Developmental and Early Physiotherapy Unit, Faculty of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkiye.
Developmental and Early Physiotherapy Unit, Faculty of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkiye.
Pediatr Neurol. 2024 Oct;159:26-32. doi: 10.1016/j.pediatrneurol.2024.07.003. Epub 2024 Jul 10.
High birth weight (HBW) describes fetal birth weight of more than 4000 g. Infants with HBW have a high risk of developing neurological and developmental problems. Until recently, there were no studies in the literature that investigated the quality of spontaneous movements and the integrity of the developing nervous system in infants with HBW. The aims of this study were (1) to describe age-specific detailed early spontaneous movements in infants with HBW and (2) to compare the detailed early spontaneous movements of infants with HBW and normal birth weight (NBW).
Twenty-two infants with HBW (median birth weight = 4190 g) and 22 infants with NBW (median birth weight = 3255 g) were included at 10 to 19 weeks post-term age (median = 13 weeks). All infants were assessed according to General Movement Assessment using three- to five-minute video recordings. Video recordings of each infant were evaluated using Motor Optimality Score for three- to five-month-old infants-Revised score sheet.
Motor Optimality Score-Revised (MOS-R) (P < 0.001), observed postural patterns (P < 0.001), and age-adequate movement repertoire (P = 0.005) were significantly lower in the infants with HBW. Infants with HBW had more aberrant (abnormal or absent) fidgety movements (18%) than those with NBW (0%).
The results of this study demonstrated that the motor repertoire of infants with HBW tended to decrease more than that of those with NBW. To enable the follow-up of progression as a result of these assessments infants in need should be referred to age-adequate early intervention programs.
高出生体重（HBW）是指胎儿出生体重超过 4000 克。HBW 婴儿有发生神经和发育问题的高风险。直到最近，文献中还没有研究调查 HBW 婴儿自发运动的质量和发育中神经系统的完整性。本研究的目的是：（1）描述 HBW 婴儿特定年龄的详细早期自发运动；（2）比较 HBW 和正常出生体重（NBW）婴儿的详细早期自发运动。
纳入 22 名 HBW 婴儿（中位出生体重=4190 克）和 22 名 NBW 婴儿（中位出生体重=3255 克），在出生后 10 至 19 周（中位=13 周）时进行评估。所有婴儿均根据全身运动评估进行 3 至 5 分钟的视频记录。使用适用于 3 至 5 个月大婴儿的运动优化评分修订版评分表对每个婴儿的视频记录进行评估。
运动优化评分修订版（MOS-R）（P<0.001）、观察到的姿势模式（P<0.001）和年龄适当的运动范围（P=0.005）在 HBW 婴儿中显著较低。HBW 婴儿的多动性（异常或缺失）运动（18%）比 NBW 婴儿（0%）更常见。
本研究结果表明，HBW 婴儿的运动范围比 NBW 婴儿更倾向于减少。为了能够随着这些评估的进行，跟踪进展，需要将有需要的婴儿转介到适当年龄的早期干预计划中。
