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Early Spontaneous Movements of Infants With Hypoxic-Ischemic Encephalopathy
Halil Alkan1, Aysu Kahraman, Akmer Mutlu
1Department of Physiotherapy and Rehabilitation (Dr Alkan), Faculty of Health Sciences, Muş Alparslan University, Muş, Turkey; Department of Physiotherapy and Rehabilitation (Drs Alkan, Kahraman, and Mutlu), Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Insights
Infants with hypoxic-ischemic encephalopathy (HIE) show delayed motor skills by 3-5 months. Motor repertoire worsens with HIE severity, highlighting the need for early intervention.
Area of Science:
- Neonatal neurology
- Developmental pediatrics
- Movement science
Background:
- Hypoxic-ischemic encephalopathy (HIE) is a serious birth complication affecting newborns.
- Early motor development is crucial for long-term neurological outcomes.
- Assessing motor repertoire in infants with HIE can identify developmental deviations.
Purpose of the Study:
- To evaluate the motor repertoire of infants aged 3-5 months diagnosed with HIE.
- To investigate the relationship between HIE severity and motor development.
- To establish early indicators for potential developmental delays.
Main Methods:
- A cohort of 38 infants with HIE and 38 healthy controls (3-5 months old) were assessed.
- The General Movement Assessment was utilized.
- The Motor Optimality Score (MOS) was employed to quantify motor performance.
Main Results:
- Infants with HIE exhibited significantly lower MOS, reduced fidgety movements, and poorer age-appropriate motor repertoire compared to controls.
- A significant decline in MOS was observed in infants with Grade III HIE versus Grade I.
- Movement quality was notably impaired in the HIE group.
Conclusions:
- Infants with HIE demonstrate a compromised motor repertoire at 3-5 months of age.
- Motor skill deficits correlate with increased HIE severity.
- Early detection of motor delays in HIE infants is critical for timely intervention and rehabilitation.
Objective:
The aim of this study was to determine motor repertoire at 3 to 5 months of age in infants with hypoxic-ischemic encephalopathy (HIE) and to examine changes according to HIE severity.
Methods:
Participants were 38 infants aged 3 to 5 months with HIE and 38 infants in the comparison group. The general movement assessment and the Motor Optimality Score (MOS) were used.
Results:
Infants in the HIE group had a significantly lower total MOS and scores for fidgety movements, age adequacy of motor repertoire, and quality of movement patterns compared with the comparison group. Infants with grade III HIE compared with grade I had a significantly lower MOS.
Conclusions:
Infants with HIE had poorer motor repertoire at age 3 to 5 months when compared with peers. Motor repertoire deteriorated as HIE severity increased. Detecting potential developmental delays as early as possible allows for early intervention and rehabilitation in this population.
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