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探讨高胆红素血症患儿的运动发育和感觉处理技能。

An investigation of motor development and sensory processing skills in infants with a history of hyperbilirubinemia.

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.

出版信息

Early Hum Dev. 2023 Sep;184:105838. doi: 10.1016/j.earlhumdev.2023.105838. Epub 2023 Aug 2.

Abstract

BACKGROUND

Hyperbilirubinemia is a clinical picture frequently occurring in the neonatal period and may negatively affect the development of infants.

AIMS

To evaluate term infants with hyperbilirubinemia in terms of both motor development and sensory processing skills and to compare them with their healthy peers without hyperbilirubinemia.

STUDY DESIGN

A cross-sectional study.

SUBJECTS

Children born at term, aged 10-18 months, with and without a history of hyperbilirubinemia were included in the study.

OUTCOME MEASURES

After demographic information was recorded, motor development was evaluated with the Peabody Motor Development Scale-2 and sensory processing skills were evaluated with the Test of Sensory Function in Infant.

RESULTS

A total of 42 children (mean ± SD age of the children 13.07 ± 1.47 months, 22 with hyperbilirubinemia and 20 without hyperbilirubinemia) were included in the study. A statistically significant difference was found in the gross motor (p = 0.02), fine motor (p = 0.03), and total motor (p = 0.017) development scores of the Peabody Motor Development Scale-2 and in the adaptive motor functions (p = 0.004), visual tactile integration (p < 0.001), and total scores (p = 0.004) of The Test of Sensory Function in Infant in favor of the control group.

CONCLUSIONS

The motor and sensory processing skills of children born at term with hyperbilirubinemia may be negatively affected. Infants with hyperbilirubinemia should be evaluated from the early period not only in terms of motor but also sensory processing skills and should be supported with appropriate intervention programs.

摘要

背景

高胆红素血症是新生儿期常见的临床症状,可能对婴儿的发育产生负面影响。

目的

评估高胆红素血症足月新生儿的运动发育和感觉处理技能,并与无高胆红素血症的健康同龄儿进行比较。

研究设计

横断面研究。

受试者

纳入本研究的足月出生的儿童,年龄在 10-18 个月,有或无高胆红素血症病史。

结局指标

记录人口统计学信息后,采用 Peabody 运动发育量表-2 评估运动发育,采用婴儿感觉功能测试评估感觉处理技能。

结果

共有 42 名儿童(儿童平均年龄±标准差为 13.07±1.47 个月,22 名有高胆红素血症,20 名无高胆红素血症)纳入本研究。Peabody 运动发育量表-2 的粗大运动(p=0.02)、精细运动(p=0.03)和总运动(p=0.017)评分以及婴儿感觉功能测试的适应性运动功能(p=0.004)、视觉触觉整合(p<0.001)和总评分(p=0.004)在高胆红素血症组和对照组之间存在显著差异。

结论

患有高胆红素血症的足月出生儿童的运动和感觉处理技能可能受到负面影响。高胆红素血症的婴儿不仅应在运动方面,还应在感觉处理技能方面进行早期评估,并应提供适当的干预计划。

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