Impact of selected risk factors on motor performance in the third month of life and motor development in the ninth month

PeerJ

article

Ewa Gajewska¹  Jerzy Moczko²  Mariusz Naczk³  Alicja Naczk⁴  Magdalena Sobieska⁵ 

[1] Chair and Clinic of the Developmental Neurology, Poznan University of Medical Sciences;Department of Computer Science and Statistics, Poznan University of Medical Sciences;Institute of Health Sciences, Collegium Medicum, University of Zielona Gora;Department of Physical Education and Sport, Faculty of Physical Culture in Gorzow Wielkopolski, University School of Physical Education in Poznan;Department of Rehabilitation and Physiotherapy, Poznan University of Medical Sciences

关键词: Infant;    Motor development;    Risk factors;    Qualitative analysis;    Cerebral palsy;   

DOI  :  10.7717/peerj.15460

学科分类：社会科学、人文和艺术（综合）

来源: Inra

【 摘 要 】

Background Proper motor development can be influenced by a range of risk factors. The resulting motor performance can be assessed through quantitative and qualitative analysis of posture and movement patterns. Methods This study was designed as the cohort follow-up of the motor assessment and aimed to demonstrate, in a mathematical way, the impact of particular risk factors on elements of motor performance in the 3rd month and the final motor performance in the 9th month of life. Four hundred nineteen children were assessed (236 male and 183 female), including 129 born preterm. Each child aged 3 month underwent a physiotherapeutic assessment of the quantitative and qualitative development, in the prone and supine positions. The neurologist examined each child aged 9 month, referring to the Denver Development Screening Test II and assessing reflexes, muscle tone and symmetry. The following risk factors were analyzed after the neurological consultation: condition at birth (5th min Apgar score), week of gestation at birth, intraventricular hemorrhage, respiratory distress syndrome, and the incidence of intrauterine hypotrophy and hyperbilirubinemia determined based on medical records. Results A combination of several risk factors affected motor development stronger than any one of them solely, with Apgar score, hyperbilirubinemia, and intraventricular hemorrhage exhibiting the most significant impact. Conclusions Premature birth on its own did not cause a substantial delay in motor development. Nonetheless, its co-occurrence with other risk factors, namely intraventricular hemorrhage, respiratory distress syndrome, and hyperbilirubinemia, notably worsened motor development prognosis. Moreover, improper position of the vertebral column, scapulae, shoulders, and pelvis in the third month of life may predict disturbances in further motor development.

【 授权许可】

CC BY