EFFECTIVENESS OF THE ORAL MOTOR INTERVENTION ON FEEDING PERFORMANCE AMONG PRETERM BABIES AT SELECTED HOSPITAL, COIMBATORE.

AIMS: The aim of the study was to assess the level of feeding performance among and determine the effectiveness of oral motor intervention on feeding performance among preterm babies. METHODS: One group pre-test and post-test pre-experimental design was used and 30 samples were selected using non-probability convenient sampling technique. The modified early feeding assessment scale was used to evaluate the feeding performance. Descriptive and inferential statistical analysis were used to analyze the data. RESULTS: The pretest mean was 22.6 and the post-test mean was 38.8. the mean difference was 16.2. The standard deviation of the pretest was 3.8 and the post -test was 2.8. The calculated paired 't' value 19.12 was highly significant than the table value (2.6) at 0.05 level. CONCLUSION: It was inferred that oral motor intervention was effective in improving feeding performance among preterm babies.

Avaliação motora de crianças através do TGMD-3 / Motor assessment of children through TGMD-3

O presente trabalho trata-se de um estudo realizado com 17 crianças com faixa etária entre 4 e 5 anos, todas matriculadas no Centro de Educação Infantil ­ campus da Universidade Estadual de Londrina (CEI-UEL), tendo como objetivo avaliar o desempenho motor dessas crianças através do TGMD-3, antes e após uma intervenção motora, realizada no CEI-UEL. A intervenção foi composta de 29 sessões de 60 minutos em que eram trabalhadas diferentes habilidades motoras, após a qual foi aplicado novamente o TGMD-3 para avaliar se a intervenção havia influenciado positivamente o desempenho das crianças da amostra. Nossos resultados mostraram que para a variável somatória das habilidades de locomoção e habilidades com bola foi apresentado um aumento na comparação do pré-teste para o pós-teste, porém somente nas habilidades de locomoção foi encontrada significância na melhora. Quanto ao percentil, nas habilidades com bola foi encontrado um desempenho inferior no pós-teste, mas sem que houvesse diferença significativa entre os resultados; já para as habilidades de locomoção foi encontrada uma melhora no pós-teste do percentil, mas sem diferença significativa em comparação ao pré-teste. Com relação ao escore não foi encontrada diferença significativa para as habilidades, porém nas habilidades de locomoção houve desempenho superior no pós-teste e nas habilidades com bola houve desempenho inferior. Como conclusão, podemos inferir que a intervenção motora foi positiva para a melhora do desempenho das crianças, mas não para todas as variáveis analisadas, demonstrando que a intervenção motora pode ser uma ferramenta benéfica para o desempenho motor de crianças.

The present work is a study carried out with 17 children aged between 4 and 5 years old, all enrolled at the Child Education Center - campus of Universidade Estadual de Londrina (CEI-UEL), with objective of evaluating children motor performance through the TGMD-3, before and after a motor intervention, performed at CEI-UEL. The intervention consisted of 29 60-minute sessions with different motor skills, and after the 29 sessions, TGMD-3 was applied again to assess whether the intervention had positively influenced the performance of the children in the sample. Our results showed that for the sum of the walking and ball skills showed an increase in the comparison of the pre-test to the post-test, but only in the walking skills the difference was significant. As for the percentile, in the skills with the ball a lower performance was found in the post-test, but without any significant difference between the results; for the locomotion skills, an improvement was found in the post-test according to the percentile, not showing a significant difference compared to pretest. Regarding the score, no significant difference was found for the skills, but in the locomotion skills there was a superior performance in the post-test and in the skills with ball there was a lower performance. As a conclusion, we can deduce that motor intervention was positive for improving children motor performance, but not for all variables, showing that the motor intervention could be a beneficial tool to children motor performance.

Comparative study on the effect of oral motor intervention protocols on oral motor skills of preterm infants from tertiary care hospital in metropolitan city: pilot study

Background: Premature infants often have feeding difficulties leading to morbidity or developmental co-morbidities. Premature infant oral motor intervention (PIOMI), has shown the positive effects on feeding progression of the premature infants. PIOMI with the massage technique, may help in improving oral motor activity, weight gain in preterm infants along with better neurobehavioral organization. The study was done to analyse effect of this combined protocol on achieving oral motor control and Neurobehavioral state regulation and evaluate its efficacy against PIOMI.Methods: A total 72 clinically stable infants admitted in premature care unit, fulfilling inclusion criterion were enrolled. They were allocated in control and experimental group. Infants from control group received PIOMI and experimental group received PIOMI with massage therapy (M technique), for 10 minutes each day. Data was collected for oral motor abilities, behavioural assessment, weight and day of achieving full feeds.Results: Gestational age at full feeds was 33.65 weeks and 32.89 weeks in control and experimental groups respectively with ‘p’ value 0.002. The number of days of full feed in experimental group was 3.7 days earlier (p=0.04). Infants from experimental group showed higher oral motor score and more weight gain with significant difference The behavioral regulation in infants of both the groups improved after 8 day.Conclusions: PIOMI with M technique was well tolerated by preterm infants. The modified protocol has resulted in achieving early oral feeds and reducing hospital stay. It has also shown the benefit of behavioural regulation along with better oral motor control.

Motor skill disorder of children with autism spectrum disorder / 中国实用儿科杂志

Children with autism spectrum disorder(ASD)may suffer from motor skill dysfunction,and perform as motor delay,coordination disorder,fitness decline,visual-motor integration disorder and so on,which disturb their daily life,school-based activities,and other social activities. Due to the obvious core symptoms of children with ASD,the problem of motor skills may be ignored. Children with ASD should be monitored for the motor development at their early stage and be evaluated with proper assessment tools. Children with ASD should be trained with individualized plan according to their features in order to develop motor skills and improve the core symptoms. As evidence of motor intervention for children with ASD is increasing,we should pay more attention to the motor skill dysfunction problem in children with ASD and make them benefit from the motor intervention and sport program.

Clinical significance of oral motor intervention on the prognosis of early premature infant / 中华危重病急救医学

Objective? To? explore? the? clinical? significance? of? early? oral? intervention? measures? in? the?prognosis?of?premature?infants.? Methods? 151?preterm?infants?admitted?to?neonatal?intensive?care?unit?(NICU)?of?Liaocheng?People's?Hospital?from?January?2015?to?January?2017?were?enrolled.?Premature?infants?were?divided?into?intervention?group?and?control?group?according?to?random?number?table?method?and?with?the?consent?of?legal?guardian.?Both?groups?received?routine?treatment?of?preterm?infants?after?stable?vital?signs.?The?intervention?group?received?the?oral?massage?method?adopted?by?none-nutritive?sucking,?stimulating?swallowing?function?and?SandraFucile?on?the?basis?of?routine?treatment,?once?a?day?for?14?consecutive?days.?Both?groups?were?followed?up?for?6?months.?The?oral?feeding?ability?of?premature?infants?was?evaluated?by?the?proficiency?(PRO),?rate?of?transfer?(RT),?feeding?process?and??non-nutritive?suction?(NNS).?At?40?weeks?of?postmenstrual?age?(PMA),?neonatal?behavioral?neurological?(NBNA)?was?used?to?assess?neonatal?brain?development;?Infanib?was?used?for?early?motor?development?evaluation?at?3?months?and??6?months?after?birth.? Results? Finally,?151?premature?infants?were?enrolled,?including?78?in?the?intervention?group?and?73?in?the?control?group.?The?time?to?complete?oral?feeding?of?the?intervention?group?was?significantly?shorter?than?that?of?the?control?group?(days:?18.1±3.7?vs.?23.4±5.8,?P?<?0.05).?Compared?with?the?control?group,?at?the?time?of?complete?oral?feeding,?the?PMA?of?the?intervention?group?was?significantly?decreased?(weeks:?33.4±0.9?vs.?35.9±1.9,?P <?0.05),?the?feeding?efficiency?was?significantly?increased?(mL/min:?10.6±5.1?vs.?8.1±4.7,?P?<?0.05),?and?PRO?was?significantly?increased?[(95±8)%?vs.?(72±28)%,?P <?0.05],?and?the?body?weight?was?significantly?decreased?(g:?1?836.0±193.0?vs.?2?000.8±204.5,?P?<?0.05).?The?NNS?scores?of?the?intervention?group?and?the?control?group?were?increased?gradually?with?time?(F?values?were?86.21?and?75.23,?respectively,?both?P?<?0.01),?and?the?NNS?scores?of?the?intervention?group?at??10?days?and?14?days?were?significantly?higher?than?those?of?the?control?group?(52.89±6.26?vs.?46.74±6.24,?73.90±7.01? vs.?63.53±6.80,?both?P?<?0.01).?The?NBNA?scores?of?the?two?groups?were?lower,?but?there?was?no?significant?difference?between?the?intervention?group?and?the?control?group?(32.7±3.6?vs.?32.0±4.1,?P?>?0.05).?Infanib?evaluation?at?3?months?of?age?showed?that?the?proportion?of?normal?children?in?the?intervention?group?was?significantly?higher?than?that?in?the?control?group?[67.95%?(53/78)?vs.?49.31%?(36/73),?P?<?0.05],?and?at?6?months?of?age,?the?proportion?of?normal?children?in?the?intervention?group?was?significantly?higher?than?that?in?the?control?group?[84.62%?(66/78)?vs.?58.90%?(43/73),??P <?0.01].? Conclusion? Early?oral?exercise?intervention?can?shorten?the?transition?time?from?tube?feeding?to?full?oral?feeding?in?NICU?premature?infants?and?improve?the?performance?of?infants?during?feeding.

Benefícios de uma intervenção motora para uma criança com meningocele: Um estudo de caso / Benefi ts of motor intervention for a child with meningocele: A case study

O objetivo deste estudo de caso foi verifi car os efeitos de uma intervenção motora na motricidade fina e ampla, no equilíbrio, na aptidão e nos níveis de atividade física, na percepção de competência e estado nutricional de uma criança de 5 anos com meningocele e hidrocefalia. A intervenção motora foi implementada com o Clima de Motivação para Maestria em um período de 16 semanas (32 aulas). Nas aulas foram oferecidas oportunidades de prática e atividades variadas com ênfase nas habilidades motoras fundamentais e de equilíbrio. Para avaliar a motricidade ampla, fi na, equilíbrio e aptidão física foram utilizados os testes Bruininks Ozeretzky ­ Second Edition (BOT-2), Test of Gross Motor Development ­ Second Edition (TGMD-2); para avaliar o nível de atividade física foi utilizado pedômetro em 3 aulas do programa interventivo na pré-intervenção e pós-intervenção; o índice de massa corporal foi utilizado para analisar o estado nutricional, classifi cado conforme as curvas do Center of Disease Control (DCD); para avaliar a percepção de competência foi utilizada a Pictorial Scale of Perceived Competence and Acceptance. Os resultados do presente estudo evidenciam mudanças positivas na motricidade ampla e fi na, nos níveis de atividade física, na percepção de competência motora e no estado nutricional da criança. A intervenção motora foi efetiva em potencializar o desenvolvimento de uma criança com meningocele....(AU)

The objective of this case study was to investigate the eff ects of a motor intervention in fi ne and gross motor skills, balance, physical fi tness, physical activity levels, perceived competence and nutritional status of a child of fi ve years with meningocele and hydrocephalus. The motor intervention was implemented with the Mastery Motivational Climate in 16 weeks (32 lessons). Opportunities and varied motor station games of locomotor, manupulation and balance were off ered. To evaluate fi ne and gross motor skills, balance and physical fi tness were utilized Bruininks Ozeretzky Tests - Second Edition (BOT-2), Test of Gross Motor Development - Second Edition (TGMD-2); to assess the physical activity levels was used pedometer in 3 classes of interventional program in the pretest and posttest time ; body mass index was used to analyze the nutritional status, classifi ed as the curves of the Center of Disease Control (DCD); to assess the perceived competence was used Pictorial Scale of Perceived Competence and Acceptance. The results of this study, showing positive changes in gross and fi ne motor skills, physical activity levels, perceived motor competence and nutritional status of children. Motor intervention was eff ective in enhancing the development of a child with meningocele....(AU)