso Turco de Pediatría y Europediatría (2008) a responder un cuestionario preparado por los autores. Se incluyeron en el análisis 226 cuestionarios respondidos en forma completa. La mediana de edad de los participantes (119 mujeres) fue de 39 años (29 a 58). De ellos, 4% recomendaban el uso de andadores, 32,3% dejaban la decisión a criterio de los padres y 63,7% no lo recomendaban. Ciento cinco habían tratado con anterioridad a un bebé que sufrió una lesión relacionada con el uso del andador; de ellos, 73,3% no recomendaron su uso y 57,1% opinaron que la producción y el uso de andadores deberían prohibirse. Conclusiones. El 4% de los pediatras encuestados recomiendan el uso de andadores para bebés y más del 30% dejan la decisión a los padres. Los pediatras que atendieron a un bebé que sufrió una lesión por el uso del andador fueron menos proclives a recomendarlo.
Infant walkers are still very popular even though their use might cause injuries. A survey was carried out to obtain information about attitudes and pediatricians' approach regarding the use of infant walkers. Two hundred and forty seven pediatricians who attended the 44th Turkish Congress of Pediatrics and Europediatrics (2008) were invited to reply to a questionnaire prepared by the authors. Two hundred and twenty six questionnaires replied in full were included. The median age of participants (119 women) was 39 years old (range: 29-58 years old). Out of the total, 4% recommended the use of a walker; 32.2% left the decision to parents' judgment, and 63.7% did not recommend its use. A hundred and five had previously treated an infant who had an injury associated to the use of the walker; out of them, 73.3% did not recommend its use and 57.1% stated that there should be a ban on the sale and manufacture of walkers. Conclusions. Out of the total number of surveyed pediatricians, 4% recommend the use of infant walkers and over 30% leave this decision to parents. Those pediatricians who took care of babies who had an injury associated to the use of a walker were less prone to recommending it.
Subject(s)
Adult , Female , Humans , Infant , Middle Aged , Attitude of Health Personnel , Infant Equipment , Pediatrics , Parents , Surveys and QuestionnairesABSTRACT
OBJECTIVES: To understand the opinion of the parents about the baby walker and compare the age of gait acquisition between infants that used a walker and those that did not. METHODS: In this quali-quantitative study, an interview involving a semi-structured questionnaire was carried out with 26 parents, 14 of whose infants used the equipment (BWG) and 12 of whose infants did not (NBWG) prior to gait acquisition. After extensive content analysis, categories for interpreting the results emerged. For data triangulation, the age of gait acquisition was documented by weekly telephone contact. Student's t-test was used for comparison between groups with a significance level of α=0.05. RESULTS: The following categories were identified in the parents' reports: a) information about the baby walker; b) doubt/decision to use it vs. certainty about not using it; c) beliefs about the use of a baby-walker; and d) benefits and harm from use. The age of independent gait acquisition did not differ between groups (p=0.837): BWG initiated gait at 376.17 (SD=32.62) days and NBWG did so at 378.75 (SD=27.99) days. CONCLUSIONS: The beliefs and feelings that permeate the decision to use a baby walker illustrate the different rationales adopted by parents about the role of this equipment in the child's development of gait and autonomy. The use of a baby walker did not influence the age of gait acquisition. The results broaden the understanding of choices that influence child-rearing practices prior to gait acquisition.
OBJETIVOS: Conhecer a opinião dos pais sobre o uso do andador infantil e comparar a idade de aquisição da marcha independente entre os lactentes que usaram e os que não usaram o andador. MÉTODOS: Neste estudo qualiquantitativo, realizou-se entrevista com questionário semiestruturado com 26 pais, 14 de lactentes que usaram (GUAI) e 12 dos que não usaram o equipamento (GNUAI) antes da aquisição da marcha. Empregou-se análise de conteúdo, a partir da qual, após extensa leitura, emergiram-se as categorias para interpretação dos resultados. Para triangulação dos dados, a idade de aquisição de marcha foi documentada por contato telefônico semanal e, para comparação entre grupos, usou-se o teste t de Student, nível de significância α=0,05. RESULTADOS: Foram identificadas, nos relatos dos pais, as categorias: a) informações sobre o andador infantil; b) dúvida/decisão em usar versus certeza de não usar; c) crenças sobre o uso do andador infantil e d) benefícios e malefícios do uso. A idade de aquisição da marcha independente não foi diferente entre os grupos (p=0,837): GUAI iniciou a marcha com 376,17 (DP=32,62) dias e GNUAI, com 378,75 (DP= 27,99) dias. CONCLUSÕES: As crenças e sentimentos que permeiam a decisão de usar o andador ilustram racionalidades distintas entre os pais sobre o significado desse equipamento para o desenvolvimento da marcha e ganho de autonomia da criança. O uso do andador infantil não influenciou a idade de aquisição da marcha. Os resultados ampliam o entendimento das escolhas que podem influenciar as práticas maternas no período pré-aquisição da marcha.
Subject(s)
Female , Humans , Infant , Male , Culture , Infant Equipment , Parents , Interviews as Topic , WalkingABSTRACT
Con el objeto de verificar la hipótesis que los niños que utilizan andadores sufren un retraso en el inicio de la marcha y que el gateo contribuye al desarrollo de la misma, se realizó un estudio prospectivo de casos y controles aplicando una encuesta a los padres de niños que acudieron a la consulta externa de pediatría de la Caja Petrolera de Salud. Se verificaron los hallazgos reportados mediante la exploración física, cuando existió alguna duda sobre las respuestas. Entre agosto y noviembre del 2003 Se incluyeron 301 niños en el estudio entre los 14 y 24 meses de edad. Se consideraron casos a los niños que sufrieron retraso (falta de inicio de la marcha a los 17 meses cumplidos) y controles a los que caminaron antes de este tiempo. Correlacionándose los grupos con la exposición a la utilización de andador y la capacidad de gatear. Por otra parte se correlacionó la utilización del andador con la ocurrencia de accidentes. Se encontró una relación entre el uso del andador y retraso en el inicio de la marcha OR 3.5 IC (1.82 - 6.72).P 0.0000977, se pudo verificar que el gateo tiene un efecto protector contra retraso en el inicio de la marcha. OR 0.48 IC (0.28-0.83). P 0.00496. Un hallazgo importante fue la alta frecuencia del uso de andador en nuestro medio, en la cuarta parte de los casos la utilización fue recomendada por un médico. Más de la mitad de los niños que utilizaron un andador sufrieron un accidente relacionado con el aparato. Encontramos una probabilidad 23 veces mayor de sufrir un accidente al usar andador. OR 24.03 IC (10.77 - 54.99). P0.00000 Se analizaron los datos en el sistema informático Excel y se efectuaron los cálculos de OR e intervalo de confianza en Epiinfo 6.0 (1).
In order to verify the hypothesis that the use of walkers cause delay in the time that walk occurs, and crawling has a positive effect in the onset of walking. We perform a case and controls prospective study. Parents were interview applying a form based in the Denver II development scale at the pediatric out patient office in Caja Petrolera de Salud La Paz Bolivia. The findings were checked with physical exam when the answers were in doubt. The study was carried out between August and November 2003. 301 patients where include between 14 and 24 months of age. We considered cases: Children delayed in the onset of walking at 17 month of age. And controls: The group that walked before this time. These results where correlated to the use of walkers and crawling. The use of walkers was correlated as well to the occurrence of accidents. We found a relationship between the use of walkers and the delay of onset of walking OR 3.5 IC (1.82 - 6.72) P 0.0000977. A protective effect against the delay of walking when the baby crawls was found. OR 0.48 IC (0.28-0.83). P 0.00496. And important finding was a high frequency in the use of walkers. The use in one fourth of the cases was indicated by a physician. More than half of the cases of the children using walkers where involved in accidents. We found a 23 fold probability of suffer an accident when the children uses a Walter. OR 24.03 IC (10.77 - 54.99). The data where analyzed in the Excel informatics system. The OR and the confidence intervals where calculate using Epiinfo 6.0 (1).