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预测早产儿独立行走的年龄:一项使用新生儿特征和运动发育变量的纵向研究

Predicting Age of Independent Walking in Preterm Infants: A Longitudinal Study Using Neonatal Characteristics and Motor Development Variables.

作者信息

Sangkarit Noppharath, Tapanya Weerasak, Srithawong Arunrat, Amput Patchareeya, Suwannakul Boonsita

机构信息

Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao, Thailand.

Unit of Excellence of Human Performance and Rehabilitations, University of Phayao, Phayao, Thailand.

出版信息

Ann Rehabil Med. 2024 Feb;48(1):65-74. doi: 10.5535/arm.230012. Epub 2024 Feb 8.

DOI:10.5535/arm.230012
PMID:38325862
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10915304/
Abstract

OBJECTIVE

To formulate an equation estimating months to independent walking in moderate to late preterm infants based on neonatal characteristics and gross motor development from 7 months to independent walking.

METHODS

Sixty infants born between 32 to 36 weeks were assessed using Alberta Infant Motor Scale (AIMS) for gross motor development. Neonatal characteristics were recorded at 7 months, and caregiver-reported independent walking onset. Pearson correlation analyzed age, AIMS scores, and neonatal factors. Multiple regression developed the prediction equation.

RESULTS

The equation for independent walking onset, which included gestational age (GA) at birth, total AIMS score at 10 months of age (10th AIMS), and birth head circumference (BHC), exhibited a strong correlation (r=0.707) and had a predictive power of 50.0%. The equation is as follows: age onset of independent walking (months)=33.157, -0.296 (GA), -0.132 (10th AIMS), -0.196 (BHC), with an estimation error of 0.631 months.

CONCLUSION

Neonatal characteristics, such as GA, 10th AIMS, and BHC, are key determinants in estimating the onset of independent walking in moderate to late preterm infants.

摘要

目的

根据新生儿特征以及7个月至独立行走阶段的大运动发育情况,制定一个估算中度至晚期早产儿独立行走月龄的公式。

方法

对60名孕周在32至36周之间出生的婴儿,使用艾伯塔婴儿运动量表(AIMS)评估其大运动发育情况。记录婴儿7个月时的新生儿特征以及照料者报告的独立行走开始时间。采用Pearson相关性分析年龄、AIMS评分和新生儿因素。通过多元回归建立预测方程。

结果

独立行走开始时间的方程,包括出生时的孕周(GA)、10个月大时的AIMS总分(第10次AIMS)和出生头围(BHC),显示出很强的相关性(r = 0.707),预测能力为50.0%。该方程如下:独立行走开始月龄 = 33.157 - 0.296(GA) - 0.132(第10次AIMS) - 0.196(BHC),估计误差为0.631个月。

结论

新生儿特征,如孕周、第10次AIMS和出生头围,是估算中度至晚期早产儿独立行走开始时间的关键决定因素。

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本文引用的文献

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Effects of Play in an Upright Position on Intra-Individual Variability of Gross Motor and Language Development in Institutionalized Infants.
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Intra-Individual Variability in Gross Motor Development in Healthy Full-Term Infants Aged 0-13 Months and Associated Factors during Child Rearing.0至13个月健康足月儿大运动发育的个体内差异及育儿过程中的相关因素
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Segmental Assessment of Trunk Control in Moderate-to-Late Preterm Infants Related to Sitting Development.中度至晚期早产儿躯干控制与坐位发育的分段评估
Children (Basel). 2021 Aug 24;8(9):722. doi: 10.3390/children8090722.
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Gross motor development of Thai healthy full-term infants aged from birth to 14 months using the Alberta Infant Motor Scale: Inter individual variability.采用 Alberta 婴儿运动量表评估泰国健康足月婴儿从出生到 14 月龄时的粗大运动发育:个体间变异性。
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Longitudinal Development of Segmental Trunk Control in Full Term and Preterm Infants- a Pilot Study: Part I.足月儿和早产儿躯干节段性控制的纵向发育——一项初步研究:第一部分
Dev Neurorehabil. 2020 Apr;23(3):185-192. doi: 10.1080/17518423.2019.1648580. Epub 2019 Jul 26.
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Cultural translation and adaptation of the Alberta Infant Motor Scale Thai version.《艾伯塔婴儿运动量表泰语版的文化翻译与改编》
Early Hum Dev. 2019 Mar;130:65-70. doi: 10.1016/j.earlhumdev.2019.01.018. Epub 2019 Jan 28.
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Segmental Assessment of Trunk Control in infants from 4 to 9 months of age- a psychometric study.4至9个月婴儿躯干控制的分段评估——一项心理测量学研究。
BMC Pediatr. 2018 May 31;18(1):182. doi: 10.1186/s12887-018-1153-4.
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