Motor organization in very low birth weight infants during caregiving: Effects of a developmental intervention
Motor organization in very low birth weight infants during caregiving: Effects of a developmental intervention
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DOI：
10.1097/00004703-199910000-00009
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发表时间：
1999-10-01
影响因子：
2.4
通讯作者：
Brazy, JE
中科院分区：
文献类型：
--
作者：
Becker, PT;Grunwald, PC;Brazy, JE
本研究的目的是确定是否个性化的方法来处理极低出生体重（VLBW）婴儿，旨在支持发展将导致更少的运动紊乱比传统的使用任务为导向的方法。采用准实验交叉设计，对38名婴儿（小于或等于1700 g，53%男性，89%白色）在受孕后28周、32周和36周观察到的运动反应进行了研究。受试者作为自己的对照。运动反应编码直接观察和录像带。结果表明：（1）与传统处理相比，发展性处理的整体运动量较少，有组织的运动量较多，无组织的运动量较少;（2）运动量随时间的推移而增加，但在传统处理中，运动量在32周时达到峰值。结果支持积极的影响，发展的处理，并建议降低VLBW婴儿的轻微运动障碍的患病率的潜力。
The purpose of this study was to determine whether an individualized approach to handling very low birth weight (VLBW) infants designed to support development would result in less motor disorganization than the task-oriented approach in traditional use. Using a quasi-experimental crossover design, motor responses were investigated in 38 infants (less than or equal to 1700 g, 53% male, 89% white) observed at 28, 32, and 36 weeks post-conceptional age. Subjects served as their own controls. Motor responses were coded from direct observation and videotapes. Results demonstrated that during developmental handling, (1) the overall amount of movement was less, the number of organized movements was greater, and the number of disorganized movements was less than during traditional handling; and (2) the amount of movement increased over time, but in the traditional condition, it peaked at 32 weeks. Results support positive effects of developmental handling and suggest the potential for reducing the prevalence of minor motor impairments in VLBW infants.