Montgomery Cecilia, F Kaul Ylva, Strand Brodd Katarina, Persson Kristina, Hellström-Westas Lena
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden.
Acta Paediatr. 2021 Jan;110(1):307-313. doi: 10.1111/apa.15377. Epub 2020 Jun 17.
The aim of this study was to investigate the level of motor development and the quality of motor performance during the first 10 months in relation to the Bayley Scales of Infant Development-third edition (Bayley-III) motor index at 2.5 years.
Children born very preterm from a population-based study (n = 113) were assessed with the Structured Observation of Motor Performance in Infants (SOMP-I) at 2, 4, 6 and 10 months corrected age and the Bayley-III motor index at 2.5 years corrected age (n = 98). Logistic regressions were performed to investigate the independent association of each SOMP-I domain to Bayley-III motor index.
There were significant associations between the SOMP-I-scores and Bayley-III motor index per every assessment age. At 4 months, both level and quality were independently associated with a later motor outcome, OR for level was 1.26 (95% CI = 1.08-1.50, P = .002) and for quality, 0.75 (95% CI = 0.63-0.90, P = .002). Quality was independently associated with the Bayley-III motor index at 6 and 10 months: OR 0.080 (95% CI = 0.67-0.95 P = .010) and 0.79 (95% CI = 0.64-0.97, P = .026).
Both SOMP-I domains, level and quality, are markers to identify motor problems early. Quality became more important with age.
本研究旨在调查出生后前10个月的运动发育水平和运动表现质量与2.5岁时贝利婴幼儿发展量表第三版（Bayley-III）运动指数之间的关系。
对一项基于人群研究中出生的极早产儿（n = 113）在矫正年龄2、4、6和10个月时进行婴儿运动表现结构化观察（SOMP-I）评估，并在矫正年龄2.5岁时进行Bayley-III运动指数评估（n = 98）。进行逻辑回归分析以研究每个SOMP-I领域与Bayley-III运动指数的独立关联。
在每个评估年龄，SOMP-I评分与Bayley-III运动指数之间均存在显著关联。在4个月时，运动水平和质量均与后期运动结果独立相关，运动水平的比值比为1.26（95%置信区间=1.08 - 1.50，P = 0.002），运动质量的比值比为0.75（95%置信区间=0.63 - 0.90，P = 0.002）。在6个月和10个月时，运动质量与Bayley-III运动指数独立相关：比值比分别为0.80（95%置信区间=0.67 - 0.95，P = 0.010）和0.79（95%置信区间=0.64 - 0.97，P = 0.026）。
SOMP-I的运动水平和质量这两个领域都是早期识别运动问题的指标。随着年龄增长，运动质量变得更为重要。
