Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand.
Early Hum Dev. 2024 Nov;198:106121. doi: 10.1016/j.earlhumdev.2024.106121. Epub 2024 Sep 11.
To investigate the effect of computer-based early intervention with a playpen to enhance standing and walking, and to examine the relationship between changes in gross motor percentile and segmental trunk control in preterm infants nine months corrected age.
Forty infants born before 37 weeks of gestation were randomly assigned to either the experimental or control group. The Alberta Infant Motor Scale (AIMS) and the Segmental Assessment of Trunk Control (SATCo) were administered before and after the intervention. The experimental group, consisting of twenty preterm infants, participated in a computer-based early intervention involving 45 min of play in standing and walking positions, five times a week for 4 weeks.
There were significant between-group differences in the gross motor percentiles of the AIMS (p-value <0.001). In addition, there was a significant difference in all conditions of the SATCo scores (p-value <0.05) compared with baseline score. The change in percentiles of gross motor development was significantly correlated (r = 0.643; p-value <0.001) with reactive SATCo during walking in infants in the experimental group.
Early intervention with a playpen in a standing and walking position can be applied to improve changes in gross motor percentiles and segmental trunk control in preterm infants.
探讨基于计算机的早期干预（使用游戏围栏）对增强站立和行走能力的影响，并检验早产儿 9 个月校正年龄时粗大运动百分位数变化与分段躯干控制之间的关系。
将 40 名胎龄小于 37 周的婴儿随机分为实验组和对照组。在干预前后分别进行 Alberta 婴儿运动量表（AIMS）和分段躯干控制评估（SATCo）。实验组由 20 名早产儿组成，他们参与了一项基于计算机的早期干预，包括每周 5 天、每天 45 分钟的站立和行走姿势的游戏。
AIMS 的粗大运动百分位数在组间存在显著差异（p 值 <0.001）。此外，与基线得分相比，SATCo 评分的所有条件均存在显著差异（p 值 <0.05）。实验组中，在行走时的反应性 SATCo 与粗大运动发育百分位数的变化显著相关（r=0.643；p 值 <0.001）。
在站立和行走位置使用游戏围栏进行早期干预可以改善早产儿的粗大运动百分位数和分段躯干控制。
