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6个月大时的运动技能对极早产儿和足月儿12个月大时的运动及认知发展有连锁效应吗?

Do 6-Month Motor Skills Have Cascading Effects on 12-Month Motor and Cognitive Development in Extremely Preterm and Full-Term Infants?

作者信息

Zuccarini Mariagrazia, Guarini Annalisa, Savini Silvia, Faldella Giacomo, Sansavini Alessandra

机构信息

Department of Psychology, University of Bologna, Bologna, Italy.

Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy.

出版信息

Front Psychol. 2020 Jun 26;11:1297. doi: 10.3389/fpsyg.2020.01297. eCollection 2020.

DOI:10.3389/fpsyg.2020.01297
PMID:32670158
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7332837/
Abstract

In this study, we analyzed whether 6-month gross and fine motor skills were related to 12-month gross and fine motor skills and cognitive development, controlling for 6-month cognitive skills, and neonatal status (extremely low gestational age ELGA ≤ 28 weeks vs. full-term FT ≥ 37 weeks). We also investigated, at 6 months, predictive indexes for motor and cognitive delay at 12-months. We assessed 40 infants (20 ELGA and 20 FT) at 6 and 12 months (corrected age for the ELGA infants). Six-month gross motor skills were related to 12-month gross motor, fine motor, and cognitive skills and predicted 12-month gross motor delay. Six-month cognitive skills explained an additional amount of variance of 12-month gross motor skills, whereas neonatal status explained an additional amount of variance of 12-month cognitive skills. Considering the intradomain and cross-domain cascading effects of early gross motor skills on later motor and cognitive development, these skills should be repeatedly assessed in ELGA infants in the first year of life for early identification of infants with delayed gross motor skills and implementation of customized interventions.

摘要

在本研究中,我们分析了6个月时的粗大和精细运动技能是否与12个月时的粗大和精细运动技能以及认知发展相关,并对6个月时的认知技能和新生儿状况(极早早产儿ELGA≤28周与足月儿FT≥37周)进行了控制。我们还在6个月时研究了12个月时运动和认知延迟的预测指标。我们在6个月和12个月时(ELGA婴儿为矫正年龄)评估了40名婴儿(20名ELGA婴儿和20名足月儿)。6个月时的粗大运动技能与12个月时的粗大运动、精细运动和认知技能相关,并可预测12个月时的粗大运动延迟。6个月时的认知技能解释了12个月时粗大运动技能的额外方差量,而新生儿状况解释了12个月时认知技能的额外方差量。考虑到早期粗大运动技能对后期运动和认知发展的领域内和跨领域级联效应,应在ELGA婴儿出生后的第一年对这些技能进行反复评估,以便早期识别粗大运动技能延迟的婴儿并实施定制化干预措施。

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