在早产婴儿的一般运动评估:修订后的运动最佳性得分 (MOS-R),轨迹和神经发育结果在1岁
Archana S Kadam1, Sidharth A Nayyar1, Sandeep S Kadam1
1Department of Pediatrics, KEM Hospital and Research Centre, Rasta Peth, Pune, Maharashtra, India.
The journal of pediatrics: X
|June 19, 2023
概括
在早产婴儿中,一般运动评估 (GMA) 和运动最佳度评分修订 (MOS-R) 预测神经发育结果. 这些评估可以指导在资源有限的环境中进行早期干预.
科学领域:
- 神经科学是一个神经科学.
- 发育儿科 发育儿科
- 新生儿科学 新生儿科学
背景情况:
- 早产婴儿 (≤32周) 患神经发育障碍的风险很高.
- 早期识别神经发育结果对于及时干预至关重要.
研究的目的:
- 评估通用运动评估 (GMA) 发现,包括运动最佳性得分修订 (MOS-R) 和早产婴儿的神经发育结果之间的关联.
- 为了评估GMA和MOS-R在9个月和1岁时对神经运动结果的预测值.
主要方法:
- 系列GMA视频记录了早产婴儿 (≤32周) 在多个时间点:第7天,35,40周的月经后年龄和16周的校正年龄.
- 通过9个月的阿米尔-蒂森神经评估和1岁的印度婴儿发育评估尺度 (DASII) 进行了神经运动结果的评估.
- 统计分析包括斯皮尔曼相关性,费舍尔精确测试和顺序回归.
主要成果:
- 在MOS-R和DASII运动和精神DQ之间发现了中等的相关性 (r=0.70和r=0.65).
- 35-40周之间的GMA轨迹与DASII电机DQ和Amiel-Tison分数相关.
- 16周校正年龄的MOS-R是1年后运动DQ的显著预测因子 (OR -0.59).
结论:
- 包括MOS-R分数在内的通用运动评估 (GMA) 与印度早产婴儿的神经发育结果有关.
- 这些发现与高收入国家的结果一致,表明普遍适用.
- GMA可以促进早期干预策略,特别是在资源有限的低收入和中等收入国家.
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