Detecting motor abnormalities in preterm infants
Detecting motor abnormalities in preterm infants
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DOI：
10.1007/s002219900227
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发表时间：
2000-04-01
影响因子：
2
通讯作者：
Lee, DN
中科院分区：
文献类型：
--
作者：
Craig, CM;Grealy, MA;Lee, DN
由于各种神经结构的脆弱性，在低妊娠期和/或出生体重下出生的早产儿发生运动异常的风险增加。缺乏一个可靠的手段来评估运动的完整性，防止早期治疗干预。在本文中，我们提出了一种新的方法来评估新生儿的运动性能，即记录和随后的分析口内吸吮压力时产生的营养喂养。通过测量婴儿的吸吮控制在一个新的发展tau理论，正常模式的口内运动控制的足月婴儿建立。使用同样的方法，本研究揭示了早产儿吸吮控制的不规则性。当这些发现与六个月后物理治疗师的评估进行比较时，发现不规则吮吸的早产儿在运动发育方面有所延迟。也许，一个目标导向的行为，如吸吮控制，可以在很小的年龄客观地测量，可以包括作为早产儿的神经评估的一部分。早产儿运动异常的更准确分类将允许在婴儿仍在获得最基本的运动功能时实现早期治疗干预。(C)Springer-Verlag 2000.
As a consequence of the fragility of various neural structures, preterm infants born at a low gestation and/or birthweight are at an increased risk of developing motor abnormalities. The lack of a reliable means of assessing motor integrity prevents early therapeutic intervention. In this paper, we propose a new method of assessing neonatal motor performance, namely the recording and subsequent analysis of intraoral sucking pressures generated when feeding nutritively. By measuring the infant's control of sucking in terms of a new development of tau theory, normal patterns of intraoral motor control were established for term infants. Using this same measure, the present study revealed irregularities in sucking control of preterm infants. When these findings were compared to a physiotherapist's assessment six months later, the preterm infants who sucked irregularly were found to be delayed in their motor development. Perhaps a goal-directed behaviour such as sucking control that can be measured objectively at a very young age, could be included as part of the neurological assessment of the preterm infant. More accurate classification of a preterm infant's movement abnormalities would allow for early therapeutic interventions to be realised when the infant is still acquiring the most basic of motor functions. (C) Springer-Verlag 2000.