Kara Özgün Kaya, Günel Mintaze Kerem, Açıkel Cengizhan, Yiğit Şule, Arslan Mutluay
Department of Physiotherapy and Rehabilitation, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Department of Biostatistics, Gülhane Military Medical Academy, Ankara, Turkey.
Turk Pediatri Ars. 2015 Sep 1;50(3):151-7. doi: 10.5152/TurkPediatriArs.2015.2620. eCollection 2015 Sep.
This study is aimed to investigate differences between cognitive, language and motor development of high-risk infants related to birth weight and gestational age.
One hundred sixty high-risk infants who were born 32 weeks, 1 500 gr and below included in this study. According to corrected age, 58 infants were 1 month, 72 were at 4 months, 82 were at 8 months and 65 were 12 months old. Infants were seperated two groups according to gestational age <30 weeks and 30-32 weeks and birth weight ≤1 000 gr and 1 001-1 500 gr. Infants motor development were assessed with Bayley-III Infant and Toddler Development Motor Scale (Bayley-III) and Neuro Sensory Motor Developmental Scale (NSMDA), cognitif and lanuage development were Bayley-III cognitive and Language scales. Assessments were applied by the same physiotherapist at 1 month, 4 months, 8 months and 12 months old infants in corrected age. Mann-Whitney U Test, 2 x 2 Chi-Square test ve Fisher's exact tests were used to compare group data. Statistical significance was determined p<0.05.
Cognitive, motor and language developments were in normal ranges in all infants. There were no statistical differences in cognitive, language and motor development between groups (p>0.05).
Results of this study showed that the motor, cognitive and language development were normal in all high risk infants and power gestational age and birth weight did not affect these parametes.
本研究旨在调查高危婴儿在认知、语言和运动发育方面与出生体重和胎龄的差异。
本研究纳入了160名出生孕周为32周及以下、体重1500克及以下的高危婴儿。根据矫正年龄,58名婴儿为1个月,72名婴儿为4个月,82名婴儿为8个月,65名婴儿为12个月。婴儿根据胎龄<30周和30 - 32周以及出生体重≤1000克和1001 - 1500克分为两组。婴儿的运动发育采用贝利婴幼儿发展量表第三版(Bayley - III)和神经感觉运动发育量表(NSMDA)进行评估,认知和语言发育采用贝利婴幼儿发展量表第三版的认知和语言量表。评估由同一名物理治疗师在矫正年龄为1个月、4个月、8个月和12个月的婴儿中进行。采用曼 - 惠特尼U检验、2×2卡方检验和费舍尔精确检验来比较组间数据。统计学显著性设定为p<0.05。
所有婴儿的认知、运动和语言发育均在正常范围内。两组之间在认知、语言和运动发育方面无统计学差异(p>0.05)。
本研究结果表明,所有高危婴儿的运动、认知和语言发育均正常,胎龄和出生体重不影响这些参数。