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Atypical sensory processing is common in extremely low gestational age children

Petri Rahkonen1, Aulikki Lano, Anu-Katriina Pesonen

  • 1Department of Pediatrics, Children's Hospital, University of Helsinki, Helsinki, Finland.

Acta Paediatrica (Oslo, Norway : 1992)
|January 27, 2015
PubMed

Insights

Atypical sensory processing is common in extremely low gestational age (ELGA) children. Neonatal brain abnormalities and PDA surgery are linked to specific sensory issues in these children.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Sensory Processing

Background:

  • Atypical sensory processing is prevalent in children born extremely prematurely.
  • Understanding sensory processing in extremely low gestational age (ELGA) children is crucial for early intervention.

Purpose of the Study:

  • To investigate sensory processing abilities in ELGA children.
  • To analyze associated neonatal risk factors, neuroanatomical findings, and neurodevelopmental outcomes.

Main Methods:

  • Prospective study of 44 ELGA children.
  • Brain MRI at term-equivalent age.
  • Sensory processing assessed with Infant/Toddler Sensory Profile.
  • Neurodevelopmental assessment using Hempel, Griffiths, and Bayley Scales.

Main Results:

  • Half of ELGA children exhibited atypical sensory profiles (<-1 SD).
  • Low registration was the most common pattern (23%).
  • Sensation seeking correlated with brain MRI abnormalities (p < 0.01).
  • Atypical oral sensory processing linked to PDA surgical closure (p = 0.02, adjusted p < 0.01).

Conclusions:

  • Atypical sensory processing is common in ELGA children.
  • Neonatal neuroanatomical lesions are associated with specific sensory behavioral responses.
  • Surgical closure of PDA may contribute to feeding problems via atypical oral sensory processing.
Abstract

Keywords:
Autism spectrum disorderNeonatePatent ductus arteriosus ligationPretermSensory processing

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