Department of Physiotherapy and Rehabilitation, Akdeniz University Faculty of Health Sciences, Antalya.
Department of Occupational Therapy, Hacettepe University Faculty of Health Sciences, Ankara.
Turk J Pediatr. 2021;63(5):855-866. doi: 10.24953/turkjped.2021.05.013.
Little is known about the relationship between sensory processing and motor development in very preterm infants. The purpose of this study was to explore the relationship of motor development with sensory processing among such infants with developmental delay and those who had typical development at the ages of 8 and 12 months.
This prospective case-control study included 61 preterm infants (31 males, 30 females, mean gestational age: 29.1 weeks). The infants had a gestational age of 32 weeks or less and a current corrected age of 8 months, and they had spent at least 15 days in the neonatal intensive care unit. Motor development was assessed with the Neuro-sensory Motor Developmental Assessment (NSMDA), and sensory processing was evaluated with the Test of Sensory Functions in Infants (TSFI).
There were very strong positive correlations between the gross and fine motor scores of the NSMDA and the TSFI`s subdomain scores and total scores (r=0.85-0.93, p < 0.001). There were also very strong negative correlations between the functional level according to the NSMDA and the subdomain scores and total scores of the TSFI (r=-0.89-0.94, p < 0.001).
The results show that sensory processing and motor development are related parts of the development of very preterm infants. In the early rehabilitation process, therapists should comprehensively take motor and sensory development into consideration.
对于极早产儿的感觉处理与运动发育之间的关系,人们知之甚少。本研究旨在探讨存在发育迟缓与具有典型发育的早产儿在 8 月龄和 12 月龄时感觉处理与运动发育之间的关系。
本前瞻性病例对照研究纳入 61 例早产儿(男 31 例,女 30 例,平均胎龄 29.1 周)。这些婴儿的胎龄在 32 周及以下,当前矫正月龄为 8 个月,且至少在新生儿重症监护病房中度过了 15 天。运动发育通过神经感觉运动发育评估(NSMDA)进行评估,感觉处理通过婴儿感觉功能测试(TSFI)进行评估。
NSMDA 的粗大运动和精细运动评分与 TSFI 的子域评分和总分之间存在很强的正相关(r=0.85-0.93,p<0.001)。NSMDA 的功能水平与 TSFI 的子域评分和总分之间也存在很强的负相关(r=-0.89-0.94,p<0.001)。
研究结果表明,感觉处理和运动发育是极早产儿发育的相关部分。在早期康复过程中,治疗师应综合考虑运动和感觉发育。