Department of Occupational Therapy, School of Health Professions, Sackler Faculty of Medicine, Tel Aviv University, PO Box 39040, Ramat Aviv, Tel Aviv 69978, Israel.
Res Dev Disabil. 2011 Nov-Dec;32(6):2732-8. doi: 10.1016/j.ridd.2011.05.037. Epub 2011 Jul 13.
The aim of the study was to prospectively assess the differences in participation and sensory modulation between late preterm infants (LPI) and term babies, and to predict it by LPI characteristics. The study population includes 124 late preterm infants at gestational age between 34 and 35 6/7 weeks who were born at the same medical center. The control group comprised of 33 term babies (18 boys, 15 girls), born during the same period and location (mean age 12.47, SD = 0.73). Sensory modulation was assessed by the test of sensory functions in infants and the infant/toddler sensory profile and for assessment of participation and parents' satisfaction we used questionnaires. Term infants had better sensory modulation than LPI. Approximately 10% of the sensory modulation of participants in the study was explained by gestational age and head circumference. LPI participation and parental satisfaction decreased in the LPI group. Among all the explanatory variables only multiple gestations and head circumference contributed to the explained variance of participation (16%), and parents' satisfaction (13%). At age of 1 year, children born as late preterm are at increased risk of developing sensory modulation disorder, showing less participation, and resulting in less parental satisfaction.
本研究旨在前瞻性评估晚期早产儿(LPI)和足月婴儿之间的参与度和感觉调节的差异,并通过 LPI 特征进行预测。研究人群包括在同一医疗中心出生的 124 名胎龄为 34 至 35 6/7 周的晚期早产儿。对照组由 33 名足月婴儿(男婴 18 名,女婴 15 名)组成,出生于同一时期和地点(平均年龄 12.47,SD = 0.73)。感觉调节通过婴儿感觉功能测试和婴儿/幼儿感觉概况进行评估,参与度和父母满意度评估采用问卷进行。足月婴儿的感觉调节优于晚期早产儿。研究参与者中约 10%的感觉调节可以用胎龄和头围来解释。晚期早产儿组的参与度和父母满意度下降。在所有解释变量中,只有多胎妊娠和头围对参与度(16%)和父母满意度(13%)的解释方差有贡献。在 1 岁时,作为晚期早产儿出生的儿童患感觉调节障碍的风险增加,表现出较低的参与度,导致父母满意度较低。