Araujo Danielle Mendonça, Santos Denise Castilho Cabrera, Lima Maria Cecília Marconi Pinheiro
University of Campinas, R. Tessália Vieira de Camargo, 126, 13083-887, Campinas, SP, Brazil.
Human Movement Sciences Graduate Program, FACIS/Unimep, Av. Alexandre Cazelato, 61, House: 67, 13148-218, Paulínia, SP, Brazil.
Int J Pediatr Otorhinolaryngol. 2019 May;120:146-151. doi: 10.1016/j.ijporl.2019.02.028. Epub 2019 Feb 16.
To verify the home opportunities to the motor development offered to infants with and without risk indicators for hearing loss (RIHL).
Observational transversal study was done with infants between 8 and 10 months, being 77 with RIHL (Study Group-SG) and 77 without RIHL (Control Group-CG) The instrument used to characterize the sample and obtain information about the home affordances was the questionnaire Affordances in the Home Environment for the Motor Development - Infant Scale (AHEMD-IS). The results of the AHEMD-IS between the groups were compared using the Mann-Whitney and Chi-Squared tests. The significance test adopted for the study was 5%.
Absolute values in the frequency of homes considered "moderately adequate" and "less than adequate" were greater in the SG in the most part of the categories, except the item Toys for Fine Motricity. It was possible to observe a statistically significant difference in the Total Score of the groups (p-value = 0.01346). Even with better results when compared with the SG, the number of homes of the CG group with affordances below expected is more than half of the sample.
It was possible to verify that home of infants with risk indicators for hearing loss have statistically less affordances when compared to the homes of infants without the indicators. The results alert us to the need of orientation to the infant's responsible/caretakers regarding to the importance of a favorable environment with stimulation of the infant motor development.
验证为有和没有听力损失风险指标（RIHL）的婴儿提供的家庭促进运动发育的机会。
对8至10个月的婴儿进行了观察性横断面研究，其中77名有RIHL（研究组-SG），77名无RIHL（对照组-CG）。用于描述样本并获取有关家庭可供性信息的工具是《家庭环境中运动发育可供性-婴儿量表》（AHEMD-IS）问卷。使用曼-惠特尼检验和卡方检验比较两组之间AHEMD-IS的结果。该研究采用的显著性检验为5%。
在大多数类别中，SG组中被认为“中等充足”和“不足”的家庭频率绝对值更高，但精细运动玩具这一项除外。两组的总分存在统计学上的显著差异（p值=0.01346）。即使与SG组相比结果更好，CG组中可供性低于预期的家庭数量仍超过样本的一半。
可以验证，与没有这些指标的婴儿家庭相比，有听力损失风险指标的婴儿家庭在统计学上的可供性更少。这些结果提醒我们，需要就有利于婴儿运动发育的环境的重要性，向婴儿的监护人/照料者提供指导。
