Postural Behaviour of Term Sga and Aga Newborn Infants

Objectives: To evaluate the motor performance of premature neonates using the Alberta Infant Motor Scale (AIMS) and to investigate the influence of birth weight on motor acquisition. Methods:A cross-sectional study was carried out of a prospective cohort of 44 premature newborn infants with gestational ages from 32 to 34 weeks, without neurological disorders, selected from the neonatal intensive care unit at the Pontifícia Universidade Católica's Hospital São Lucas in Rio Grande do Sul, Brazil. The neonates studied were stratified by birth weight and assessed using the AIMS scale at the 40th week of postconceptional age, and at 4 and 8 months of corrected age. Results:The preterm infants studied exhibited a progressive sequence of motor ability acquisition in all of the positions tested (prone, supine, sitting, standing), which occurred variable manner, expressed by the mean percentile of 43.2 to 45.7%, but within the limits of normality defined by the AIMS. It was observed that there was a clear increase in AIMS scores from the first to the last of the three postnatal observation points. The rate at which these scores increased was similar for both groups, irrespective of birth weight category (<1,750 g or ≥ 1,750 g). Conclusions:The motor performance of the sample of premature infants studied here was normal according to the AIMS and their scores on that scale were not influenced by birth weight.J Pediatr (Rio J). 2008;84(1):53-59: Child development, premature infants, birth weight.

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“…[6][7][8] It was starting from this premise that we raised the hypothesis upon which this study is based. …”

Section: Discussionmentioning

confidence: 99%

Avaliação do desempenho motor de prematuros nos primeiros meses de vida na Escala Motora Infantil de Alberta (AIMS)

Manacero

Nunes

2008

J. Pediatr. (Rio J.)

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“…In our study, birth weight for gestational age was considered adequate in 75% of the sample, suggesting good maturational evolution among these PTNBs. [22][23][24] According to the literature, when the APGAR score is below seven following the 5 th minute, special attention must be paid to these newborn infants, even in the absence of altered laboratory exams. 25 The PTNBs of this study exhibited 1 and 5 minute APGAR scores greater than or equal to 7, confirming that these newborns evolved satisfactorily.…”

Section: Discussionmentioning

confidence: 99%

Interrater reliability of the Saint-Anne Dargassies Scale in assessing the neurological patterns of healthy preterm newborns

Alves

Medeiros

Carriço

et al. 2018

Rev. Bras. Saude Mater. Infant.

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Objectives: to assess the interrater reliability of the Saint-Anne Dargassies Scale in assessing neurological patterns of healthy preterm newborns.Methods: twenty preterm newborns met the inclusion criteria for participation in this prospective study. The neurologic examination was performed using the Saint-Anne Dargassies Scale, showing normal serial cranial ultrasound examination. In order to test the reliability, the study was structured as follows: group I (rater 1/physiotherapist; rater 2/neonatologist); group II (rater 3/physiotherapist; rater 4/child neurologist) and the gold standard (expert and professor in pediatric neurology).Results: high interrater agreement was observed between groups I -II compared with the gold standard in assessing postural pattern (p<0.01). Regarding the assessment of primitive reflexes, greater agreement was observed in the evaluation of palmar grasp reflex and Moro reflex (p<0.01) for group I compared with the gold standard. An analysis of tone demonstrated heterogeneous agreement, without compromising the reliability of the scale. The probability of equality between measurements of head circumference in the two groups, compared with the gold standard, was observed.Conclusions: the Saint-Anne Dargassies Scale demonstrated high reliability and homogeneity with significant power of reproducibility and may be capable to identify preterm newborns suspected of having neurological deficits.

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“…Estudos prévios com o uso de escalas motoras em prematuros evidenciaram algum grau de influência do peso de nascimento no desempenho motor [6][7][8]…”

Section: Discussionunclassified

“…Isso ocorre pelo fato de muitos estudos de prognóstico terem sido baseados no peso de nascimento e não levarem em consideração a adequação deste peso à idade gestacional. É importante diferenciar situações transitórias e fisiológicas que ocorrem no prematuro durante o primeiro ano de vida de atraso efetivo no desenvolvimento [6][7][8] .…”

Section: Introductionunclassified

Evaluation of motor performance of preterm newborns during the first months of life using the Alberta Infant Motor Scale (AIMS)

Manacero¹,

Nunes²

2008

J Pediatr (Rio J)

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Objetivos: Avaliar o desempenho motor de neonatos prematuros pela Escala Motora Infantil de Alberta (AIMS) e verificar a influência do peso de nascimento nas aquisições motoras.Métodos: Foi realizado estudo transversal associado à coorte prospectiva, envolvendo 44 recém-nascidos prematuros com idade gestacional entre 32 e 34 semanas, sem distúrbios neurológicos, selecionados na unidade de terapia intensiva neonatal do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul. Os neonatos incluídos foram estratificados de acordo com o peso de nascimento e avaliados pela escala AIMS na 40ª semana de idade concepcional, aos 4 e 8 meses de idade corrigida.Resultados: Os prematuros estudados apresentaram seqüência progressiva de aparecimento de habilidades motoras em todas as posturas estudadas (prono, supino, sentado, em pé), a qual ocorreu de forma variável, expressa pelo percentil médio de 43,2 a 45,7%, mas dentro dos limites de normalidade previstos pela escala AIMS. Observou-se que houve um nítido aumento dos escores da AIMS ao longo dos três momentos de observação pós-natal. O ritmo de aumento nesses escores foi semelhante em ambos os grupos, independente do peso de nascimento (<1.750 g ou ≥ 1.750 g).Conclusões: Na amostra estudada, o desempenho motor dos prematuros foi normal pela escala AIMS, assim como os escores da mesma não foram influenciados pelo peso de nascimento.

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Postural Behaviour of Term Sga and Aga Newborn Infants

Cited by 9 publications

References 24 publications

Avaliação do desempenho motor de prematuros nos primeiros meses de vida na Escala Motora Infantil de Alberta (AIMS)

Avaliação do desempenho motor de prematuros nos primeiros meses de vida na Escala Motora Infantil de Alberta (AIMS)

Interrater reliability of the Saint-Anne Dargassies Scale in assessing the neurological patterns of healthy preterm newborns

Evaluation of motor performance of preterm newborns during the first months of life using the Alberta Infant Motor Scale (AIMS)

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