Longitudinal motor development of "apparently normal" high-risk infants at 18 months, 3 and 5 years

Longitudinal motor development of "apparently normal" high-risk infants at 18 months, 3 and 5 years
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DOI:
10.1016/s0378-3782(02)00094-4
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发表时间:
2002-12-01
影响因子:
2.5
通讯作者:
Lui, K
Lui, K
中科院分区:
医学4区
文献类型:
--
作者:
Goyen, TA;Lui, K

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背景:早产似乎比其他发育领域对运动发育的影响更大,然而很少有研究专门研究这一人群的粗略和精细运动技能的发展。目的:检测一组“明显正常”的高危婴儿的纵向运动发育。单位:围产期中心的发育随访诊所。研究设计:纵向观察队列研究。研究对象:58名出生在孕周29周和/或体重1000克以下的婴儿,12个月时未发现残疾。观察指标:在18个月、3年和5年时使用皮博迪发育运动量表进行纵向粗略和精细运动技能评定。家庭量表提供关于家庭环境的信息,以此作为发展的刺激。结果:很大一部分儿童(18个月时54%,3岁时47%,5岁时%)从18个月到5岁仍有精细运动障碍。在此期间,有粗大运动缺陷的婴儿比例显著增加(14%、33%和81%,P
Background: Motor development appears to be more affected by premature birth than other developmental domains, however few studies have specifically investigated the development of gross and fine motor skills in this population. Aim: To examine longitudinal motor development in a group of "apparently normal" high-risk infants. Setting: Developmental follow-up clinic in a perinatal centre. Study design: Longitudinal observational cohort study. Subjects: Fifty-eight infants born less than 29 weeks gestation and/or 1000 g and without disabilities detected at 12 months. Outcome measures: Longitudinal gross and fine motor skills at 18 months, 3 and 5 years using the Peabody Developmental Motor Scales. The HOME scale provided information of the home environment as a stimulus for development. Results: A large proportion (54% at 18 months, 47% at 3 years and 64% at 5 years) of children continued to have fine motor deficits from 18 months to 5 years. The proportion of infants with gross motor deficits significantly increased over this period (14%, 33% and 81%, p