ABSTRACT
Self-gratification behavior is a normal behavior in infants or children and is usually misdiagnosed with dystonic development delays, repeated movement disorders, or even epilepsy. This case report aims to share our clinical experience in managing a child with self-gratification disorder through physical therapy techniques. An 8-month-old female infant presents with concerns related to poor social interaction, reduced play, irritable behavior, frequent crossing, and stiffness in the legs which she started showing at 3 months of age. She was earlier diagnosed with dystonic developmental delay and referred for a thorough development and sensory assessment. Rehabilitation with sensory integration and neurodevelopmental techniques was delivered to the child. Ages and Stages Questionnaire, Denver’s score, and Sensory profile were assessed at 8–9 months, 9–10 months, and 10–11 months to monitor prognosis. There was a significant improvement in self-gratification habits and improved attention in the child. Self-gratification behavior is a normal behavior in infants or children and is usually misdiagnosed. Treatment mainly constitutes neurodevelopment, sensory integration techniques, and parent education.
ABSTRACT
O objetivo deste estudo foi verificar a influência da situação sócio-familiar sobre o desenvolvimento neuropsicomotor de crianças institucionalizadas. Foi realizado estudo transversal incluindo 30 crianças abrigadas, de ambos os sexos, de 0 a 6 anos. Foram realizadas análises de prontuários e, posteriormente, o teste de desenvolvimento Denver II foi aplicado visando detectar possíveis atrasos. Os resultados foram comparados com os dados encontrados nos prontuários. 6% das crianças não apresentaram nenhum tipo de atraso. Os atrasos no desenvolvimento se manifestaram em relação a todas as áreas em 94% das crianças investigadas. As crianças abandonadas pelos pais apresentaram os níveis mais elevados de atraso: 86% no item pessoal social, 71% na categoria motor fino, 86% no item motor global, e 100% na categoria linguagem. As crianças vítimas de violência e negligência apresentaram atrasos no item pessoal social (28%), no aspecto motor fino (71%), na categoria motor grosseiro (43%), e na área da linguagem (100%). Das crianças que não recebem visitas, 100% apresentaram atrasos na linguagem; 85%, na categoria motor grosseiro; e 71%, nos itens pessoal social e motor fino. Todas as crianças abrigadas com idade entre 6 e 12 mesesa apresentaram atraso em todas as áreas, e a área da linguagem foi a mais afetada. Concluiu-se que crianças abrigadas apresentaram atraso em diversas áreas do desenvolvimento, e que, portanto, a situação sócio-familiar influenciou diretamente seu desenvolvimento.
This study aimed at verifying the influence of the sociofamilial background on the neuropsychomotor development of institutionalized children. This cross-sectional study enrolled 30 institutionalized children aged 0 to 6 years. Data from the medical records of these children were analyzed, and the Denver Development Test (Version 2) was then administered in order to identify possible developmental delays. These results were compared with those found out in their records. 6% of the children presented no delays, and the remaining 94% manifested several forms of developmental delay. The most severe lags occurred among abandoned children: 81% on the social-personal item, 71% in fine motor coordination, 86% in global motor skills, and 100% in language ability. In terms of liability, those who suffered from abuse and neglect presented developmental delays in social-personal item (28%), in fine motor aspect (71%), in general motor item, and in language abilities (100%). Of those children who were not visited, records indicated that 100% showed language delays, and 85% and 71% were backward in gross and fine motor development. Furthermore, 100% of those institucionalized children at 6 months to 1 year level suffered generalized delays. Among these children language maturation was the most seriously affected. Institucionalized children evidenced delays in several developmental categories, and the sociofamilial background of the child was the most potent source of negative influence.