Department of Rehabilitation, Academic Medical Centre, Amsterdam, The Netherlands.
J Pediatr. 2011 Dec;159(6):933-8.e1. doi: 10.1016/j.jpeds.2011.05.035. Epub 2011 Jul 23.
To evaluate the effects of the Infant Behavioral Assessment and Intervention Program(©) (IBAIP) in very low birth weight infants on sensory processing and daily activities at preschool age.
Follow-up of children included in a randomized controlled trial. Eighty-six infants were enrolled in post-discharge IBAIP until 6 months corrected age, and 90 infants received standard care. At 3.5 years of age, the Sensory Profile-Dutch version (SP-NL) and Pediatric Evaluation of Disability Inventory-Dutch version (PEDI-NL) were administered. For comparison, parents of 41 term-born children also completed the SP-NL.
Seventy-six children (88%) in the IBAIP group and 75 children (83%) children in the control group were examined at 44 months corrected age. After adjustment for pre-randomization differences in perinatal characteristics, the IBAIP group outperformed the control group significantly on SP-NL domains of oral sensory processing and sensory processing related to endurance/tone and PEDI-NL domains of mobility. The control group only scored significantly lower than the term group on the SP-NL domain endurance/tone. The very low birth weight groups performed significantly below the PEDI-NL's norm.
In line with the positive developmental effects of the IBAIP until 24 months corrected age, independency in mobility in daily activities was improved at 3.5 years.
评估婴儿行为评估与干预方案（IBAIP）对极低出生体重儿在学龄前感觉处理和日常活动能力的影响。
对纳入的随机对照试验患儿进行随访。86 名婴儿在出院后接受 IBAIP 干预至纠正 6 月龄，90 名婴儿接受常规护理。3.5 岁时，采用感觉统合评估-荷兰语版（SP-NL）和残疾儿童评估量表-荷兰语版（PEDI-NL）进行评估。为进行比较，还让 41 名足月产儿的家长完成了 SP-NL 评估。
IBAIP 组 76 名（88%）和对照组 75 名（83%）儿童在纠正 44 月龄时接受了检查。在调整了围产期特征的随机分组前差异后，IBAIP 组在 SP-NL 的口腔感觉处理和与耐力/张力相关的感觉处理领域以及 PEDI-NL 的移动性领域的得分明显高于对照组。对照组仅在 SP-NL 的耐力/张力领域的得分明显低于足月组。极低出生体重组在 PEDI-NL 的所有领域的得分均明显低于正常值。
与 IBAIP 直至纠正 24 月龄时的积极发育影响一致，3.5 岁时日常活动中移动能力的独立性得到了改善。
