Skanika Konstantina, Tzitiridou-Chatzopoulou Maria, Papadopoulou Ourania, Xalkia Anna, Dimaki Despoina, Koukou Zoi, OROVOUb Eirini, Savvidis Georgios, Hristara-Papadopoulou Alexandra
Department of Physiotherapy International Hellenic University, Thessaloniki, 574 00 Greece.
Department of Midwifery University of Western Macedonia, Kepse, Ptolemaida, Greece.
Maedica (Bucur). 2024 Jun;19(2):273-282. doi: 10.26574/maedica.2024.19.2.273.
The purpose of this study is to emphasize the necessity and possibilities of early intervention and physiotherapy rehabilitation of premature infants, as they are reflected in five-year olds according to the gross motor function measure (GMFM) and gross motor performance measure (GMPM) evaluation scales for gross function and quality of movement. In addition, the present study examined the importance of using assessment tools for children who have received or not therapeutic intervention, through which both the child's abilities and appropriateness of the help received by him/her are evaluated based on individual needs.
Our specific exploratory process was carried out through a literature review as well as a process of primary research, in order to obtain and collect all necessary information and data which would finally lead us to the nearest and best conclusions. Our goal was to collect 20 complete and graded GMFM and 20 GMPM assessment tests, so that our research was based on a satisfactory sample of participants. In the next year, the scores received by participants were recorded and analyzed using the statistical software program SPSS (Superior Performance Software System). The analysis was performed through descriptive and inductive statistical analysis in the SPSS statistical program. Specifically, the SPSS version 20.0 and specifically the one-way ANOVA variance analysis and the Tukey's parametric test were used for the statistical analysis of the results.
The use of physiotherapy care was found to be important for premature infants, as the level of statistical significance was set at p <0.05, while the data were reported as average. The final overall scores of the evaluations (on average) were higher in the group who received early intervention and specialized physiotherapy intervention from the first day after birth.
The effect of physiotherapy on premature infants is positive in five-year-old children, who have completed almost all their developmental stages at that age. These benefits become apparent not only in a better handling of kinetic patterns and sequences but also in the ability to execute kinetic models, conquer developmental motor stages and perform them with quality in terms of alignment, sequence, synergy of movements, separation and stability.
本研究的目的是强调对早产儿进行早期干预和物理治疗康复的必要性和可能性,这在根据粗大运动功能测量(GMFM)和粗大运动表现测量(GMPM)评估量表对五岁儿童的整体功能和运动质量进行评估时得到体现。此外,本研究还探讨了对接受或未接受治疗干预的儿童使用评估工具的重要性,通过这些工具可以根据个体需求评估儿童的能力以及其接受的帮助是否合适。
我们具体的探索过程是通过文献综述以及初步研究过程来进行的,以便获取和收集所有必要的信息和数据,最终引导我们得出最接近且最佳的结论。我们的目标是收集20份完整且分级的GMFM和20份GMPM评估测试,以便我们的研究基于令人满意的参与者样本。在接下来的一年里,使用统计软件程序SPSS(卓越性能软件系统)记录和分析参与者获得的分数。分析是在SPSS统计程序中通过描述性和归纳性统计分析进行的。具体而言,使用SPSS 20.0版本,特别是单向方差分析和图基参数检验对结果进行统计分析。
发现物理治疗护理对早产儿很重要,因为统计学显著性水平设定为p<0.05,而数据以平均值报告。在出生后第一天就接受早期干预和专业物理治疗干预的组中,评估的最终总体分数(平均)更高。
物理治疗对五岁儿童的早产儿有积极影响,此时他们几乎已经完成了所有发育阶段。这些益处不仅体现在更好地处理运动模式和序列上,还体现在执行运动模型、攻克发育性运动阶段以及在运动的对齐、序列、协同、分离和稳定性方面高质量地完成这些阶段的能力上。