Fuentefria Rubia do N, Silveira Rita C, Procianoy Renato S
Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.
Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.
J Pediatr (Rio J). 2017 Jul-Aug;93(4):328-342. doi: 10.1016/j.jped.2017.03.003. Epub 2017 May 12.
Premature newborns are considered at risk for motor development deficits, leading to the need for monitoring in early life. The aim of this study was to systematically review the literature about gross motor development of preterm infants, assessed by the Alberta Infant Motor Scale (AIMS) to identify the main outcomes in development.
Systematic review of studies published from 2006 to 2015, indexed in Pubmed, Scielo, Lilacs, and Medline databases in English and Portuguese. The search strategy included the keywords: Alberta Infant Motor Scale, prematurity, preterm, motor development, postural control, and follow-up.
A total of 101 articles were identified and 23 were selected, according to the inclusion criteria. The ages of the children assessed in the studies varied, including the first 6 months up to 15 or 18 months of corrected age. The percentage variation in motor delay was identified in the motor outcome descriptions of ten studies, ranging from 4% to 53%, depending on the age when the infant was assessed. The studies show significant differences in the motor development of preterm and full-term infants, with a description of lower gross scores in the AIMS results of preterm infants.
It is essential that the follow-up services of at-risk infants have assessment strategies and monitoring of gross motor development of preterm infants; AIMS is an assessment tool indicated to identify atypical motor development in this population.
早产新生儿被认为存在运动发育缺陷风险,因此需要在生命早期进行监测。本研究旨在系统回顾有关早产儿粗大运动发育的文献,通过艾伯塔婴儿运动量表(AIMS)进行评估,以确定发育中的主要结果。
对2006年至2015年发表的研究进行系统回顾,这些研究被收录在PubMed、Scielo、Lilacs和Medline数据库中,语言为英语和葡萄牙语。检索策略包括关键词:艾伯塔婴儿运动量表、早产、早产儿、运动发育、姿势控制和随访。
根据纳入标准,共识别出101篇文章,其中23篇被选中。研究中评估的儿童年龄各不相同,包括矫正年龄的前6个月至15或18个月。在十项研究的运动结果描述中确定了运动延迟的百分比变化,范围从4%到53%,具体取决于评估婴儿的年龄。研究表明,早产儿和足月儿在运动发育方面存在显著差异,早产儿的AIMS结果显示总得分较低。
高危婴儿的随访服务必须具备评估策略并监测早产儿的粗大运动发育;AIMS是一种用于识别该人群非典型运动发育的评估工具。