Prediction of motor and functional outcomes in infants born preterm assessed at term

Laurie Snider1, Annette Majnemer, Barbara Mazer

  • 1School of Physical and Occupational Therapy, McGill University, Montréal, Canada. laurie.snider@mcgill.ca

Insights

Neonatal assessments at term can predict later motor and functional skills in preterm infants. Early screening using tools like the General Movements Assessment and Test of Infant Motor Performance offers valuable insights.

Area of Science:

  • Neonatal neurodevelopmental assessment
  • Pediatric motor development
  • Preterm infant outcomes

Background:

  • Preterm infants face risks for developmental delays.
  • Predictive assessments in neonates are crucial for early intervention.
  • Understanding the predictive validity of neonatal assessments is essential.

Purpose of the Study:

  • To compare three neonatal assessment approaches.
  • To predict motor and functional outcomes at 12 months corrected age in preterm infants.
  • To evaluate the efficacy of term-based assessments for long-term prediction.

Main Methods:

  • 100 infants born <32 weeks postconceptional age were assessed at term.
  • Utilized General Movements Assessment, Einstein Neonatal Neurobehavioral Assessment Scales, and Test of Infant Motor Performance.
  • Outcomes assessed at 12 months corrected age using Alberta Infant Motor Scales, Peabody Developmental Motor Scales-2, and others.

Main Results:

  • General Movements Assessment and Test of Infant Motor Performance predicted Peabody Developmental Motor Scales-2 outcomes.
  • Test of Infant Motor Performance predicted Alberta Infant Motor Scales and Vineland Adaptive Behavior Scales-Daily Living Skills.
  • Neonatal tests explained a small but significant portion of outcome variance; functional delays were observed.

Conclusions:

  • Term neonatal assessments have predictive value for gross motor and daily living skills.
  • General Movements Assessment and Test of Infant Motor Performance show promise in predicting later development.
  • Early identification of potential delays in preterm infants is possible through neonatal screening.
Abstract

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