Sangkarit Noppharath, Siritaratiwat Wantana, Bennett Surussawadi, Tapanya Weerasak
Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Muang, Khon Kaen 40002, Thailand.
Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand.
Children (Basel). 2021 Sep 26;8(10):851. doi: 10.3390/children8100851.
(1) Background: biological variables and particular child rearing practices could be linked to postural control and rates of sitting onset. The segmental Assessment of Trunk Control (SATCo) is currently used as an assessment of postural control with a specific segment on premature infants. However, the association between related factors and segmental trunk control during sitting development in preterm infants via longitudinal assessments is still limited. Objective: to investigate the associations between biological and child rearing factors and segmental trunk control during sitting in moderate to late premature birth from the age of 4 months to age of independent sitting attainment. (2) Methods: forty-two infants born between 32 and 36 weeks of gestation were recruited. Their segmental trunk control was assessed using the SATCo. Their related factors were recorded from the age of 4 months to early onset of independent sitting attainment. The generalised estimating equation (GEE) model was used to identify the association between related factors and the SATCo with a linear distribution. (3) Results: cause of prematurity, baby rocking recliner and baby walker usage were negative factors, while play in a sitting position, opportunity to move on a traditional mat and sleep mattress were positive factors contributing to the segmental control of the trunk. (4) Conclusions: the experience of sitting on different surfaces and an opportunity to sit without support during the child rearing period from age of 4 months corrected could be positive factors associating with the segmental trunk control in moderate-to-late premature infants.
(1) 背景：生物学变量和特定的育儿方式可能与姿势控制及坐立开始的速率相关。躯干控制分段评估（SATCo）目前被用作对早产儿特定部位姿势控制的一种评估方法。然而，通过纵向评估研究早产儿坐立发育过程中相关因素与躯干分段控制之间的关联仍然有限。目的：探讨生物学和育儿因素与中度至晚期早产儿从4月龄至独立坐立获得期间坐立时躯干分段控制之间的关联。(2) 方法：招募了42名孕32至36周出生的婴儿。使用SATCo评估他们的躯干分段控制情况。记录他们从4月龄至独立坐立开始早期的相关因素。采用广义估计方程（GEE）模型来确定相关因素与呈线性分布的SATCo之间的关联。(3) 结果：早产原因、使用婴儿摇椅和婴儿学步车是负面因素，而坐位玩耍、在传统垫子上活动的机会和睡床垫是有助于躯干分段控制的正面因素。(4) 结论：在4月龄矫正后的育儿期间，坐在不同表面上的经历以及无支撑坐立的机会可能是与中度至晚期早产儿躯干分段控制相关的正面因素。
