足月时对早产婴儿运动和功能结局的预测。
Prediction of motor and functional outcomes in infants born preterm assessed at term.
作者信息
Snider Laurie, Majnemer Annette, Mazer Barbara, Campbell Suzann, Bos Arend F
机构信息
School of Physical and Occupational Therapy, McGill University, Montréal, Canada.
出版信息
Pediatr Phys Ther. 2009 Spring;21(1):2-11. doi: 10.1097/PEP.0b013e3181957bdc.
PURPOSE
To compare 3 different assessment approaches at term to infants born preterm to predict motor and functional outcomes at 12 months adjusted age.
METHODS
Infants (n = 100) born at less than 32 weeks postconceptional age were assessed at term using the General Movements Assessment, Einstein Neonatal Neurobehavioral Assessment Scales, Test of Infant Motor Performance, and at 12 months adjusted age using the Alberta Infant Motor Scales, Peabody Developmental Motor Scales-2, Vineland Adaptive Behavior Scales-Daily Living Skills, and Battelle Developmental Inventory.
RESULTS
The General Movements Assessment (r2 = 0.04; p = 0.05) and the Test of Infant Motor Performance (r2 = 0.05; p = 0.04) predicted outcomes on the Peabody Developmental Motor Scales-2. The Test of Infant Motor Performance predicted outcomes on the Alberta Infant Motor Scales (r2 = 0.05; p = 0.04) and Vineland Adaptive Behavior Scales-Daily Living Skills (odds ratio: 0.93). Delays in functional performance were found.
CONCLUSIONS
Neonatal tests at term explained a small but significant proportion of the variance in gross motor and daily living skills at 12 months adjusted age.
目的
比较3种不同的足月评估方法对早产出生婴儿的预测效果，以预测其矫正年龄12个月时的运动和功能结局。
方法
对100名孕龄小于32周出生的婴儿在足月时使用全身运动评估、爱因斯坦新生儿神经行为评估量表、婴儿运动表现测试进行评估，并在矫正年龄12个月时使用艾伯塔婴儿运动量表、皮博迪发育运动量表-2、文兰适应行为量表-日常生活技能和巴特尔发育量表进行评估。
结果
全身运动评估（r2 = 0.04；p = 0.05）和婴儿运动表现测试（r2 = 0.05；p = 0.04）可预测皮博迪发育运动量表-2的结局。婴儿运动表现测试可预测艾伯塔婴儿运动量表（r2 = 0.05；p = 0.04）和文兰适应行为量表-日常生活技能（优势比：0.93）的结局。发现存在功能表现延迟。
结论
足月时的新生儿测试在矫正年龄12个月时的粗大运动和日常生活技能差异中解释了一小部分但显著的比例。
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