[Characteristics of motor behaviour in premature infants during the first months of postnatal life. A literature review]. / Rasgos característicos del comportamiento motor del niño con prematurez durante los primeros meses de vida posnatal: una revisión de la literatura.

OBJECTIVE: To describe the characteristics of motor behaviour in premature infants during the first months of postnatal life, according to the available evidence. MATERIALS AND METHODS: A systematic literature review was carried out; this method forms part of secondary studies under investigation and describes a phenomenon in detail based on primary sources of information. RESULTS: The literature search in the databases consulted yielded 7,228 articles; of these, 15 more were identified through "snowball" search strategies. At the start of the screening process, 63 eligible records were chosen based on their title and summary, and 14 were excluded because they were duplicates. A total of 49 articles were selected for a full text revision and, of these, 37 were excluded because they did not meet all the inclusion criteria. Finally, 12 articles were selected to prepare the qualitative synthesis of the present research work. CONCLUSIONS: In comparison with neonates born at term, premature infants demonstrate a particular motor repertoire, due to the immaturity of their systems; their motor behaviour follows a line of development mainly characterised by deficits in muscle tone, postural control, muscle balance, and antigravity muscle activation.

Psychometric properties of the parent́s perception uncertainty in illness scale, spanish version. / Escala de incertidumbre en la enfermedad­forma padres/hijos: validación de la adaptación al español.

OBJECTIVE: To analyze the psychometric properties of the Parents' Perception of Uncertainty in Illness Scale, parents/children, adapted to Spanish. METHOD: A descriptive methodological study involving the translation into Spanish of the Parents' Perception of Uncertainty in Illness Scale, parents/children, and analysis of their face validity, content validity, construct validity and internal consistency. RESULTS: The original version of the scale in English was translated into Spanish, and approved by its author. Six face validity items with comprehension difficulty were reported; which were reviewed and adapted, keeping its structure. The global content validity index with expert appraisal was 0.94. In the exploratory analysis of factors, 3 dimensions were identified: ambiguity and lack of information, unpredictability and lack of clarity, with a KMO=0.846, which accumulated 91.5% of the explained variance. The internal consistency of the scale yielded a Cronbach alpha of 0.86 demonstrating a good level of correlation between items. CONCLUSION: The Spanish version of "Parent's Perception of Uncertainty in Illness Scale" is a valid and reliable tool that can be used to determine the level of uncertainty of parents facing the illness of their children.

Reproducibilidad de la Escala Motriz del Infante de Alberta (Alberta Infant Motor Scale) aplicada por fisioterapeutas en formación / Reliability of the Alberta Infant Motor Scale applied by physiotherapists in training

Objetivo Evaluar la reproducibilidad intra e interevaluador de la Escala Motriz del Infante de Alberta (AIMS), Canadá, aplicada por fisioterapeutas en formación de último nivel. Materiales y métodos Se realizó un estudio de evaluación de pruebas diagnósticas en 21 infantes clínicamente sanos de ambos géneros, entre 0 y 18 meses residentes de la ciudad de Bucaramanga, Colombia. La evaluación fue realizada por 12 evaluadores, 11 fisioterapeutas en formación de último nivel y un fisioterapeuta con experiencia en el área pediátrica, con un intervalo de una semana y mediante vídeo. El análisis de reproducibilidad intra y entre evaluadores se estableció con el coeficiente de correlación intraclase (CCI) y adicionalmente se calculó el error estándar de la medición (EEM), considerando un α=0,05.ResultadosSe encontró una muy buena reproducibilidad interevaluadores para el puntaje total de la escala (CCI>0,98) y para la subescala en sedente (CCI>0,97). El análisis para las otras subescalas mostró CCI moderados entre 0,54 y 0,64. La reproducibilidad intraevaluador registró coeficientes entre bajos y excelentes. El EEM fue bajo para las subescalas de pie, en prono y el puntaje total (0,20-0,77).Conclusiones La AIMS es un instrumento reproducible, que puede ser utilizado en nuestro contexto por fisioterapeutas en formación para la evaluación del desarrollo motor en niños clínicamente sanos (AU)

Objective To evaluate the intra- and inter-rater reliability of the Alberta Infant Motor Scale (AIMS) applied by final level undergraduate physiotherapy students. Materials and methods An assessment of evaluation of diagnostic tests was done in 21 clinically healthy infants of both genders, aged 0 to 18 months, residents at Bucaramanga, Colombia. The evaluation was conducted by 12 raters, 11 physiotherapy students in final level and a physiotherapist with experience in pediatrics. The assessments were performed with an interval of one week and by video. An Intraclass Correlation Coefficient (ICC) was applied for the reliability analysis and Standard Error of Measurement (SEM) was obtained, considering an α=0.05.ResultsA very good inter-rater reliability for the total score (ICC>0.98) and the sitting subscale (ICC>0.97) were registered. The other subscales showed moderate reliability, ICC between 0.54 and 0.64. Intra-rater reliability showed low to excellent ICC. The SEM was low for the standing, prone subscales and total score (0.20 to 0.77).Conclusions The AIMS is a reliable tool that can be used in our context by undergraduate physical therapy students in their year of study in order to assess motor development in clinically healthy children (AU)