Silva Fernanda P S, Rocha Nelci A C F, Tudella Eloísa
Departamento de Fisioterapia, Universidade Federal de São Carlos, São Carlos, SP, Brasil.
Rev Bras Fisioter. 2011 Jan-Feb;15(1):37-44.
It has been found that objects influence the adjustments to reaching of breastfeeding infants, however, it has not been investigated whether these adjustments change in older infants.
The aim of this study was to determine whether the size and rigidity of objects influence the proximal and distal adjustments to reaching of infants of 6, 7, 8 and 36 months of age.
Nine healthy infants were presented with: one large rigid, one small rigid, one large malleable and one small malleable object. The movements were videotaped and later analyzed qualitatively with regard to proximal (unimanual and bimanual reaching) and distal adjustments (horizontal, vertical and oblique hand orientation, opened, half-open and closed hand) and with regard to grasping of these objects (with and without). Friedman test and Dunn multiple comparisons were applied and 0.05 was considered as a significant difference.
Infants of 36 months of age performed more unimanual reaching than younger infants. Additionally, at all ages, unimanual reaching was particularly performed for small objects. At 36 months of age infants guided the hand horizontally to touch and grasp the objects, while at 6 and 7 months the hand orientation was oblique to touch and vertical to grasp the objects, regardless of the object's properties. Over the months, both at the beginning and at the end of reaching, the hands became more open, especially to touch the large rigid object, and infants increasingly performed reaching with successful grasping, especially for malleable or small objects.
From 6 to 36 months of age, the reaching became more refined and the infants adjusted to the different properties of the objects which were observed through changes in the proximal and distal adjustments.
研究发现物体对母乳喂养婴儿伸手够物的动作调整有影响,然而,尚未研究这些调整在年龄较大的婴儿中是否会发生变化。
本研究旨在确定物体的大小和硬度是否会影响6、7、8和36月龄婴儿伸手够物时的近端和远端调整。
向9名健康婴儿分别呈现一个大的硬物体、一个小的硬物体、一个大的可塑物体和一个小的可塑物体。对这些动作进行录像,随后从近端(单手和双手够物)和远端调整(水平、垂直和倾斜的手部方向,手张开、半张开和闭合)以及对这些物体的抓握情况(有或无)进行定性分析。应用弗里德曼检验和邓恩多重比较,以0.05作为显著差异标准。
36月龄婴儿比年幼婴儿更多地进行单手够物。此外,在所有年龄段,单手够物尤其针对小物体。36月龄婴儿水平引导手去触摸和抓握物体,而6和7月龄时,无论物体属性如何,手部方向是倾斜触摸、垂直抓握物体。几个月来,在够物开始和结束时,手都变得更张开,尤其是触摸大的硬物体时,并且婴儿越来越多地成功抓握够物,尤其是针对可塑或小物体。
从6到36月龄,够物动作变得更加精细,婴儿通过近端和远端调整的变化来适应不同属性的物体。