Early intervention program by ICF model for babies of 4-18 months frequenting daycare center: protocol for clinical trial

Mélo, Tainá Ribas; Araujo, Luize Bueno de; Yamaguchi, Bruna; Ferreira, Manoela de Paula; Israel, Vera Lúcia

doi:10.1590/S1980-6574201900030019

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Original Article (short paper) • Motriz: rev. educ. fis. 25 (3) • 2019 • https://doi.org/10.1590/S1980-6574201900030019 copy

Early intervention program by ICF model for babies of 4-18 months frequenting daycare center: protocol for clinical trial

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction:

A daycare center is a long-term place for infants, which means that early intervention programs should be thought of in this environment. There are still many gaps regarding the best way of stimulation/intervention, duration and description of effects and controlled outcomes.

Aim:

The objective of this clinical trial is to propose an early physical activity intervention program performed in infants of 4-18 months with risk/delay and with typical development at infant’s daycare.

Method:

The protocol of this study is indicated for a controlled trial, in a crossover format, to be applied in 4 groups composed by in 4-18 month-old infants who attend daycare: Intervention group 1 Typical, Intervention group 1 Risk/delay, group Intervention 2 Typical, group Intervention 2 Risk/delay, in 4-18 month old infants who attend daycare. The ICF criteria about functions and structure (through evaluation questionnaire) are considered, as well as activities and participation (AIMS, Denver II, and PedsQl™ evaluation), personal characteristics (questionnaire, ABEP and AHEMD-IS) and environmental factors (AHEMD-IS).

Conclusion:

This original proposal can highlight a low-cost intervention program performed in a daycare environment verifying the infant's NMD in a systematized way using theoretical basis.

Keywords:
physical therapy specialty; early intervention; child day care centers

AXIS	Expected motor behavior		Time	1st WEEK		2nd WEEK		3rd WEEK		4th WEEK
	Age Group			Firm surface		Soft surface		≠ textures		Foam/inclined surface
	4m-11m29d	12m or +		4m-11m29d	12m or +	4m-11m29d	12m or +	4m-11m29d	12m or +	4m-11m29d	12m or +
Locomotor	1- Rolling 2- Crawling 3- Sitting	4 Kneeling 5- Walking with support 6- Walking without support	15-20 minutes	Warm-up (5 minutes): Give command of circuit activity and demonstrate; guide and speak to wait your turn.
Locomotor	1- Rolling 2- Crawling 3- Sitting		15-20 minutes	1- Rolling: Prone to supine on carpet (Firm surface) for object direction 2- Crawling: on Firm surface, inside the tunnel, box or sheet (MUSIC) 3- Sitting: on Firm surface	4- Kneeling: on carpet (Firm surface) (MUSIC) 5- Walking with support: on Firm surface and/or 6- Walking without support: on Firm surface	1- Rolling: Prone to supine + supine to prone (soft surface) for object direction 2- Crawling: on soft surface inside the tunnel, box or sheet (MUSIC) 3- Sitting: on soft surface	4- Kneeling: on carpet (soft surface) (MUSIC) 5- Walking with support: on soft surface and/or 6- Walking without support: on soft surface	1- Rolling: Prone to supine + supine to prone with ≠ textures for object direction 2- Crawling: on ≠ textures surface inside the tunnel, box or sheet (MUSIC) 3- Sitting: on ≠ textures surface	4- Kneeling: on carpet with ≠ textures (MUSIC) 5- Walking with support: on ≠ textures surface and/or 6- Walking without support: on ≠ textures surface	1- Rolling: Prone to supine + supine to prone on foam for object direction 2- Crawling: on inclined surface inside the tunnel, box or sheet (MUSIC) 3- Sitting: on inclined surface	4- Kneeling: on foam 5- Walking with support: on inclined surface and/or 6- Walking without support: on inclined surface
Stabilizer	7- Puppy 8- Sitting 9- 4 points	10- High kneeling 11-Stand 12- Squatting	15 -20 minutes	*Return to calm! Request concentration, talk to get organized in circles and wait your turn.* Dropping and lifting
Stabilizer	7- Puppy 8- Sitting 9- 4 points	10- High kneeling 11-Stand 12- Squatting		7- puppy 1 + A 8- Sitting + AB 9- 4 points + AB	10- High kneeling + AB 11-stand + AB 12- squatting + AB	7- puppy 2 + BC 8- Sitting + BC 9- 4 points + BC	10-High kneeling + BC 11-stand + BC 12- squatting + BC	7- puppy release one hand + DE 8- Sitting + DE 9- 4 points + DE	10- High kneeling + DE 11-stand + DE 12- squatting + DE	7- puppy release both hands alternately + F 8- Sitting + F 9- 4 points + F	10- High kneeling + F 11-stand + F 12- squatting + F
Manipulative/Cog. & Lang.	A- Catch up(balls; mirror; suction cup; object ahead) B- ManipulateC- Release (rings; cubes)	D-Play (balls, cubes) E- Push (car) F- Fit in (Lego, Objects in Box)		7- puppy 1 + A 8- Sitting + AB 9- 4 points + AB	10- High kneeling + AB 11-stand + AB 12- squatting + AB	7- puppy 2 + BC 8- Sitting + BC 9- 4 points + BC	10-High kneeling + BC 11-stand + BC 12- squatting + BC		10- High kneeling + DE 11-stand + DE 12- squatting + DE		10- High kneeling + F 11-stand + F 12- squatting + F
Score:
1		Do not do or reject; failed		2		Partial: makes some mistakes; facilitated and/or assisted		3		Do and correct; passed on

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E-mail: motriz.rc@unesp.br

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[1] Corresponding author Tainá Ribas Mélo, PT, Phd. Coração de Maria Street, number 92, Campus Jardim Botânico, Curitiba, Paraná, Brazil. Email: ribasmelo@gmail.com

"JOY ON MOVEMENT"	Names	AXIS	Functional Objective/Motor behavior	Activities
	Heats up Move yourself!	Locomotor	$\begin{array}{l} \begin{matrix} 1- Rolling \\ 2- Crawling \\ 3- Sitting \end{matrix}} 4-11m29d \\ \begin{matrix} 4- Kneeling \\ 5- Walking with support \\ 6- Walking without support \end{matrix}} 12m or + \end{array}$	Locomotor activities in circuit of global motricity, in which some activities of equilibrium (stabilizers) and manipulatives can be associated. Encourage the most complex motor behavior possible. Activities described in the intervention program/Activities program. Stimulation of motor coordination, beginning of body notion of body, equilibration.
	Lift-fall-lift Balance!	Stabilizer	$\begin{array}{l} \begin{matrix} 7- Puppy \\ 8- Sitting \\ 9- 4 points \end{matrix}} 4-11m29d \\ \begin{matrix} 10- High kneeling \\ 11- Stand \\ 12- Squatting \end{matrix}} 12m or + \end{array}$	Balancing activities: stable postures vs unstable postures and posture transfers, associated with manipulative activities (fine motor). Use surface variation as a form of graduation of the difficulty and progression of the exercises.
	Get to work!	Manipulative Cognitive and Language	$\begin{matrix} A - C a t c h u p \\ B - M a n i p u l a t e \\ C - R e l e a s e \\ D - P l a y \\ E - P u s h \\ F - F i t i n \end{matrix}} a l l$	Fine motor activities performed in association with Locomotor and balance (stabilizing) activities with a degree of difficulty and adequacy to age and the most withplex motor behavior possible. Use as a phase of return to calm, stimulate concentration and joint use of language.
The babies will be scored in each session, for follow-up according to the following score
Score:
1		Do not do or reject; failed
2		Partial: makes some mistakes; facilitated and/or assisted
3		Total: Do and correct; passed on