Kanniappan Vadivelan, Muthiah Manikumar, Abishek J R, Shrisruthi S, Chinnasami Balaji, Sethuraman Subramanian, Muthuperumal Prakash, Manoharan Manju Bashini, Raja Devendhiran, Selavaraj Saranraj
SRM College of Physiotherapy, Faculty of Medicine and Health Sciences, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, India.
Department of Pediatrics, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Chengalpattu, Tamil Nadu, India.
Indian J Community Med. 2025 Aug;50(Suppl 1):S13-S21. doi: 10.4103/ijcm.ijcm_549_24. Epub 2025 May 30.
With an increasing rate of preterm birth (PTB) and survival rates, PTB-related impairments have become a critical concern that requires early screening and intervention. Though there are multiple neurodevelopmental tools available, their complexity in administration, limits their usage. This research intends to systematic review the available neurodevelopmental assessment tools to map their components in relevant domains in each age quarter of a preterm infant's life to give a quick reference guide for clinical practice in India. A systematic review was undertaken using key keywords linked to preterm newborns and neurodevelopmental assessment in PubMed, Scopus, ProQuest, and gray literature published from 2000 to 2023. The initial search identified 30 neurodevelopmental tools, but only 10 were included in the analysis due to accessibility constraints. The first quarter concentrated on a great deal on primitive reflexes, which might serve as early warnings of a red flag. Although these tools are used in research, most lack extensive psychometric evaluations specific to preterm populations, raising concern validity and geographical sensitivity, especially in India. There is critical need to establish the psychometrics of the identified tools in preterm population. The components plotted over infant age quarters may be used by health care professionals for a quick reference. Inaccessibility of tools being the major hinderance in pediatric evaluation, these charted components may serve a practical reference frame work for establishing a comprehensive tool that might require less or minimal training suitable for low- and middle-income countries like India.
随着早产率和存活率的不断上升，与早产相关的损伤已成为一个关键问题，需要进行早期筛查和干预。尽管有多种神经发育评估工具可供使用，但它们在管理上的复杂性限制了其应用。本研究旨在系统回顾现有的神经发育评估工具，梳理其在早产婴儿生命各年龄段相关领域的组成部分，为印度的临床实践提供快速参考指南。我们使用与早产新生儿和神经发育评估相关的关键词，在PubMed、Scopus、ProQuest以及2000年至2023年发表的灰色文献中进行了系统回顾。初步搜索识别出30种神经发育工具，但由于可及性限制，只有10种被纳入分析。第一阶段主要关注原始反射，这些反射可能是危险信号的早期预警。尽管这些工具用于研究，但大多数缺乏针对早产人群的广泛心理测量学评估，这引发了对有效性和地域敏感性的担忧，尤其是在印度。迫切需要在早产人群中建立已识别工具的心理测量学。绘制在婴儿各年龄段的组成部分可供医护人员快速参考。工具难以获取是儿科评估的主要障碍，这些绘制的组成部分可为建立一个全面的工具提供实用的参考框架，该工具可能需要较少或最少的培训，适用于像印度这样的低收入和中等收入国家。
