Cerebral motor function in very premature-at-birth adolescents: a brain stimulation exploration of kangaroo mother

Cyril Schneider1, Nathalie Charpak, Juan G Ruiz-Peláez

  • 1Clinical neuroscience and neurostimulation laboratory, Centre de recherche du CHUQ, Québec, QC, Canada. cyril.schneider@rea.ulaval.ca

Insights

Kangaroo Mother Care (KMC) improved adolescent motor function in very preterm infants. KMC positively influenced brain networks and synaptic efficacy, showing better outcomes than controls.

Area of Science:

  • Neuroscience
  • Developmental Neuroscience
  • Pediatric Neurology

Background:

  • Prematurity can negatively impact long-term brain network development.
  • Early interventions may mitigate adverse effects of prematurity on neurodevelopment.

Purpose of the Study:

  • To investigate if Kangaroo Mother Care (KMC) influences brain motor function in adolescents born very prematurely.
  • To assess the long-term effects of KMC on motor circuit integrity and interhemispheric communication.

Main Methods:

  • Transcranial magnetic stimulation (TMS) assessed motor cortex (M1) function and callosal pathways in adolescents.
  • Participants included very preterm (<33 weeks GA) adolescents with (KMC) and without KMC, and term-born controls.

Main Results:

  • KMC adolescents showed similar TMS outcomes to term-born adolescents and superior results compared to controls.
  • KMC group exhibited faster M1 cell synchronization and interhemispheric transfer times.
  • Enhanced inhibitory processes and interhemispheric control were observed in the KMC group.

Conclusions:

  • Kangaroo Mother Care positively influences the development of premature brain motor networks up to adolescence.
  • KMC enhances synaptic efficacy and functional connectivity in the motor pathways of very preterm individuals.
  • Early KMC intervention demonstrates lasting benefits for neurodevelopmental outcomes in preterm survivors.
Abstract

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