Department of Physical Therapy, Federal University of São Carlos, São Carlos, SP, Brazil.
Pediatric Rehabilitation Lab, The Ohio State University Wexner Medical Center, Colombus, Ohio, United States.
Res Dev Disabil. 2022 Oct;129:104317. doi: 10.1016/j.ridd.2022.104317. Epub 2022 Aug 11.
Exploratory behaviors are essential and may improve different skill development. Different risk factors may negatively impact neuromotor development, such as biological risk and environmental risk.
Assess and discriminate exploratory behaviors of infants at environmental or biological risk and infants at non-risk.
Sixty-four six-month-old infants were divided into three independent groups: Group 1 (G1), 28 healthy full-term infants; Group 2 (G2), 21 full-term infants of low socioeconomic status (SES); Group 3 (G3), 15 very preterm infants. Nine exploratory behaviors were assessed: fingering, mouthing, waving, tapping, banging, transferring, rotating, alternating, and squeezing.
For the malleable object, fingering (p = 0.005) and transferring (p = 0.046) behaviors were different between G2 and G3 whereas waving behavior (p = 0.041) differed between G1 and G3 and transferring (p = 0.003) between G1 and G2. For the rigid object, waving was different between G1 and G3 (p = 0.018) whereas transferring behavior differed between G2 and G3 (p = 0.019). Total number of behaviors was significantly different between G1 and G2 for malleable (p = 0.019) and rigid objects (p = 0.009). Intragroup analysis revealed differences between malleable and rigid objects for transferring (p = 0.013), squeezing (p < 0.0001), fingering (p < 0.0001), and banging (p = 0.013) behaviors in infants from G1. Fingering and squeezing (p < 0.0001) were different between malleable and rigid objects in G2 (p = 0.009 and p < 0.0001) and G3 (p = 0.004 and p < 0.0001).
Risk factors and object properties influence exploratory behaviors, mainly in low SES infants. Fingering and banging behaviors are favored by rigid objects, while squeezing is favored by malleable objects.
探索行为是至关重要的,它可以促进不同技能的发展。不同的风险因素可能会对神经运动发育产生负面影响,例如生物风险和环境风险。
评估和区分处于环境或生物风险中的婴儿与非风险婴儿的探索行为。
将 64 名 6 个月大的婴儿分为三组:第 1 组(G1),28 名健康的足月婴儿;第 2 组(G2),21 名社会经济地位较低的足月婴儿;第 3 组(G3),15 名非常早产儿。评估了 9 种探索行为:手指触摸、嘴巴吮吸、挥手、轻敲、敲打、转移、旋转、交替和挤压。
对于可塑物体,G2 组的手指触摸(p=0.005)和转移(p=0.046)行为与 G3 组不同,而 G1 组与 G3 组的挥手行为(p=0.041)以及 G1 组与 G2 组的转移行为(p=0.003)不同。对于刚性物体,G1 组与 G3 组的挥手行为(p=0.018)不同,G2 组与 G3 组的转移行为(p=0.019)不同。G1 组和 G2 组在可塑物体(p=0.019)和刚性物体(p=0.009)上的总行为数有显著差异。组内分析显示,G1 组在可塑物体和刚性物体上的转移(p=0.013)、挤压(p<0.0001)、手指触摸(p<0.0001)和敲打(p=0.013)行为存在差异。G2 组(p=0.009 和 p<0.0001)和 G3 组(p=0.004 和 p<0.0001)在可塑物体和刚性物体上的手指触摸和挤压行为存在差异。
风险因素和物体特性影响探索行为,主要影响社会经济地位较低的婴儿。手指触摸和敲打行为倾向于刚性物体,而挤压行为倾向于可塑物体。