新生儿缺氧缺血性脑病的早期自发性运动。
Early Spontaneous Movements of Infants With Hypoxic-Ischemic Encephalopathy.
机构信息
Department of Physiotherapy and Rehabilitation (Dr Alkan), Faculty of Health Sciences, Muş Alparslan University, Muş, Turkey; Department of Physiotherapy and Rehabilitation (Drs Alkan, Kahraman, and Mutlu), Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
出版信息
Pediatr Phys Ther. 2021 Jan 1;33(1):18-22. doi: 10.1097/PEP.0000000000000759.
OBJECTIVE
The aim of this study was to determine motor repertoire at 3 to 5 months of age in infants with hypoxic-ischemic encephalopathy (HIE) and to examine changes according to HIE severity.
METHODS
Participants were 38 infants aged 3 to 5 months with HIE and 38 infants in the comparison group. The general movement assessment and the Motor Optimality Score (MOS) were used.
RESULTS
Infants in the HIE group had a significantly lower total MOS and scores for fidgety movements, age adequacy of motor repertoire, and quality of movement patterns compared with the comparison group. Infants with grade III HIE compared with grade I had a significantly lower MOS.
CONCLUSIONS
Infants with HIE had poorer motor repertoire at age 3 to 5 months when compared with peers. Motor repertoire deteriorated as HIE severity increased. Detecting potential developmental delays as early as possible allows for early intervention and rehabilitation in this population.
目的
本研究旨在确定 3 至 5 个月龄患有缺氧缺血性脑病（HIE）婴儿的运动表现，并检查其严重程度的变化。
方法
参与者为 38 名 3 至 5 个月龄患有 HIE 的婴儿和 38 名对照组婴儿。使用全身运动评估和运动优化评分（MOS）进行评估。
结果
与对照组相比，HIE 组婴儿的总 MOS 以及不安运动、运动表现的年龄适宜性和运动模式质量评分显著较低。与 I 级 HIE 相比，III 级 HIE 婴儿的 MOS 显著较低。
结论
与同龄婴儿相比，患有 HIE 的婴儿在 3 至 5 个月龄时的运动表现较差。随着 HIE 严重程度的增加，运动表现恶化。尽早发现潜在的发育迟缓，可使该人群能够尽早进行干预和康复。
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