Salavati Sahar, Berghuis Sietske A, Bosch Tess, Hitzert Marrit M, Baptist Dyvonne H, Mebius Mirthe J, Bos Arend F
Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Division of Neonatology, Department of Pediatrics, Beatrix Children's Hospital, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Eur J Paediatr Neurol. 2021 May;32:73-79. doi: 10.1016/j.ejpn.2021.03.014. Epub 2021 Mar 31.
To obtain reference data on the early motor repertoire of very preterm infants compared with healthy term infants at three months' post-term age.
In this observational study, using Prechtl's method on the assessment of the early motor repertoire, we compared the quality of fidgety movements and the concurrent motor optimality score - revised of infants with a gestational age <30 weeks and/or a birth weight <1000 g with healthy infants with a gestational age of 37-42 weeks.
One hundred eighty very preterm and 180 healthy term infants participated. The median motor optimality scores - revised of very preterm infants were significantly lower in comparison to those of term infants, with scores of 24 (25th-75th percentiles: 23-26) and 26 (25th-75th percentiles: 26-28), respectively. Fidgety movements were aberrant (abnormal or absent) more often in very preterm infants than in term infants. The odds ratio was 4.59 (95% CI, 1.51-13.92). Compared with term infants, very preterm infants had poorer scores on the subscales age-adequate movement repertoire, observed postural patterns, and movement character with odds ratios ≥2.97. We found no differences regarding observed movement patterns.
This study provides reference data on the early motor repertoire of very preterm and healthy term infants. It demonstrates that the early motor repertoire of very preterm infants is poorer than that of term infants, a finding consistent with existing knowledge that prematurity increases the risk of poor neurodevelopment.
获取极早产儿与足月健康婴儿在足月后三个月时早期运动技能的参考数据。
在这项观察性研究中，我们采用普雷茨尔评估早期运动技能的方法，比较了胎龄<30周和/或出生体重<1000克的婴儿与胎龄为37 - 42周的健康婴儿的不安运动质量和同期运动最优性评分（修订版）。
180名极早产儿和180名足月健康婴儿参与了研究。极早产儿的运动最优性评分（修订版）中位数显著低于足月婴儿，分别为24分（第25 - 75百分位数：23 - 26）和26分（第25 - 75百分位数：26 - 28）。极早产儿出现异常（异常或无）不安运动的情况比足月婴儿更常见。优势比为4.59（95%可信区间，1.51 - 13.92）。与足月婴儿相比，极早产儿在年龄适配运动技能、观察到的姿势模式和运动特征子量表上得分更低，优势比≥2.97。我们在观察到的运动模式方面未发现差异。
本研究提供了极早产儿和足月健康婴儿早期运动技能的参考数据。结果表明，极早产儿的早期运动技能比足月婴儿差，这一发现与早产会增加神经发育不良风险的现有知识一致。
