A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life

Spittle, Alicia J; Doyle, Lex W.; Boyd, Roslyn N.

doi:10.1111/j.1469-8749.2008.02025.x

Cited by 285 publications

(316 citation statements)

References 66 publications

(46 reference statements)

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“…The TIMP has been described as one of the best tools to discriminate between age-appropriate and delayed motor performance in preterm and term infants, and to predict later motor development. 18,19 It was developed to assess functional motor performance in infants between 34 weeks' PMA and 17 weeks' postterm CA. The test can also be used to evaluate the effect of interventions, but the minimum clinically important difference for the TIMP has not yet been identified.…”

Section: Assessment Instrumentsmentioning

confidence: 99%

“…We used assessment tools rigorously evaluated and found to be valid and reliable, 20,24,33 which systematic reviews have shown to be the most accepted. 18,19 Weaknesses of the study were lack of blinding of the staff in the NICU and for some of the assessments at 37 weeks' PMA. These potential biases were minimized because the staff dealing with the infants was not directly involved in the intervention, and the therapist who scored the assessments from the video recordings was unaware of the group assignment.…”

Section: Figurementioning

confidence: 99%

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Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

et al. 2016

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OBJECTIVE: To investigate the short-term effect of parent-administered physical therapy in the preterm period on motor performance in medically stable infants. METHODS:This study was a pragmatic, multicenter, randomized controlled trial including 153 infants born at gestational age ≤32 weeks and randomized to an intervention (n = 74) or a control (n = 79) group. The intervention promoted postural control, head control, and midline orientation. Parents, supervised by a physical therapist, conducted the intervention 10 minutes twice a day for 3 weeks from 34 to 36 weeks' postmenstrual age (PMA). The control group received usual care. The Test of Infant Motor Performance Screening Items was used at baseline and the Test of Infant Motor Performance postintervention (week 37 PMA). Linear mixed models were used to assess change in motor performance between groups from 34 to 37 weeks' PMA by using z scores. Effect size was measured by using Cohen's d. RESULTS:The mean baseline z score was 0.06 (95% confidence interval, -0.48 to 0.60). After the intervention, there was a significant group difference, indicating a change in motor performance from week 34 to 37 PMA favoring the intervention group. The estimated difference in z scores was 0.42 (95% confidence interval, 0.13 to 0.72; P = .005), and the effect size was 0.40.CONCLUSIONS: Parent-administered physical therapy conducted before term-equivalent age improved motor performance at 37 weeks' PMA more than conventional care. All infants will be followed up until 2 years' corrected age to evaluate the long-term effects of this brief intervention. Mrs Ustad participated in planning the study, baseline and postintervention assessments, statistical analyses, and drafting of the manuscript; Dr Evensen was involved in supervision of statistical analyses and preparation of the manuscript; Drs Campbell and Girolami participated in planning the study, in preparation of the manuscript, and in proofreading; Dr Helbostad supervised the statistical analyses and preparation of the manuscript; Drs Kaaresen and Jørgensen participated in planning the study and in preparation of the manuscript; and Dr Øberg was responsible for design and planning the study and participated in postintervention assessments from video recordings, statistical analyses, and preparation of the manuscript. All authors approved the fi nal manuscript as submitted and agree to be accountable for all aspects of the work. WHAT'S KNOWN ON THIS SUBJECT: Studies on early intervention to improve motor function in preterm infants have failed to show large effects. Interventions involving parents seem to be more effective than when therapists conduct the intervention. WHAT THIS STUDY ADDS:Three weeks of parentadministered physical therapy implemented before term-equivalent age in very preterm infants improved short-term motor performance more than in the control group. The intervention was feasible and well tolerated by the infants.by guest on May 10, 2018 http://pediatrics.aappublications.org/ Downloaded from U...

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Section: Assessment Instrumentsmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

et al. 2016

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“…It is divided into five subtests: Cognition, Language (receptive and expressive), Motor (gross and fine), Social, and Emotional and Adaptive (10)(11)(12) .…”

Section: Introductionmentioning

confidence: 99%

Desenvolvimento cognitivo e linguagem em prematuros

Viana¹,

Andrade

Lopes³

2014

Audiol., Commun. Res.

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Purpose: To correlate aspects of cognitive and language development in preterm infants of 24 and 42 months of chronological age. Methods: A quantitative, analytical, and cross-sectional study was conducted between February and December 2012. The sample comprised ten preterm infants with a chronological age ranging between 24 and 42 months. These children were subjected to the Bayley Scales of Infant Development -III and evaluated according to cognitive, receptive, and expressive language subscales. Results: A statistical significance was observed when correlating chronological and corrected age with the age of cognitive and language development. In the correlation of chronological age with cognitive and language abilities, a statistical significance was observed regarding the ability to grasp and handle objects, and in the construction and object permanence capacity. In the correlation of developmental age with cognition and language abilities, a statistical significance was observed in all cognitive abilities. A significant correlation was not observed between ages of expressive language development and receptive language ability. Conclusion: A correlation between chronological and corrected ages with the ages of cognitive and language development was confirmed. Receptive and expressive language abilities showed a distinct development; however, they were dependent on the cognition. As crianças foram submetidas à aplicação da Escala de DesenvolvimentoInfantil de Bayley -III e avaliadas mediante as subescalas de cognição, linguagem receptiva e expressiva. Resultados: Observou-se significân-cia estatística na correlação das idades cronológica e corrigida com as idades do desenvolvimento cognitivo e de linguagem. Na correlação da idade cronológica com as habilidades cognitiva e de linguagem, houve significância estatística quanto à capacidade de apreensão e manipulação de objetos e na construção e habilidade de permanência dos objetos. Na correlação da idade do desenvolvimento com as habilidades de cognição e linguagem, constatou-se significância estatística em todas as habilidades cognitivas. Não houve correlação significativa entre idade do desenvolvimento de linguagem expressiva e habilidades de linguagem receptiva. Conclusão: Confirmou-se correlação das idades cronológica e corrigida com a idade do desenvolvimento cognitivo e de linguagem.As habilidades de linguagem receptiva e expressiva mostraram-se com desenvolvimento distinto, todavia, dependentes da cognição.

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“…These latter, spontaneous arm movements are self‐generated by the infant, they are endogenous, they come from within. And they can be useful in specialized clinical assessments of neuropsychological integrity as well as to become a reference point to assist maternal bonding through recognition of an infant's agency (Brazelton & Nugent, 1995; Einspieler & Prechtl, 2005; Spittle, Doyle, & Boyd, 2008). But these self‐generated “general movements” of infants are not well studied in psychology.…”

Section: Introductionmentioning

confidence: 99%

Prospective organization of neonatal arm movements: A motor foundation of embodied agency, disrupted in premature birth

Delafield‐Butt

Freer

Perkins

et al. 2018

Developmental Science

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Prospective motor control moves the body into the future, from where one is to where one wants to be. It is a hallmark of intentionality. But its origin in development is uncertain. In this study, we tested whether or not the arm movements of newborn infants were prospectively controlled. We measured the spatiotemporal organization of 480 full‐term neonatal arm movements and 384 arm movements of prematurely born infants at‐risk for neurodevelopmental disorder. We found 75% of healthy term‐birth neonatal movements and 68% of prematurely born infant movements conformed to the τ G‐coupling model of prospective sensorimotor control. Prospective coupling values were significantly reduced in the latter (p = .010, r = .087). In both cases prospectively controlled movements were tightly organized by fixed‐duration units with a base duration of 218 ms and additional temporal units of 145 ms. Yet distances remained constant. Thus, we demonstrate for the first time a precise prospective spatiotemporal organization of neonatal arm movements and demonstrate that at‐risk infants exhibit reduced sensorimotor control. Prospective motor control is a hallmark of primary sensorimotor intentionality and gives a strong embodied foundation to conscious motor agency.

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A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life

Cited by 285 publications

References 66 publications

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

Desenvolvimento cognitivo e linguagem em prematuros

Prospective organization of neonatal arm movements: A motor foundation of embodied agency, disrupted in premature birth

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