Effect of Developmental Stimulation on the Fine Motor Development Age of Toddlers with Celiac Disease

Document Type: Original Quantitative and Qualitative Research Paper

Authors

1 Assistant Professor of Pediatric Gastroenterology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Evidence Based Care Research Centre, Instructor of pediatric Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

3 MS in Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

4 Associate Professor of Pediatric Neurology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

5 Evidence Based Care Research Centre, Instructor of Medical-Surgical Nursing, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran

6 Professional Doctorate candidate in veterinary, school of Veterinary, Ferdowsi University, Mashhad, Iran

Abstract

Background: Toddlers with celiac disease are at risk of developmental delay due to frequent hospitalization and food deprivation. But an appropriate program to improve development of these children does not exist.
Aim: Determination of the effect of a developmental stimulation program on development of toddlers’ fine motor skills.
Methods: This clinical trial conducted on 50 eligible 1-3 year-olds, who were randomly divided into intervention and control groups (n=25 each). The intervention group received development stimulation based on developmental age, and the toddlers’ position on the map was designed based on West Virginia guideline. The intervention group received three sessions of stimulation each week for two hours (20 minutes direct and 90 minutes indirect stimulation). Bayley Scale of Infant and Toddler Development was completed immediately after the intervention. The gathered data were analyzed performing independent t-test, Mann-Whitney and repeated measures ANOVA tests, using SPSS.
Results: The mean age of the intervention and control groups were 20.4±4.6 and 20.9±4.2 months (P=0.69). Before the intervention, the mean age of fine motor development in the intervention and control groups were 18.2±5.7 and 19.7±6.1, respectively (P=0.433). Two months after the intervention, the mean age of fine motor development in the intervention group (24.6±5.7)  was significantly higher than the control group (20.8±6)  (P<0.041).
Conclusion: Developmental stimulation program can promote fine motor skills of toddlers at risk of developmental delay with celiac disease.

Keywords

Main Subjects


References

  1. Growth and Development Children(from birth to 3 years) [Internet]. cited2014 Nov20. (perrsian)
  2. Mouraa DRD, Costa JC, Santos IS, Barros AJD, Matijasevich A, Halpern R, et al. Risk Factors for Suspected Developmental Delay at Age 2 Years in a Brazilian Birth Cohort. J Paediatric and Perinatal Epidemiology. 2010;24(3):211-21.
  3. Rezaeian A. Pediatric nursing textbook. Mashhad: Institute of Mashhad University Publications print; 2012.(persian)
  4. BNahar, M Hossain, Hamadani J, Ahmad T. Effects of Food Supplementation and Psychosocial Stimulation on Growth and Development of Severely Malnourished Children. (Thesis Medicine),Uppsala University;2012.
  5. Longobardia E, Spatarob P, Rossi-Arnaudb C. The Relationship Between Motor Development, Gestures and Language Production in the Second Year of Life: A Mediational Analysis. J Infant Behavior & Development. 2014;37(1):1-4.
  6. Warsito O, Khomsan A, Hernawati N, Anwar F. Relationship Between Nutritional Status, Psychosocial Stimulation, and Cognitive Development in Preschool Children in Indonesia. J Nutrition Research and Practice. 2012;6(5):451-7.
  7. Arizona, s infant and toddler developmental guidline.2007;[60 screans]. Available at:URL: http//www.azftf.gov. Accessed 2014 sep 15.
  8. Piek J, Barrett N, Smith L, Rigoli D, Gasson N. Do Motor Skills in Infancy and Early Childhood Predict Anxious and Depressive Symptomatology at School Age? J Human Movement Science. 2010;29(5):777-86.
  9. Sidhu M, Malhi P, Jerath J. Multiple Risks and Early Language Development. Indian Journal Pediatr. 2010;77(4):391-5.
  10. Bushara K.O.Neurologic Presentation of Celiac Disease. J Gastiroenterology 2005; 128:92-7.
  11. Walker S, Wachs T, Gardner J, Lozoff B, Wasserman G, Pollitt E, et al. Child Development: Risk Factors for Adverse Outcomes in Developing Countries. Lancet. 2007;369(9556):145-57.
  12. Pinquart M, Shen Y. Behavior Problems in Children and Adolescents With Chronic Physical Illness: A Meta-Analysis. Journal of  Pediatric Psychology. 2011;36(9):1003-16.
  13. Alonso EM. Growth and Developmental Considerations in Pediatric Liver Transplantation. J Liver transplantion. 2008;14(5):585-91.
  14. Thevenin DM, Baker A, Kato T, Tzakis A, Fernandez M, Dowling M. Neuodevelopmental Outcomes for Children Transplanted Under the Age of 3 Years. J Transplantation Proceedings. 2006;38(6):1692-3.
  15. .Waisbren S, White DA. Screening for Cognitive and Social-Emotional Problems in Individuals With PKU:Tools for Use in the Metabolic Clinic. J Molecular Genetics and Metabolism. Mol Genet Metab. 2010;99:596-9.
  16. Amimi-Ranjbar S, Rezapour A, Nakhaee N. Screening for Celiac Disease in Growth Retarded Children with or without Chronic Diarrhea:a Study on Children in Kerman/Iran. J Kerman University of Medical Sciences. 2013;20(2):109-14. (perrsian)
  17. Issenman B, Persad R. Looking for Celiac Dsease in all Wrong Places. The Canadian Journal of CME. 2002:49-57.
  18. Percy M, Propst E. Celiac Disease: Its Many Faces and Relevance to Developmenta Disabilities. J Developmental Disabilities. 2008;14(2): 105-10.
  19. Cataldo F, Montalto G. Celiac Disease in the Developing Countries: a New and Challenging Public Health Problem. World Journal of Gastroenterology. 2007;15(13):2153-9.
  20. Nejad MR, Rostami K, Emami M, Zali M, Malekzadeh R. Epidemiology of Celiac Disease in Iran: A Review. J Middle East Journal of Digestive Diseases. 2011;3(1):5-12.
  21. Ford RP. The Gluten Syndrome: A Neurological Disease. Journal Med Hypotheses. 2009;73(3):438-40.
  22. Zelnik N, Pacht A, Obeid R, Lerner A. Range of Neurologic Disorders in Patients with Celiac Disease. J Pediatrics. 2004;113(6):1672-6.
  23. Lundberg A, O.Eriksson B, Jansson G. Muscle Abnormalities in Coeliac Disease: Studies on Gross Motor Development and Muscle Fibre Composition, Size and Metabolic Substrates. European Journal of Pediatric. 1979 ;103(2):93-130.
  24. Vaknin A, Eliakim R, Ackerman Z, Steiner I. Neurological Abnormalities Associated with Celiac Disease. J Neurol. 2004;251(11):1393-7.
  25. Chauhan JC, Kumar P, Dutta AK, Basu S, Kumar A. Assessment of Dietary Compliance to Gluten Free Diet and Psychosocial Problems in Indian Children with Celiac Disease. Indian J Pediatr.  2010;77(6):649-54.
  26. de Almeida Thomazinho P, de Miranda Chaves CR, Pássaro CP, Meio MD. Motor Delay in Cystic Fibrosis Infants: An Observational Study. J Early Human Development. 2011;87(12):769-73.
  27. Kimura-ohba S, Sawada A, Shiotani Y, Matsuzawa S, Awaya T, Ikeda H, et al. Vriations in Early Gross Motor Milestones and in the Age of Walking in Japanese Children. Pediatrics international: official journal of the Japan Pediatric Society. 2011;53(6):950-5.
  28. Wu W, Sheng D, Shao J, Zhao Z. Mental and Motor Development and Psychosocial Adjustment of  Chinese Children with Phenylketonuria. J Paediatrics and Child Health. 2011;47(7):441-7.
  29. Engle P, Fernald L, Alderman H, Behrman J, O’Gara C, Yousafzai A, et al. Strategies for Reducing Inequalities and Improving Developmental Outcomes for Young Children in Low-Income and Middle-Income Countries. Lancet.  2011;378:1339-53.
  30. Maulik PK, Darmstadt GL. Community-Based Interventions to Optimize Early Childhood Development in Low Resource Settings. J Perinatol. 2009;29(8):531-42.
  31. Grob W, Linden U, Ostermann T. Effects of Music Therapy in the Treatment of Children with Delayed Speech Development Results of a Pilot Study. J BMC Complementary and Alternative Medicine. 2010;10:39.
  32. Eickmann S, Lima A, Guerra M, Lima M, Lira P, Huttly S, et al. Improved Cognitive and Motor Development in a Community-Based Intervention of Psychosocial Stimulation in Northeast Brazil. J Developmental Medicine & Child Neurology. 2003;45(8):536-41.
  33. Rezaeian A, Jalali AN, Mazlom S. An Investigation of the Effect of Implementation of Evidence-Based Care Package on the Gross Motor Development of the Foster Care Infants. J evidence-based care. 2013;3(3):69-80.(perrsian)
  34. Albers EM, Riksen-Walraven JM, Weerth C. Developmental Stimulation in Child Care Centers Contributes to Young Infants’ Cognitive Development. Infant Behavior & Development.  2010;33(4):401-8.
  35. West Virginia infant/ toddler early learning standards framework .2005;[150 screans]. Available at: URL: www.wvchildcare.org. Accessed 2014 may 15.
  36. Berk L. child development. Boston: Pearson Education; 2006.
  37. Yousafzai AK, Rasheed MA, Rizvi A, Armstrong R, Bhutta ZqA. Eff ect of Integrated Responsive Stimulation and Nutrition Interventions in the Lady Health Worker Programme in Pakistan on Child Development, Growth, and Health Outcomes: a Cluster-Randomised Factorial Effectiveness Trial. Lancet. 2014;384:1282-93
  38. Bayley N. Bayley scales of infant and toddler development. San Antonio, Tex: Harcourt Assessment;2006.
  39. Soleimani F, Azari N, Mojembari AK, R V, Shahshahanipour S, Sajedi F. Developing of the Persian Version of Bayley Scales of Infant and Toddlers Development Screening Test and Determine its Validity and Reliability. Special Issue Pediatric Neurorehabilitation. 2014;14(6):18-29.(persian)
  40. Farsi A, Abdoli B, Kavyani M, Kavyani A. Influence of Perceptual Experience - Gross and Fine Motor Movements and Motor Development of Infants 8-5 months of Use. Motor Learning and Movement - Sports. 2010;5:71-84. (Persian)