Dissertação
Perfil sensorial e sua correlação com prematuridade, risco psíquico, domínio de marcos motores e linguísticos por bebês aos 12 meses
Fecha
2017-07-17Autor
Beltrame, Vitoria Hoerbe
Institución
Resumen
The purpose of this study was to analyze the correlation between the baby's sensory
profile, gestational age, psychicological risk, motor and linguistic domain. The sample
consisted of 40 babies, of whom, 20 babies were born preterm and 20 were born term. In
each group of 20 infants, 10 infants presented psychicological risk and 10 presented no
risk, as identified in the PREAUT Signs. Sensory data were collected through
instruments such as the Sensory Functions in Infants (TSFI) and the Sensory Profile of
the Infant and Toddler (Sensory Profile) to identify the sensory processing and
modulation of the child. The Clinical Indicators of Risk / Reference to Infant Development
(IRDI), the PREAUT Signals and the Denver II Test were used for the detection of
psychicological risk and the neuropsychomotor performance of the subjects. We also
used data from an interview that investigated obstetric, sociodemographic and
socioeconomic aspects, as well as the interview with the parents about the babies' daily
lives and the clinical observations of the evaluator. Quantitative data were analyzed
using the Mann-Whitney U-Test and Spearmann's Correlation Test. Regarding the
results, for the group of term infants, a statistical significance of the visual processing of
the sensory profile protocol was observed with the PREAUT signs (r = 0.45, p = 0.044)
identified at nine months and with IRDI (r = 0.063, p = 0.002), showing that babies at
psychicogical risk had worse visual processing. There was also a significant correlation
between the TSFI total result and the IRDI (r = 0.34, p = 0.132), and the weight and
auditory processing variable in the sensory profile test (p = 0.019). Thus, babies with
lower weight presented worse auditory processing. In the group of preterm infants, there
was also a worse performance in the auditory (r = 0.57, p = 0.008) and visual (r = 0.65;
p0.003) processing in the Sensory Profile and oculomotor control in the TSFI (r = 0, 68, p
= 0.0009), in a situation of psychicological risk, both in the IRDI protocol and in the
PREAUT Signals. The auditory processing was more altered in the situations of
premature infants admitted to a neonatal ICU (p = 0.038). It should be emphasized that
there was no significant correlation between the babies' sensory performance and the
motor and language data obtained through the Denver II test, since this test was less
sensitive to the children's developmental changes. Conserning this, we consider the
need to think of a sensorial dimension in the analysis of early development, based on the
singularity of the baby, that helps the parents in the qualification of the interactions and
daily activities of the child identified with risk in the first year of life. The research
concluded that sensory evaluations are important in child development assessment,
especially considering risk factors such as prematurity and psychicological risk, as well
as environmental factors. In addition, the results evidenced the clinical relevance of
Sensory Integration Studies.