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Postural behavior in children born preterm.

Bjørg Fallang1, Mijna Hadders-Algra

  • 1Oslo University College, Health Sciences, Physiotherapy Programme, 0130 Oslo, Norway. bjorg.fallang@hf.hio.no

Neural Plasticity
|August 16, 2005
PubMed
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Preterm infants may exhibit atypical postural behavior, impacting neuromotor skills later in life. This study highlights how early motor development in preterm children affects school-age outcomes.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Motor Control

Background:

  • Preterm infants often display atypical postural behavior, including reduced rotation during crawling and delayed walking.
  • School-aged children born preterm may experience difficulties with balance tasks like standing on one leg and hopping.
  • Early neurophysiological data suggest impaired postural control modulation and temporal disorganization in EMG responses.

Purpose of the Study:

  • To investigate the clinical and neurophysiological characteristics of postural behavior in preterm children without cerebral palsy (CP).
  • To correlate early postural behavior with later neuromotor outcomes in school-aged children.

Main Methods:

  • Clinical follow-up of preterm infants from infancy to school age.
  • Neurophysiological assessment of postural control, including EMG response analysis.

Related Experiment Videos

  • Analysis of postural responses during goal-directed reaching, measuring the total body center of pressure.
  • Main Results:

    • Preterm infants demonstrated less mobile postural behavior compared to full-term infants.
    • While less mobile postural behavior was associated with better reaching quality in infancy, it predicted less favorable neuromotor behavior at school age.
    • Dysfunctions in modulating postural activity and temporal EMG disorganization were observed.

    Conclusions:

    • Atypical postural behavior in preterm infants, particularly reduced mobility during reaching, is linked to poorer neuromotor development later in childhood.
    • Early identification and intervention for postural control deficits in preterm children may be crucial for optimizing long-term motor outcomes.