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Longitudinal Development of Segmental Trunk Control in Full Term and Preterm Infants- a Pilot Study: Part I
Tamis W Pin1, Penelope B Butler2, Hon-Ming Cheung3
1The Hong Kong Polytechnic University, Kowloon, Hong Kong.
Insights
Preterm infants show delayed segmental trunk control development compared to full-term infants. Early intervention focusing on trunk control and motor skills is crucial for improving outcomes in infants with motor delays.
Area of Science:
- Developmental Pediatrics
- Motor Control Research
- Neonatal Development
Background:
- Segmental trunk control is crucial for infant motor development.
- Limited research exists on trunk control development in preterm infants.
Purpose of the Study:
- To longitudinally examine segmental trunk control development in preterm infants compared to full-term infants.
- To assess trunk control from 4 to 12 months corrected age.
Main Methods:
- Recruited 31 preterm and 30 full-term infants.
- Utilized the Segmental Assessment of Trunk Control and Alberta Infant Motor Scale monthly.
- Tested infants at 4, 8, and 12 months corrected age.
Main Results:
- Preterm infants exhibited significantly delayed segmental trunk control.
- Positive correlations were observed between trunk control and gross motor skills.
- Segmental trunk control and gross motor performance are coupled in infants.
Conclusions:
- This is the first study demonstrating significantly different segmental trunk control development in preterm infants.
- Therapeutic interventions should integrate training of upright trunk control and specific motor skills.
- A dual-focus approach may optimize therapy outcomes for infants with motor delays.
Abstract:
Purpose: No previous study examined trunk control development in preterm infants. The present study examined the longitudinal development of segmental trunk control from 4 to 12 months of (corrected) age in preterm infants in comparison with full-term infants.Methods: Thirty-one preterm infants and 30 full-term infants were recruited. All infants were tested monthly using the Segmental Assessment of Trunk Control and the Alberta Infant Motor Scale at 4, 8 and 12 months of age.Results: Segmental trunk control development was significantly delayed in the preterm infants. Statistically significant positive correlations were found between trunk control status and gross motor skills.Conclusion: This was first study showing that segmental trunk control development was significantly different in preterm infants. Segmental trunk control and gross motor performance were coupled in young infants. A dual focus on training upright trunk control and specific motor skills may maximise therapy outcomes for infants with motor delay.
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