Lobo M A, Galloway J C, Heathcock J C
Physical Therapy Department, University of Delaware, 540 South College Ave., Newark, DE 19713, USA.
Physical Therapy Department, University of Delaware, 540 South College Ave., Newark, DE 19713, USA; Psychology Department, University of Delaware, 540 South College Ave., Newark, DE 19713, USA.
J Hand Ther. 2015 Apr-Jun;28(2):114-24; quiz 125. doi: 10.1016/j.jht.2014.12.003. Epub 2014 Dec 13.
This article aims to: 1) highlight general exploration, reaching, and object exploration behaviors as key activities of daily living in infancy, 2) describe how knowledge of early warning signs for these behaviors may improve early assessment, and 3) discuss interventions that may advance performance of these behaviors. Early intervention should focus on improving performance of these behaviors because: a) these early, interrelated upper extremity behaviors serve an integral role in global learning and development in infancy, b) among at-risk populations, differences have been observed in the quantity and quality of performance of these behaviors and, in many cases, these differences are associated with related perceptual-motor and cognitive delays. This article highlights how early assessment and intervention can target these key early behaviors in populations at risk for upper extremity disabilities, such as those born preterm, with Down syndrome, brachial plexus palsy, or arthrogryposis multiplex congentia.
1)强调一般探索、够物和物体探索行为是婴儿期日常生活的关键活动;2)描述了解这些行为的预警信号如何改善早期评估;3)讨论可能促进这些行为表现的干预措施。早期干预应侧重于改善这些行为的表现,原因如下:a)这些早期的、相互关联的上肢行为在婴儿期的整体学习和发育中起着不可或缺的作用;b)在高危人群中,已观察到这些行为表现的数量和质量存在差异,并且在许多情况下,这些差异与相关的感知运动和认知延迟有关。本文强调了早期评估和干预如何针对有上肢残疾风险的人群中的这些关键早期行为,例如早产、患有唐氏综合征、臂丛神经麻痹或先天性多发性关节挛缩症的婴儿。