RESUMEN
PURPOSE: To create a motor growth curve based on the Test of Basic Motor Skills for Children with Down Syndrome (BMS) and estimate the age of achieving BMS milestones. METHODS: A multilevel exponential model was applied to create a motor growth curve based on BMS data from 119 children with Down syndrome (DS) aged 2 months to 5 years. Logistic regression was applied to estimate the 50% probability of achieving BMS milestones. RESULTS: The BMS growth curve had the largest increase during infancy with smaller increases as children approached the predicted maximum score. The age at which children with DS have a 50% probability of achieving the milestone sitting was 22 months, for crawling 25 months, and for walking 38 months. CONCLUSIONS: The creation of a BMS growth curve provides a standardization of the gross motor development of children with DS. Physical therapists then may monitor a child's individual progress and improve clinical decisions.
Asunto(s)
Desarrollo Infantil/fisiología , Síndrome de Down/fisiopatología , Gráficos de Crecimiento , Trastornos de la Destreza Motora/fisiopatología , Destreza Motora/fisiología , Caminata/fisiología , Preescolar , Femenino , Humanos , Lactante , Masculino , Países BajosRESUMEN
The aim of this study was to examine the responsiveness of the Test of Basic Motor Skills for Children with Down Syndrome (BMS). Forty-one children with Down Syndrome, 3 to 36 months of age, participated in the study. Gross motor skills were assessed three times using the BMS and the Gross Motor Function Measure (GMFM) before and after a baseline period of 2 weeks (T1-T2) and after a period of 16 weeks (T2-T3). Internal and external responsiveness of the BMS was analyzed using Guyatt's Responsiveness Index (GRI) and 2 x 2 repeated measures. Change in BMS scores was compared to change in GMFM scores and parent and physiotherapist ratings of change. The responsiveness of the BMS was large (GRI = 2.55). A significant Time x Age interaction [F(1,37) = 8.87, p < .01] indicated that BMS scores increased more for children Asunto(s)
Evaluación de la Discapacidad
, Niños con Discapacidad/rehabilitación
, Síndrome de Down/fisiopatología
, Síndrome de Down/rehabilitación
, Trastornos de la Destreza Motora/fisiopatología
, Trastornos de la Destreza Motora/rehabilitación
, Análisis de Varianza
, Preescolar
, Femenino
, Humanos
, Lactante
, Masculino
, Destreza Motora/fisiología
, Encuestas y Cuestionarios
, Resultado del Tratamiento