Growth and Neurodevelopmental Outcomes of Very Low Birth Weight Infants From Southern India at Corrected Age of One Year

Objective: To assess the growth and neurodevelopmental outcome of very low birth weight (VLBW) infants at corrected age of one year. Methods: This prospective cohort study enrolled VLBW infants delivered in a tertiary care hospital, and followed up till oneyear corrected age. The WHO Anthropo version 3.2.2 software was used to calculate weight for age, length for age, and head circumference z-score during follow up. Neurodevelopmental assessment was done using Developmental Assessment Scale for Indian Infants (DASII) at the age of one year. Results: The mean (SD) z-scores at one-year for weight for age, length for age and head circumference were -2.1 (1.1), -1.4 (1.03) and -2.2 (1.2), respectively. The mean (SD) DASII motor and mental scores were 90.8 (13.4) and 96.5 (13.2), respectively. Major and minor developmental abnormalities were noted in 9.4% and 18.2%, infants, respectively. Cerebral palsy was noted in 5.8% infants. Conclusion: VLBW infants showed impaired growth and significant developmental abnormalities at the corrected age of one year.

Acupuncture combined with / 中国针灸

OBJECTIVE@#To observe the efficacy of acupuncture combined with @*METHODS@#A total of 180 children with cerebral palsy were randomly divided into a combined group (60 cases, 2 cases dropped off), an acupuncture group (60 cases, 4 cases dropped off) and a Chinese medication group (60 cases, 5 cases dropped off). On the basis of conventional treatment, the children in the combined group were treated with acupuncture [Baihui (GV 20), Sishencong (EX-HN 1), Shenting (GV 24), Benshen (GB 13), 30 min each time, twice a day] and @*RESULTS@#The total effective rate was 91.4% (53/58) in the combined group, which was higher than 80.4% (45/56) in the acupuncture group and 78.2% (43/55) in the Chinese medication group (@*CONCLUSION@#Acupuncture combined with

Clinical Study on Interactive Scalp Acupuncture Therapy for Autism Spectrum Disorders / 上海针灸杂志

Objective To investigate the clinical efficacy of interactive scalp acupuncture therapy for autism spectrum disorders (ASD).Methods Eighty-three ASD patients were randomized to a treatment group (43 cases) and a control group (40 cases).The treatment group received interactive scalp acupuncture therapy (scalp acupuncture first and music education therapy during needle retention) and the control group,music education therapy alone.The Childhood Autism Rating Scale (CARS) score,the Autism Behavior Checklist (ABC) score and the Gesell Development Quotient (DQ) scores were recorded in the two groups before and after treatment.Results There were statistically significant pre-/post-treatment differences in the CARS,ABC and DQ (social adaptation and individual sociality) scores in both groups (P＜ 0.01).There were statistically significant post-treatment differences in the CARS,ABC and DQ scores between the treatment and control groups (P＜0.05).Conclusion Interactive scalp acupuncture therapy plus music education therapy can relieve the clinical symptoms and improve social and cognitive abilities in ASD patients.

Analysis of the correlation between intelligence and social mood for children with expressive language disorder / 中华行为医学与脑科学杂志

ObjectiveTo explore the characteristics and correlation of intelligence development and socioemotional development in 1~3 years old children with expressive language disorder,and provide a basis for early intervention.Methods125 cases with expressive language disorder(language disorder group) and 126 normal children (normal group) are evaluated in two parts (intelligence and social mood) with 0~6 years old neuropsychological development diagnosis scale and Chinese version of urban infant-toddler social and emotional assessment.Results (1)The scores in language disorder group were lower than normal group in the area of free movements (81.60±10.40 vs 89.62±7.94),adaptability (81.48±10.95 vs 91.25±8.89),language (67.46±7.20 vs 89.13±8.24),social behavior (76.61±9.73 vs 90.12±8.13) and total developmental quotient (80.17±6.39 vs 91.15±6.05) (P<0.05).(2) There were significant differences between language disorder group and normal group in the area of externalizing behavior(56.28±10.15 vs 53.57±7.91),deregulation (56.45±10.61 vs 51.11±9.32) and capabilities(46.79±9.08 vs 51.25±7.47) (P<0.05).The boys' scores in internalizing behavior were lower than the girls' (49.19±10.76 vs 54.71±9.90) (P<0.05).(3) The scores of gross motor had positive correlation with externalizing behavior (r=0.220,P<0.05).The scores of language had negative correlation with externalizing behavior and deregulation(r=-0.650,P<0.05;r=-0.470,P<0.05).The scores of social behavior had negative correlation with externalizing behavior (r=-0.208,P<0.05).There was also a negative correlation between total development and deregulation (r=-0.184,P<0.05).(4) Multiple stepwise linear regression results showed that the externalizing behavior domain and mothers' education could predict 44.1% of variances in the language area.ConclusionThe children with expressive language disorder not only show backward in level of language development,but also in the development of other areas,and also bad social behavior and emotional problems.Individualized parenting interventions should be adopted to promote these children's intelligent development in an all-round way.

Effect of Mild Moxibustion on the Rehabilitation Efficacy in Patients with Cerebral Palsy / 上海针灸杂志

ObjectiveTo observe the clinical effect of warm needling based on conventional rehabilitation in treating cerebral palsy.MethodSixty patients with cerebral palsy were randomized into an observation group and a control group, 30 in each group. The control group was intervened by physiotherapy (PT), occupational therapy (OT), speech therapy (ST), conductive education (CE), etc.; the observation group was by mild moxibustion at Baihui (GV20), Zusanli (ST36), and Guanyuan (CV4) in addition tothe above rehabilitation therapies.ResultThe rehabilitation result in the observation group was superior to that inthe control group (P<0.05).ConclusionMild moxibustion can significantly enhance the rehabilitation result in patients with cerebral palsy.

Characteristics of Gesell Developmental Schedules in Children with Movement Disorders / 中国康复理论与实践

@#Objective To investigate the incidence and structure of mental disability in children with movement disorders. Methods 157 children with movement disorders (103 with cerebral palsy and 54 with mental retardation) were assessed with Gesell developmental schedules,and mental disability was identified as development quotient (DQ)<75. Results The incidence of intelligence disability was 92.2% in children with cerebral palsy, including 91.2% in spastic type, and 100% in dyskinetic, mixed or dystonic type. The development of gross motor was retarded in children with spastic cerebral palsy, and gross and fine motor in children with dyskinetic cerebral palsy, compared with those with mental retardation. Conclusion It is important to focus the mental development in children with movement disorders, especially the dyskinetic cerebral palsy. Gesell developmental schedules should be used carefully to assess the mental development in children with movement disorder.

Effect of Acupuncture on Gross Motor Function and Adaptive Development in Children with Cerebral Palsy / 中国康复理论与实践

@#Objective To observe the effect of acupuncture on cerebral palsy children. Methods90 children with cerebral palsy were divided into the observation group (acupuncture and comprehensive rehabilitation) and control group (comprehensive rehabilitation). They were assessed with Gross Motor Function Measure and the Gesell Development Schedules before and 3 months after treatment. ResultsThe total effective rate was 95% in observation group, and 80% in the control group (P<0.01). The score of gross motor function and Gesell adaptive development quotient improved more in the observation group than in the control group (P<0.01). ConclusionAcupuncture is efficacious on functional recovery in children with cerebral palsy

Effects of perinatal and postnatal cytomegalovirus infection on infantile physical and neuro-psychological development / 中国小儿急救医学

Objective To study the effects of perinatal and postnatal cytomegalovirus(CMV) infection on infantile physical development and nerves mental growth. Methods We observed forty-eight cases of perinatal and postnatal CMV infection infants and twenty-two cases of non-CMV infected infants. We compared the physical development between two groups at birth ,3 months and 1 year of age, and evaluated development quotient (DQ) at 1 year of age. Results There were no significant differences of baby length,weight, head circumference between two groups at birth and 3 months (P > 0.05). The averages of baby length,weight,and head circumference were all in the normal range,which showed no significant differences between two groups(P > 0. 05). There were no significant differences in DQ of rough movement,accurate movement, adaptability, language and sociality ability between two groups at 1 year of age (P > 0.05). The averages of total DQ were in the normal range, which showed no significant difference between two groups as well (P > 0. 05). According to the evaluation hierarchies, DQ values of two groups were mostly in normal level range, and there also was no significant difference(x2 = 1. 026, P > 0. 05). Conclusion The perinatal and postnatal cytomegalovirus(CMV) infection has no significant adverse effects on infantile physical development and neuro-psychological development.

Effect of Speech Therapy on the Intelligence of Children with Developmental Retardation of Speech / 中国康复理论与实践

@#Objective To observe the effect of speech therapy on the intelligence of children with developmental retardation of speech.Methods 20 cases of children with developmental retardation of speech were evaluated and individual language training program was made,especially trainings of abstract thought,logical thought and development of cognition ability of attention.All of the training contents were combined and make into play form.The training prolonged for 1～3 courses.Intelligence test and test of the level of language development were performed before and after the training.Results After training,10 children(50%) reached the general level,the total efficiency was 100%.Conclusion The multidisciplinary language training can improve intelligence,level of language development of children with developmental retardation of speech.

Effect of monosialo-gangliosides on cerebral palsy of childen / 中国康复理论与实践

@#Objective To observe the therapeutic effectiveness of monosialo gangliosides injection (GM-1) on cerebral palsy (CP) of children.Methods 87 children with CP were randomly divided into the observation group (51 cases) and control group (36 cases), and treated with physical therapy, acupuncture, massage and hyperbaric oxygen, but monosialo gangliosides was added to the observation group only. The development quotient (DQ) of each group was calculated by Gesell development schedules before and after the therapy respectively. Therapeutic effects of two groups were compared.Results The therapeutic effect of the observation group was more satisfactory than that of control group(P<0.05). The observation group expressed higher DQ and scores of gross motor, fine motor, language and reaction than that of control group. Conclusion Monosialo ganglioside is effective on CP.

Effects and Influent Agents of Early Education on Well-Being Infants / 中国心理卫生杂志

Object: To explore the effects and the influent agents of early education on the healthy termed infants. Methods: 52 healthy termed infants voluntary to the exercise center as experimental group were early educated. The other 52 infants as control group were in the same elementary conditions comparing to the experimental group. The experimental group was trained the corresponding projects and examined DQ at the beginning and the 3 rd,6 th,9 th month after training. The control group was only examined DQ at the beginning and after 9 months. Results:①At the 9 th month after training, DQ of the experimental group was improved 21.9?13.6, which was much 7 times higher than that of the control group, which was improved 3?3.0 (P

Intelligent Development of Infants Aged 3-9 Months and Related Factors / 中国心理卫生杂志

Objective:To study intelligent development of infant and related factors Method:3000 infants collected were striated by age The research instrument was DST Result:In the groups of 6-month old and 9-month old, there were significant differences of DQ (development quotient) among infants with fathers of different educational levels Infants in 3-month and 9-month groups with father of different occupations showed different preferred intelligent areas Infants of all age groups showed different DQ with the difference of their mothers' occupations, while only in the groups of 6-months and 9-months, mother education had influence on DQ of their infants Conclusion:Parents' educational level and occupation have influence on intelligent development of their infants

Early Intervention on Children with Mental Retardation / 中国心理卫生杂志

90 ). ③For the experimental group at baseline, DQ of the gross movement was the highest (71.5?10.5), while that of the other four areas were similar (fine movement 56.7?10.4, adaptability 59.6?12.5, language 54.3?11.7, social 56.8?14.7).Conclusions:Early intervention had significant effects for the development of children with mental retardation, which medicine has less role.