ABSTRACT
UNLABELLED: This study is to investigate the characteristics of premature infants' general movements (GMs) and the effect of early intervention on their GMs. METHODS: The survey was carried among 285 premature infants. (1) Before intervention, the correlation between the gestational age/ birth weight and the GMs was evaluated. (2) The cases were divided into early intervention group (n=145) and control group (n=140), each group was divided into <32 weeks, 32-34 weeks and >34 weeks group according to gestational age. The early intervention was begun at the 3rd day after birth to 54th week gestational age. The rate of GMs among each group was compared after intervention. RESULTS: (1) Before intervention, gestational age/birth weight was negatively correlated with the rate of cramped-synchronized (CS) (r=-0.988, r=-0.95, p<0.01), while no correlation with the rate of poor repertoire (PR) (r=0.122, r=0.168, p>0.05). (2) After intervention, for the writhing movement, there was no significant difference (χ2=0.509, 1.401, 0.519, p>0.05) between the early intervention group and the control group. Nevertheless, for the fidgety movement, there was significant difference (χ2=7.921, χ2=5.763, p<0.05) between the two groups, especially in <32 weeks group (χ2=5.578, 4.067 p<0.05) and in >34 weeks group (χ2=5.757, p<0.05). CONCLUSIONS: (1) It shows that the lower birth weight or the younger delivery gestational age, the more abnormal GMs in premature infants. (2) Early intervention could improve the fidgety movements of premature infant.
Subject(s)
Infant, Premature , Movement , Rehabilitation/methods , Birth Weight , Child Development , Gestational Age , Gymnastics , Humans , Hydrotherapy/methods , Infant , Infant Care/methods , Infant, Newborn , Infant, Premature/physiology , Physical Stimulation/methods , Video RecordingABSTRACT
OBJECTIVE: To investigate the high-risk factors for the quality of general movements (GMs), which has a predictive value for brain dysfunction in infants. METHODS: A total of 618 infants in the stage of writhing movements and 539 infants in the stage of fidgety movements were selected separately for the evaluation of GMs. The high-risk factors for the quality of GMs in infants were analyzed by ANOVA, chi-square test, and multivariate logistic regression. RESULTS: Multivariate logistic regression analysis showed that the factors significantly associated with the quality of GMs in the stage of writhing movements were gestational age (OR=0.762, P<0.001), birth weight (OR=0.264, P<0.001), severe asphyxia (OR=2.445, P=0.012), and intrauterine distress (OR=4.865, P<0.001); the factors significantly associated with the quality of GMs in the stage of fidget movements were gestational age (OR=0.786, P=0.003), birth weight (OR=0.217, P<0.001), severe asphyxia (OR=3.765, P=0.001), and hyperbilirubinemia (OR=2.640, P=0.028). CONCLUSIONS: Low gestational age, low birth weight, severe asphyxia, hyperbilirubinemia and intrauterine distress are high-risk factors for abnormal GMs in infants, and early screening and intervention should be performed to reduce the incidence of abnormal nervous system sequelae.