Developmental and Early Physiotherapy Unit, Faculty of Physical Therapy and Rehabilitation, Hacettepe University, 06100, Sihhiye, Ankara, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Muş Alparslan University, 49250, Mus, Turkey.
Eur J Pediatr. 2022 Jan;181(1):99-105. doi: 10.1007/s00431-021-04162-4. Epub 2021 Jul 2.
Jaundice is a common problem and occurs as a result of the increase in bilirubin level in infants. Infants may be adversely affected by this situation. The aim of this study is to determine whether neonatal jaundice affects the movements and postures of 3- to 5-month-old infants with hyperbilirubinemia and the correlation of motor repertoire at the same age with bilirubin levels. The study group included 30 infants (9 girls, 21 boys) with hyperbilirubinemia and a control group of 30 infants (11 girls, 19 boys) with typical development without hyperbilirubinemia. The motor repertoires of the infants were evaluated through detailed general movement (GM) analysis using video recordings made at 9-17 weeks post-term. The infants with hyperbilirubinemia had lower motor optimality score and subcategory scores (including observed movement patterns, age-adequate movement repertoire, observed postural patterns, and movement character) compared with the control group. The fidgety movement scores decreased as bilirubin value increased in infants.Conclusion: Infants with hyperbilirubinemia had poorer motor repertoire when compared to a control group. For this reason, detailed GM analysis of these infants will predict probable neurodevelopmental problems and infants with needs can begin individualized early intervention suitable for movement repertoire and posture at the earliest time. What is Known: • GMs of infants with hyperbilirubinemia were previously described. • However, the motor repertoires of infants with hyperbilirubinemia were not described in detail. What is New: • Infants with hyperbilirubinemia had poorer motor repertoire when compared to peers. • This is important in determining the need for individualized early intervention.
黄疸是一种常见的问题，发生是由于婴儿胆红素水平升高所致。婴儿可能会因此受到不良影响。本研究旨在确定新生儿黄疸是否会影响高胆红素血症的 3 至 5 个月大婴儿的运动和姿势，以及同龄婴儿的运动模式与胆红素水平的相关性。研究组包括 30 名（9 名女孩，21 名男孩）患有高胆红素血症的婴儿和 30 名（11 名女孩，19 名男孩）具有典型发育且无高胆红素血症的对照组婴儿。通过使用视频记录在纠正月龄 9-17 周时进行详细的一般运动（GM）分析来评估婴儿的运动模式。与对照组相比，高胆红素血症婴儿的运动优化评分和子类别评分（包括观察到的运动模式、与年龄相适应的运动模式、观察到的姿势模式和运动特征）较低。随着胆红素值的增加，婴儿的烦躁运动评分降低。结论：与对照组相比，高胆红素血症婴儿的运动模式较差。因此，对这些婴儿进行详细的 GM 分析可以预测可能的神经发育问题，并使有需要的婴儿尽早开始适合运动模式和姿势的个体化早期干预。已知情况：• 先前描述了高胆红素血症婴儿的 GM。• 但是，高胆红素血症婴儿的运动模式并未详细描述。新情况：• 与同龄人相比，高胆红素血症婴儿的运动模式较差。• 这对于确定个体化早期干预的需求很重要。
