Persistent mild hip deformation in preterm infants.

Davis, P; Robinson, R. H.; Harris, Lucy; Cartlidge, P. H. T.

doi:10.1136/adc.69.5.597

Cited by 17 publications

(28 citation statements)

References 4 publications

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“…Therefore, while bone shape and geometry are important in the etiology of hip OA, these factors are less critical than soft tissue and other factors in the pathogenesis of knee OA (20). As LBW and preterm birth have significant impacts on bone and hip structure, this is biologically plausible (7).…”

Section: Discussionmentioning

confidence: 99%

“…The formation of the acetabulum is incomplete at birth in preterm babies (21). Preterm infants often develop a postural deformation of the legs that persists until early childhood (7), perhaps because of an underdeveloped or shallow, upwardly sloping acetabulum (22), decreased joint surface area (9), or because the ligaments holding the ball in place are too loose (7). These factors may influence the development of the hip, resulting in abnormal hip joint shape.…”

Section: Discussionmentioning

confidence: 99%

“…However, acetabular dysplasia has been linked with preterm birth (7,8), and mild acetabular dysplasia is associated with an increased incidence of hip OA (9 -11). There is increasing evidence suggesting that hip and knee OA are susceptible to different risk factors (12).…”

Section: Introductionmentioning

confidence: 99%

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Association of Low Birth Weight and Preterm Birth With the Incidence of Knee and Hip Arthroplasty for Osteoarthritis

Hussain

Wang

Wluka

et al. 2015

Arthritis Care & Research

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Objective. Low birth weight (LBW) and preterm birth have been associated with adverse adult outcomes, including hypertension, insulin resistance, cardiovascular disease, and reduced bone mass. It is unknown whether LBW and preterm birth affect the risk of osteoarthritis (OA). This study aims to examine whether LBW and preterm birth were associated with the incidence of knee and hip arthroplasty for OA.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Association of Low Birth Weight and Preterm Birth With the Incidence of Knee and Hip Arthroplasty for Osteoarthritis

Hussain

Wang

Wluka

et al. 2015

Arthritis Care & Research

View full text Add to dashboard Cite

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“…Prolonged lying position, prone or supine, results in the body being flattened against the mattress, leading to postural deformities that can reinforce neurologic abnormalities, 2 such as hip abduction and external rotation, [3][4][5][6][7] lateral flexion and elevation of upper limbs with scapular retraction, [8][9][10][11] flattened head (plagiocephaly), 2,12-14 abnormal movement patterns, and delays in reaching developmental milestones and acquiring motor skills. 2,3,9,15,16 Correct body positioning can prevent some of these abnormalities, according to some studies, by using small rolled-up sheets or bean bags, 4,5 special pillows, 12 or postural support nappies. 7 However, few studies 2 have examined and tested the effect of a support to reduce postural abnormalities, and they assess only the optimal development of different parts of the body, such as upper or lower limbs.…”

mentioning

confidence: 99%

Comparative Effects of 2 Positional Supports on Neurobehavioral and Postural Development in Preterm Neonates

Vaivre‐Douret

Golse

2007

Journal of Perinatal &Amp; Neonatal Nursing

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Preventing abnormal neurobehavioral and postural development requires careful nursing in preterm neonates. The purpose of this prospective study is to assess the effects of 2 different lying-position body supports for physiologic and functional positioning. Thirty preterm neonates were eligible, born between 28 and 35 weeks' gestation. A first sample experimented with a "Home-Cocoon" support made by nurses with rolled sheets, and a second sample provided a "Coconou" support, made with a specifically designed rolled pad. Assessments of body posture and of neurobehavior were administered pretest (on admission without support) and posttest (at discharge). In addition, nurses were asked to answer a questionnaire concerning motor behavior. All preterm neonates showed gains in postural development, but the "Coconou" group performed significantly better than the "Home-Cocoon" group, with fewer cranial deformities, with head positioning, arm relaxation, and better orthopedic leg position. The overall quality of behavior increased for the 2 groups, but visual pursuit was very significantly better for the "Coconou" group. Nurses' assessment was also better for the "Coconou" support. These results point to the benefits of positioning with a specifically designed support like "Coconou," promoting optimal prophylactic neurobehavioral and postural developmental care for preterm neonates.

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“…As compensation, they attempt to gain postural stability by fixing against a firm surface, usually the mattress on the bed in the NICU, and easily develop excessive extension postures, i.e. the so-called Wposition of the arms and frog-leg posture 8,9) . These characteristic postures can influence their motor development in the future [10][11][12] .…”

Section: Introductionmentioning

confidence: 99%

The Influence of Positioning on Spontaneous Movements of Preterm Infants

et al. 2010

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Abstract. [Purpose] In this study, we quantitatively evaluated how the positioning program influenced the movement patterns of preterm infants in the neonatal intensive care unit (NICU). [Subjects and Methods] Spontaneous movements of 12 low-risk preterm infants were video-recorded at 38 or 39 postmenstrual weeks of age (PMA). Six of them (positioning group) received a positioning program from birth to 35-36 weeks of PMA while the other 6 (non-positioning group) did not. We attached reflective markers on the infant's wrists and ankles in the supine position and filmed them from above. By using a two-dimensional image analysis system, we digitized the wrist and ankle trajectories and analyzed the data by calculating several statistics.[Results] Infants in the positioning group brought their hands to the midline or crossed their hands over the midline and showed more variation in velocity of movements than those in the nonpositioning group. We also noticed that infants in the positioning group exhibited and maintained a movement pattern similar to that of full-term infants at 1 month after the positioning program was terminated.[Conclusions] These results suggest that appropriate positioning of preterm infants facilitates flexion posture and movement patterns toward the centre of the body similar to foetuses in the uterus.

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Persistent mild hip deformation in preterm infants.

Cited by 17 publications

References 4 publications

Association of Low Birth Weight and Preterm Birth With the Incidence of Knee and Hip Arthroplasty for Osteoarthritis

Association of Low Birth Weight and Preterm Birth With the Incidence of Knee and Hip Arthroplasty for Osteoarthritis

Comparative Effects of 2 Positional Supports on Neurobehavioral and Postural Development in Preterm Neonates

The Influence of Positioning on Spontaneous Movements of Preterm Infants

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