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Factors Associating with the Segmental Postural Control during Sitting in Moderate-to-Late Preterm Infants via
Noppharath Sangkarit1, Wantana Siritaratiwat1, Surussawadi Bennett1
1Research Center in Back, Neck, Other Joint Pain and Human Performance (BNOJPH), School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Muang, Khon Kaen 40002, Thailand.
Insights
Child rearing practices significantly impact trunk control in premature infants. Sitting on varied surfaces and floor time promote better sitting skills, while certain baby equipment hinders development.
Area of Science:
- Developmental Pediatrics
- Motor Control
- Infant Development
Background:
- Postural control and sitting onset are influenced by biological and child-rearing factors.
- The Segmental Assessment of Trunk Control (SATCo) measures postural control, particularly in premature infants.
- Limited longitudinal data exists on factors affecting trunk control during sitting development in preterm infants.
Purpose of the Study:
- To investigate associations between biological and child-rearing factors and segmental trunk control.
- Study focuses on moderate to late premature infants from 4 months to independent sitting.
- Examines trunk control during the crucial sitting development phase.
Main Methods:
- Longitudinal study of 42 infants (32-36 weeks gestation).
- Segmental trunk control assessed using the Segmental Assessment of Trunk Control (SATCo).
- Generalized estimating equation (GEE) model used to analyze associations.
Main Results:
- Negative factors include prematurity cause, baby rocking recliner, and baby walker use.
- Positive factors include play in sitting position, mat-based movement, and sleep mattress.
- These factors influence segmental trunk control development.
Conclusions:
- Sitting experience on diverse surfaces positively impacts trunk control.
- Opportunities for unsupported sitting from 4 months corrected age are beneficial.
- Child-rearing practices play a key role in motor development for premature infants.
Abstract:
(1) Background: biological variables and particular child rearing practices could be linked to postural control and rates of sitting onset. The segmental Assessment of Trunk Control (SATCo) is currently used as an assessment of postural control with a specific segment on premature infants. However, the association between related factors and segmental trunk control during sitting development in preterm infants via longitudinal assessments is still limited. Objective: to investigate the associations between biological and child rearing factors and segmental trunk control during sitting in moderate to late premature birth from the age of 4 months to age of independent sitting attainment. (2) Methods: forty-two infants born between 32 and 36 weeks of gestation were recruited. Their segmental trunk control was assessed using the SATCo. Their related factors were recorded from the age of 4 months to early onset of independent sitting attainment. The generalised estimating equation (GEE) model was used to identify the association between related factors and the SATCo with a linear distribution. (3) Results: cause of prematurity, baby rocking recliner and baby walker usage were negative factors, while play in a sitting position, opportunity to move on a traditional mat and sleep mattress were positive factors contributing to the segmental control of the trunk. (4) Conclusions: the experience of sitting on different surfaces and an opportunity to sit without support during the child rearing period from age of 4 months corrected could be positive factors associating with the segmental trunk control in moderate-to-late premature infants.
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