THE BENEFITS OF EARLY STIMULATION ON THE MOTOR DEVELOPMENT OF A FIVE-MONTH-OLD CHILD UNDERGOING AORTIC COARCTATION SURGERY

• DOI: https://doi.org/10.22533/at.ed.159522251605

• Palavras-chave: Early stimulation, Motor development, Coarctation of the aorta.

• Keywords: Early stimulation, Motor development, Coarctation of the aorta.

• Abstract:

  Coarctation of the aorta is an acyanotic congenital anomaly defined by a narrowing of the aortic artery. People with congenital heart disease are more likely to develop motor delays. In addition, invasive procedures carried out in early childhood have a negative impact on children's cognitive and motor development. The aim of this scientific study was to demonstrate the benefits of early stimulation on the motor development of a five-month-old child who had undergone aortic coarctation surgery. The relevance of this research lies in the fact that congenital heart disease ranks first among congenital malformations, has a high morbidity and mortality rate, and coarctation of the aorta is the fifth most common heart disease, causing a series of cardiorespiratory disorders and impairments in neuropsychomotor development. This is a clinical case study, with a qualitative approach, of a Brazilian participant, from Ithaperun, an infant, aged five months, male. The interventions took place between March and August 2024, weekly, lasting 50 minutes each. Motor Kinesiotherapy Techniques, Sensorimotor Training, Manual Therapy, Surface and Deep Sensory Stimulation, Thoracic-Abdominal Rebalancing Techniques, Acceleration of Rapid and Slow Expiratory Flow and Slow and Prolonged Expiration were applied. The patient obtained
   
  significant therapeutic response to the treatment plan outlined, achieving important milestones in May 2024, such as free sedestation and transfer from dorsal to ventral decubitus (rolling); in June, he acquired the four-legged and bipedal postures, and the "rocking" and "pivoting" movements; in July, he began to crawl and in August, he reached functional kinetic milestones, such as transferring from the sedestation, side sitting, kneeling and bipedal postures, as well as free orthostatism sustained for 5 seconds, which brings his motor age into line with his chronological age. The results of this study showed that early stimulation, being a transdisciplinary clinical therapeutic intervention, proved to be a valuable tool for acquiring skills, adjusting developmental milestones and optimizing healthy motor performance.