Habilidades do desenvolvimento em crianças com hipotireoidismo congênito: enfoque na comunicação

Abstract

Background: congenital hypothyroidism may cause alterations in the child's global development. Aim: to outline the development profile in children with congenital hypothyroidism, focusing on communication, and to verify the influence of clinical history on the outlined profile. Method: 35 children, with ages between 2 to 36 months, with congenital hypothyroidism detected by neonatal screening, and who were in treatment for at least one month using hormonal replacement were assessed using the Early Language Milestone Scale (ELM) and the Portage Operation Inventory (POI). The clinical history was obtained in an interview with the family and from the analysis of medical records. Results: in the ELM, eleven children presented a poor performance in the expressive auditory function, two in the visual function and one in the receptive auditory function. In the POI, seven children presented a poor performance in the language section, five in cognitive section, four in the motor and social sections and three in the self-care section. There was no correlation between the results obtained in the assessments and the clinical history. Conclusion: most of the children presented adequate performances in the evaluated skills. For the children with altered performance, larger deficits were observed in the language section, for the expressive aspects, and in the cognitive section. The influence of clinical history on the development profile was not confirmed. However, a tendency for an adequate performance was observed in those children who underwent neonatal screening, received an early diagnosis and treatment for the congenital hypothyroidism and who received higher doses of thyroxine at the beginning of treatment. The importance of a speechlanguage follow-up for communication development in this population is highlighted. Key Words: Congenital hypothyroidism; Child development; Language development; Evaluation. ResumoTema: o hipotireoidismo congênito pode acarretar alterações no desenvolvimento global infantil. Objetivo: traçar o perfil do desenvolvimento em crianças com hipotireoidismo congênito, enfocando a comunicação, e verificar influências da história clínica no perfil traçado. Método: foram avaliadas, por meio da Early Language Milestone Scale (ELM) e do Inventário Portage Operacionalizado (IPO), 35 crianças de 2 a 36 meses com hipotireoidismo congênito detectado na triagem neonatal, que realizavam tratamento com reposição hormonal há pelo menos um mês. A história clínica foi obtida por meio de entrevista com familiares e análise de prontuário. Resultados: na ELM, onze crianças apresentaram desempenho alterado na função auditiva expressiva, duas na visual e uma na auditiva receptiva. No IPO, sete crianças apresentaram desempenho alterado na área da linguagem, cinco na cognitiva, quatro nas áreas motora e social e três na de autocuidados. Não houve correlação entre os resultados e a história clínica. Conclusão: a maioria das crianças apresentou desempenho adequado para as habilidades avaliadas. Paras as crianças ...

The agreement between two screening tests for language evaluation in premature and low weight children

“…It was regarded as a failure or as altered, when the child did not perform a test completely at the left of the age line, in other words, above P90 and the sequence identified three more consecutive failures in the evaluated area. 20 It was also considered to analyze the percentage of failed or altered items according to the functions in isolation: expressive hearing, receptive hearing and visual.…”

Habilidade motora fina e linguagem expressiva em crianças com hipotireoidismo congênito

“…Given that the major alterations in children with CH are focused on several areas, but particularly in motor (7) and language skills (11)(12)(13) , the objectives of this study were to screen the global development of children with and without congenital hypothyroidism and to investigate the relationship between fine motor skills and expressive language skills in these two groups.…”

Alterações fonoaudiológicas em crianças com hipotireoidismo congênito: revisão crítica da literatura

“…The results showed from the three Speechlanguage Pathology fields investigated, language was the one with higher number of published papers [16][17][18][19][20][21][22][23][24][25][26] . This allows the arguing about this topic in CH children to be more clear and consistent, but do not exclude the importance of other communication aspects.…”

“…Some papers report proper development when CH children are compared to control children 16,21,25 . On the other hand, other studies point out phonologic deficits and …”

“…Besides, does not seem to have a relation between the paper publication period and obtained results, once the most recent ones had variability about the findings of CH children language development [22][23][24][25][26] .…”