Stability of longitudinal motor development in very low birthweight infants from 5 months to 5.5 years

Abstract

Erikson C, Allert C, Brogren Carlberg E, Katz-Salamon M. Stability of longitudinal motor development in very low birthweight infants from 5 months to 5.5 years. Acta Paediatr 2003; 92: 197-203. Stockholm. ISSN 0803-5253 Aim: The motor performance of 165 very low birthweight (VLBW) infants was assessed prospectively at 5, 10, 18 mo and 5.5 y. The aim of the study was to evaluate longitudinal stability of motor development and its association with birthweight (BW), gestational age at birth, intraventricular haemorrhage (IVH), periventricular leucomalacia (PVL) and retinopathy of prematurity (ROP). Furthermore, at 5.5 y the motor behaviour of the VLBW population was compared with that of 124 children born at term. Methods: The results of each examination were ranked into four levels and the stability of motor development was evaluated on the basis of this ranking. At 5.5 y, VLBW children and controls were compared according to percentiles in the Movement ABC. Results: Fifty-three percent of the VLBW infants displayed a stable motor development. Only PVL and BW contributed significantly to the variability in their motor performance. Forty-seven percent of the infants exhibited an unstable motor development with no association to risk factors. In the entire group only IVH and severe ROP were related to poor motor performance. The majority of the VLBW children performed within the normal range at 5.5 y but their performances were inferior to those of control children.Conclusion: VLBW infants with poor early motor performance and/or severe IVH/PVL and ROP should be recruited into individualized follow-up programmes, whereas regular ongoing monitoring by follow-up may be sufficient for those with normal early motor performance and normal ultrasound findings.

Desenvolvimento motor de crianças prematuras e a termo: uso da Alberta Infant Motor Scale

“…It was observed that there was no child in the full-term group at six months with suspect or atypical development. development (0-10) at the first evaluation were those who were born weighing between 1530 and 1730 grams, with the lowest weight classified with the suspect development (11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) in the second evaluation. The premature infant born weighing 1290 grams had a regression in the total score, as at four months its development was considered normal, however, at six months was reclassified as atypical.…”

“…Studies claim that newborn premature babies with low birth weight are at high risk for developmental problems and present greater vulnerability for not developing the relevant motor skills in the first months of life (13) . It was observed that the two premature infants who presented atypical Acta Paul Enferm 2011;24(5):670-5. motor development of premature infants (16)(17)(18) . A study conducted with 561 children between 0 and 18 months in the city of Porto Alegre shows that there is a greater range of behavioral variation in the 3 rd (Standard deviation -SD=9.07) and 4 th (SD=7.60) trimesters, with the lower variations occurring in the 6 th (SD = 1.57) and 1 st (SD = 3.30) trimesters (9).…”

Efficacy of Concurrent Cognitive-Motor Training on Gait in Hemiparetic Cerebral Palsy: A Randomized Controlled Trial

“…For the experimental group, cognitive tasks were given concurrently while performing the previous gait training exercises. They were selected according to related dual and triple-task research [25][26][27][28][29][30][31] and they were given as follows:…”

Palmar Grasp Reflex in Human Newborns

“…McMaster et al [27] Sann and Streri [28] Shin et al [29] Colson et al [1] Gao et al [30] Tan and Tan [20] Young et al [31] Dionisio et al [32] Chaudhari and Deo [9] Hieu et al [33] Philippi et al [34] Pedroso and Rotta [35] Jain et al [36] Ericsson et al [37] Total 10 articles 4 articles Table 1: Summary of study data.…”

“…Ericsson et al [37] followed longitudinally the motor development of children from five months to five and a half years. None of fivemonth children evaluated by MAI presented palmar grasp reflex.…”