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- W973350564 abstract "INTRODUCTION: The walker is an equipment frequently used during the period before the acquisition of independent gait in typically developing children. Some parents utilize this equipment because they believe that it helps their children to walk independently. There are studies, however, that warn against the use of baby walkers, as the authors argue that they may be responsible for delaying the acquisition of locomotor milestones in children. AIM: To critically review the literature to respond the following question ?what is the effect of the use of baby walker on the motor development of typically developing children?? (Critically appraised topic ? CAT).METHODS: Four databases, Medline, Lilacs, COCHRANE and SCIELO, were searched in November-2006 using the key words: baby-walkers OR walkers AND motor development AND infants.RESULTS: 20 articles were found in Medline, 1 unpublished study at the COCHRANE, 3 in Lilacs and none in SCIELO. Of these, 4 contained in the title and the abstract aspects that concerned motor development using baby walkers and were possible to be located by the portal CAPES. In addition, a search of the reference list of these articles was conducted and, at the end, 6 articles were reviewed in this CAT. All the studies argued against the use of baby walkers during the motor development period, because this equipment can delay or alter the achievement of locomotor milestones. Almost all the studies referred to a very premature use of walkers (i.e. between 4 and 5 months of age) and none controlled for walker exposure. Additionally, almost all studies had a cross-sectional study design, which cannot inform us about future motor development, but can respond the question of at what age the child acquired some motor milestones. The studies that had a longitudinal component, only studied the children up to the onset of independent walking, and not after that. The studies, overall, show poor methodological quality, the number of participants seemed to be small and only one study presented sample size calculation, there was no information regarding the validity and reliability of almost all the instruments used to measure the outcomes, and the intervention (i.e. use of baby walker) was not controlled and systematized (i.e. parents reports).CONCLUSION: There are no definite conclusions about the real effect of the use of baby walkers on the motor development in typically developing children. All studies reviewed had methodological failures, encouraging new studies in this area." @default.
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- W973350564 date "2007-08-09" @default.
- W973350564 modified "2023-09-24" @default.
- W973350564 title "WHAT IS THE EFFECT OF THE USE OF BABY WALKER ON MOTOR DEVELOPMENT OF TYPICALLY DEVELOPING CHILDREN" @default.
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