Performance of gross motor function in children aged 1 to 3 years with Trisomy 21: case series

Abstract

Goal: Identify and monitor the performance of gross motor function in children aged 1 to 3 years with Trisomy 21. Methods: It’s a descriptive and exploratory longitudinal study of case series type. 8 children with trisomy 21 participated, with the average age of 27,1 months (±13,46). The evaluation took place in two moments with an interval of 4 months. The scaled used was the Gross Motor Function Measure (GMFM-66), divided among five dimensions (A - lying and rolling; B - sitting; C - crawling and kneeling; D - standing; E - walking, running and jumping), scoring from 0 to 3 (does not initiate task, initiates task, partially completes task, completes task) and NT (not tested). Results: children A, C, G and H showed higher percentages in all GMFM-66 dimensions. Child F was the one who evolved the most, while child B only evolved in dimension C (crawling and kneeling). Children D and E showed less progress in the assessments. Conclusion: the gross motor function performance was lower when performing skills in the standing position, walking, running and jumping. The most complex motor skills performed by them were standing with support on both hands, walking ten steps forward, jumping, going up and down and steps alternating feet.