Apaydın Umut, Altunalan Turgay
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Karadeniz Technical University, Trabzon, Turkey.
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Karadeniz Technical University, Üniversite Mahallesi Farabi Caddesi No:88, Ortahisar, Trabzon, 61080, Turkey.
BMC Pediatr. 2025 Jun 2;25(1):443. doi: 10.1186/s12887-025-05817-z.
The goals of this study were to examine the motor repertoire and Motor Optimality Score-Revised (MOS-R) scores among the premature groups (very, moderate, and late preterm) and ascertain the connection between these metrics and the clinical variables of infants.
This study was a retrospective cohort study. Sixty-eight preterm infants, who were followed-up in a reference university hospital, were included. Prechtl's General Movement Assessment (GMA), including the MOS-R, was used as an assessment tool. Clinical variables, such as preterm birth, birthweight, length of hospitalization, admission at neonatal intensive care unit, use of invasive mechanical ventilation, duration of oxygen therapy were collected. Infants were videoed at least single time for 2-3 min between the age of 10-16 weeks corrected age.
The median MOS-R score was 21 in the very preterm group, 23 and 24 in the moderate and late preterm groups, respectively. Early preterm infants had lower MOS-R (p:0.003) and motor repertoire scores (p:0.007) compared to moderate-late preterm groups. MOS-R scores of the infants were associated with gestational age, bronchopulmonary dysplasia, neonatal intensive care (NICU) stay, ventilation and oxygen duration (p < 0.05). The same results were obtained for the motor repertoire score, except for gender (p < 0.05).
We think that it is important to closely monitor infants who have been hospitalised for a long time, who have a lower gestational age, history of bronchopulmonary dysplasia and prolonged ventilation or oxygen intake and who are in the high-risk group and to start early intervention when necessary.
本研究的目的是检查早产组（极早产、中度早产和晚期早产）的运动技能库和修订后的运动最优性评分（MOS-R），并确定这些指标与婴儿临床变量之间的关系。
本研究为回顾性队列研究。纳入了在一所参考大学医院接受随访的68名早产儿。采用Prechtl的全身运动评估（GMA），包括MOS-R，作为评估工具。收集临床变量，如早产、出生体重、住院时间、入住新生儿重症监护病房、使用有创机械通气、氧疗持续时间等。在矫正年龄10-16周之间，至少对婴儿进行一次2-3分钟的录像。
极早产组的MOS-R评分中位数为21分，中度早产组和晚期早产组分别为23分和24分。与中度和晚期早产组相比，极早早产儿的MOS-R评分（p:0.003）和运动技能库评分（p:0.007）较低。婴儿的MOS-R评分与胎龄、支气管肺发育不良、新生儿重症监护（NICU）住院时间、通气和吸氧持续时间相关（p < 0.05）。运动技能库评分也得到了相同的结果，但性别除外（p < 0.05）。
我们认为，密切监测长期住院、胎龄较小、有支气管肺发育不良病史以及通气或吸氧时间延长且属于高危组的婴儿，并在必要时尽早开始干预非常重要。
