Universidade Federal do Rio Grande do Sul, UFRGS, Department of Physical Education, Physiotherapy and Dance, Porto Alegre, Rio Grande do Sul, Brazil.
Universidade Federal do Rio Grande do Sul, UFRGS, Department of Physical Education, Physiotherapy and Dance, Porto Alegre, Rio Grande do Sul, Brazil.
Early Hum Dev. 2020 Dec;151:105223. doi: 10.1016/j.earlhumdev.2020.105223. Epub 2020 Oct 10.
Appropriate opportunities within the context are crucial to affect the motor trajectory positively.
To investigate the effectiveness of professional-parental/caregivers' early motor-cognitive intervention on infants' motor development in Daycare (DC), Home Care (HC), and Foster Care (FC). Secondary objectives were to examine if parents and caregivers modified the context to meet the infants' needs and if making modifications was positively associated with infants' development.
Participants were 176 infants (DC = 48; HC = 58, FC = 70). Infants' were randomly assigned to intervention (IG) or comparison (CG) groups within each context. The Alberta Infant Motor Scale and Affordances in the Daycare and Home Environment for Motor Development were used. A cognitive-motor intervention was provided for infants in the intervention groups; and, a home-based support protocol for all caregivers and parents.
IGs showed higher motor scores at post-test than CGs (p values from 0.018 to 0.026) and positive changes were observed from the pre-to-post intervention for all IGs (p ≤ .0001), and for two CGs (DC p ≤ .0001; HC p = .028). Maternal daily care and home opportunities improved for all infants.
Parents/caregivers' protocol combined with the cognitive-motor intervention lead to better motor outcomes and changes in the context for the IGs. Only the parent/caregivers' protocol was not strong to improve CGs motor outcomes, although changes in context were found. Intensive intervention is need for infants living in vulnerability.
在适当的环境中提供机会对于积极影响运动轨迹至关重要。
调查专业父母/照顾者对婴儿在日托（DC）、家庭护理（HC）和寄养（FC）中运动发展的早期运动认知干预的有效性。次要目标是检查父母和照顾者是否根据婴儿的需求调整了环境，以及进行调整是否与婴儿的发展呈正相关。
参与者为 176 名婴儿（DC=48；HC=58，FC=70）。在每个环境中，婴儿随机分配到干预组（IG）或对照组（CG）。使用阿尔伯塔婴儿运动量表和日托及家庭环境中的运动发展机会。干预组的婴儿接受认知运动干预，所有照顾者和父母都接受家庭支持方案。
与对照组相比，干预组的婴儿在测试后表现出更高的运动得分（p 值从 0.018 到 0.026），并且所有干预组的婴儿（p≤0.0001）和两个对照组（DC p≤0.0001；HC p=0.028）在干预前后都观察到了积极的变化。所有婴儿的日常护理和家庭机会都得到了改善。
父母/照顾者的方案结合认知运动干预为干预组带来了更好的运动结果和环境变化。只有父母/照顾者的方案不足以提高对照组的运动结果，尽管环境变化是存在的。对于生活在脆弱环境中的婴儿，需要进行强化干预。
