scholarly journals Comparison of chronological and corrected ages in the gross motor assessment of low-risk preterm infants during the first year of life

2006 ◽  
Vol 64 (2b) ◽  
pp. 418-425 ◽  
Author(s):  
Ana Paula Restiffe ◽  
José Luiz Dias Gherpelli

OBJECTIVE: To evaluate the need of chronological age correction according to the degree of prematurity, when assessing gross motor development in preterm infants, during the first year of life. METHOD: Cohort, observational and prospective study. Alberta Infant Motor Scale (AIMS) was used to evaluate 43 preterm infants with low risk for motor neurological sequelae, during the first year of corrected age. Mean scores were analyzed according to chronological and corrected ages. Children with motor neurological sequelae were excluded during follow-up. RESULTS: Gross motor mean scores in preterm infants tended to be higher when corrected age was used compared with those obtained when using chronological age, during the first twelve months. At thirteen months of corrected age, an overlapping of confidence intervals between corrected and chronological ages was observed, suggesting that from that period onwards correction for the degree of prematurity is no longer necessary. CONCLUSION: Corrected age should be used for gross motor assessment in preterm infants during the first year of life.

2012 ◽  
Vol 22 (5) ◽  
pp. 574-582 ◽  
Author(s):  
Suzanne H. Long ◽  
Susan R. Harris ◽  
Beverley J. Eldridge ◽  
Mary P. Galea

AbstractObjectiveTo describe the gross motor development of infants who had undergone cardiac surgery in the neonatal or early infant period.MethodsGross motor performance was assessed when infants were 4, 8, 12, and 16 months of age with the Alberta Infant Motor Scale. This scale is a discriminative gross motor outcome measure that may be used to assess infants from birth to independent walking. Infants were videotaped during the assessment and were later evaluated by a senior paediatric physiotherapist who was blinded to each infant's medical history, including previous clinical assessments. Demographic, diagnostic, surgical, critical care, and medical variables were considered with respect to gross motor outcomes.ResultsA total of 50 infants who underwent elective or emergency cardiac surgery at less than or up to 8 weeks of age, between July 2006 and January 2008, were recruited to this study and were assessed at 4 months of age. Approximately, 92%, 84%, and 94% of study participants returned for assessment at 8, 12, and 16 months of age, respectively. Study participants had delayed gross motor development across all study time points; 62% of study participants did not have typical gross motor development during the first year of life. Hospital length of stay was associated with gross motor outcome across infancy.ConclusionActive gross motor surveillance of all infants undergoing early cardiac surgery is recommended. Further studies of larger congenital heart disease samples are required, as are longitudinal studies that determine the significance of these findings at school age and beyond.


2018 ◽  
Vol 190 (13) ◽  
pp. 2041-2049 ◽  
Author(s):  
Sunanta Prommin ◽  
Surussawadi Bennett ◽  
Orawan Keeratisiroj ◽  
Wantana Siritaratiwat

2012 ◽  
Vol 70 (8) ◽  
pp. 593-598 ◽  
Author(s):  
Ana P. Restiffe ◽  
José Luiz D. Gherpelli

OBJECTIVE: To compare gross motor development of preterm infants (PT) without cerebral palsy with healthy full-term (FT) infants, according to Alberta Infant Motor Scale (AIMS); to compare the age of walking between PT and FT; and whether the age of walking in PT is affected by neonatal variables. METHODS: Prospective study compared monthly 101 PT and 52 FT, from the first visit, until all AIMS items had been observed. Results: Mean scores were similarity in their progression, except from the eighth to tenth months. FT infants were faster in walking attainment than PT. Birth weight and length and duration of neonatal nursery stay were related to walking delay. CONCLUSION: Gross motor development between PT and FT were similar, except from the eighth to tenth months of age. PT walked later than FT infants and predictive variables were birth weight and length, and duration of neonatal intensive unit stay.


1983 ◽  
Vol 4 (3) ◽  
pp. 297-304 ◽  
Author(s):  
M. L. Zuccarino ◽  
M. A. Pezzani ◽  
R. Bono ◽  
M. Pezzani ◽  
N. Ricci ◽  
...  

2017 ◽  
Vol 97 (3) ◽  
pp. 365-373 ◽  
Author(s):  
Yu-Han Su ◽  
Suh-Fang Jeng ◽  
Wu-Shiun Hsieh ◽  
Yu-Kang Tu ◽  
Yen-Tzu Wu ◽  
...  

2006 ◽  
Vol 149 (5) ◽  
pp. 617-622 ◽  
Author(s):  
I.C. van Haastert ◽  
L.S. de Vries ◽  
P.J.M. Helders ◽  
M.J. Jongmans

2018 ◽  
Vol 40 (8) ◽  
pp. 627-633 ◽  
Author(s):  
Saori Miyagishima ◽  
Tadayoshi Asaka ◽  
Kaori Kamatsuka ◽  
Naoki Kozuka ◽  
Masaki Kobayashi ◽  
...  

Author(s):  
A. Samir ◽  
N. Nasef ◽  
K. Fathy ◽  
A-H. El-Gilany ◽  
S. Yahia

BACKGROUND: A significant proportion of preterm infants experience developmental delay despite receiving a post discharge early interventional care. Cerebrolysin is a peptide mixture which acts similar to endogenous neurotrophic factors through promoting neurogenesis and enhancing neuronal plasticity. OBJECTIVE: To compare the effect of Cerebrolysin plus routine intervention program versus routine intervention program alone on the outcome of preterm infants at high risk for neurodevelopmental delay. METHODS: In a randomized controlled trial, high-risk preterm infants <  32 weeks’ gestation who have abnormal neurological assessment at two months corrected post-natal age were randomized at 6 months corrected post natal age to receive either early intervention program or early intervention program plus Cerebrolysin injection of 0.1 mL/kg body weight every week for 3 months as an adjuvant therapy. The primary outcome was the rate of failure of the gross motor assessment at 12 months of corrected age and secondary outcomes included fine motor, language, and personal social development at 12 months corrected post-natal age as assessed by Denver Developmental Screening Test II. RESULTS: Cerebrolysin group had a significant lower number of infants diagnosed with failed gross motor development compared to infants in the routine intervention group [10 (33%) versus 21 (70%), p = 0.009]. Cerebrolysin group had a significant lower number of infants diagnosed with failed fine motor, language and personal social development compared to infants in the routine intervention group. CONCLUSION: Cerebrolysin, as an adjuvant therapy to routine early interventional care, may improve gross motor development of high-risk preterm infants at 12 months corrected post-natal age.


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