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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Difficulty in mental, neuromusculoskeletal, and movement-related school functions associated with low birthweight or
Kinsuk Maitra1, Hae Yean Park2, Jaime Eggenberger3
1Kinsuk Maitra, PhD, OTR/L, is Chair and Professor, Department of Occupational Therapy, College of Nursing and Health Sciences, Florida International University, 11200 SW Eighth Street, MMC, AHC3 443, Miami, FL 33199; kmaitra@fiu.edu.
Insights
Children born with low birthweight (LBW) or preterm face significant challenges in mental and motor functions, impacting their school readiness and academic success.
Area of Science:
- Developmental Pediatrics
- Neuroscience
- Public Health
Background:
- Low birthweight (LBW) and preterm birth are critical indicators of infant health.
- These conditions are associated with potential long-term developmental and functional deficits.
- Understanding their impact on school-age functions is crucial for early intervention.
Purpose of the Study:
- To conduct a meta-analysis examining the association between LBW or preterm birth and school function difficulties.
- To assess impacts on mental, neuromusculoskeletal, and movement-related tasks.
Main Methods:
- A meta-analysis of 40 studies was performed, yielding 549 effect sizes.
- Statistical methods included heterogeneity evaluation (Q and I-squared) and publication bias assessment (Egger's regression, funnel plot).
Main Results:
- Children born LBW showed significant difficulties in mental (d = -0.655) and neuromusculoskeletal/movement tasks (d = -0.391).
- Preterm-born children also exhibited significant difficulties in mental and motor tasks (d = -0.237) compared to full-term peers.
Conclusions:
- LBW and preterm birth are linked to substantial deficits in cognitive and motor functions.
- These functional deficits negatively affect school readiness and academic achievement in affected children.
Abstract:
OBJECTIVE. Our objective was to perform a meta-analysis to investigate whether low birthweight (LBW) or preterm birth was associated with difficulty in mental, neuromusculoskeletal, and movement-related school function tasks. METHOD. Two search strategies produced 40 studies that met the inclusion criteria for the meta-analysis and yielded 549 effect sizes (d). Heterogeneity was evaluated by obtaining Q and I-squared values. Egger's regression intercept test and a funnel plot were used to check for publication bias. RESULTS. Children born LBW exhibited considerable difficulties in mental (d = -0.655, p < .0001) and neuromusculoskeletal and movement-related tasks (d = -0.391, p < .0001) compared with children of normal birthweight. Children born preterm also exhibited significant difficulties compared with full-term children in mental, neuromusculoskeletal, and movement-related tasks (d = -0.237, p < .0001). CONCLUSION. Deficits in mental and motor functions in children born LBW or preterm appear to have significant effects on school readiness and academic achievement.
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