Department of Occupational Therapy, Steinhardt School of Culture, Education and Human Development, New York University, USA.
Am J Phys Med Rehabil. 2011 Aug;90(8):667-80. doi: 10.1097/PHM.0b013e31821a703f.
: The aim of this study was to assess a cohort of children with very low birth weight (VLBW) with premature history at the age of 5 yrs for the proportion of deficits in growth, motor, cognitive, and adaptive functions and to compare them with children with normal birth weight (>2500 g) in these areas.
: This is a descriptive, exploratory study using a convenience sample. A cohort of 160 children with VLBW and 124 children with normal birth weight were examined. Standardized clinical and neuropsychologic assessments were administered. Correlation and multiple comparison procedures were used to analyze the relationships among all continuous outcome variables.
: There is a significant difference in overall performance between the VLBW children and children with normal birth weight. Deficits in motor, cognitive, visual perception, visual-motor, and adaptive functions were more prominent when we further examined the VLBW children with motor problems.
: The VLBW children performed more poorly at age 5 yrs than did their counterparts. This validates the need for early screening and regular follow-up of VLBW preterm children, particularly those who have motor problems.
本研究旨在评估一组有早产史的极低出生体重（VLBW）儿童在 5 岁时的生长、运动、认知和适应功能缺陷的比例，并将其与出生体重正常（>2500 克）的儿童在这些方面进行比较。
这是一项使用方便样本的描述性、探索性研究。对 160 名 VLBW 儿童和 124 名出生体重正常的儿童进行了检查。进行了标准化的临床和神经心理评估。使用相关和多重比较程序分析了所有连续结果变量之间的关系。
VLBW 儿童和出生体重正常的儿童之间的整体表现存在显著差异。当我们进一步检查有运动问题的 VLBW 儿童时，运动、认知、视觉感知、视动和适应功能的缺陷更为明显。
VLBW 儿童在 5 岁时的表现不如对照组。这证实了早期筛查和定期随访 VLBW 早产儿的必要性，特别是那些有运动问题的早产儿。
