Postural Control at 7 Years of Age After Preterm Birth With Very Low Birth Weight

Kluenter, Heinz; Roedder, Daniela; Kribs, Angela; Fricke, Oliver; Roth, Bernhard; Guntinas‐Lichius, Orlando

doi:10.1097/mao.0b013e31818a0f5c

Cited by 13 publications

(9 citation statements)

References 16 publications

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“…However unlike the current study, no significant differences between groups were reported. The study by Kluenter et al 28 had a small sample size of 44 VPT and 21 term children, they did not control for weight and, although they also assessed static balance, they reported centre of gravity movement in degrees per second using the Balance Master that differed from the variables used in our current study. A study by Shimatani et al 29 in 5-to 6-year-old children with typical development and children with developmental disorders showed that the developmental delay group tended to have a greater postural sway when their eyes were closed compared with children with typical development, but had similar postural sway with their eyes open.…”

Section: Discussionmentioning

confidence: 87%

“…However unlike the current study, no significant differences between groups were reported. The study by Kluenter et al . had a small sample size of 44 VPT and 21 term children, they did not control for weight and, although they also assessed static balance, they reported centre of gravity movement in degrees per second using the Balance Master that differed from the variables used in our current study.…”

Section: Discussionmentioning

confidence: 90%

“…Very few studies have used computerized posturography testing in VPT children. In one study by Kluenter et al . 7‐year‐old VPT children with no neurological diagnosis were compared with term children using four of the conditions (namely eyes open, eyes closed, EOFM, and ECFM) used in this study on a Balance Master computerized force plate (NeuroCom, Clackamas, OR, USA).…”

Section: Discussionmentioning

confidence: 99%

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Postural control at 4 years in very preterm children compared with term‐born peers

Lorefice

Galea

Clark

et al. 2014

Develop Med Child Neuro

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COPCentre RESULTS VPT children had impaired static and dynamic balance, with increased postural sway under all conditions, and reduced flight times compared with children born at term. When results were adjusted for body weight, the only group differences in postural control were in the cognitive dual task (cm/s; mean difference 0.6; 95% confidence interval [CI] 0.02, 1.2; p=0.04) and flight times (ms; jumping; mean difference À26.0; 95% CI À47.1, À5.0; p=0.02; left leg hopping; mean difference À30.1; 95% CI À48.5, À11.8; p=0.002).INTERPRETATION VPT children demonstrated reduced postural control at 4 years of age compared with term-born children when presented with a cognitive dual task. They also performed worse during jumping and hopping tasks.Children born very preterm (VPT, <30wks gestational age) can present with a range of motor difficulties at preschool age. Rates of cerebral palsy (CP) are much higher in children born VPT than in those born at term. 1 However, even VPT children without CP perform almost 1 standard deviation lower than their peers on standardized motor assessments at preschool and school age, and have higher rates of mild-to-moderate motor impairment than their term-born peers.2 These motor impairments can have a major impact on the child's life, and tend to be present in children with other deficits such as attention difficulties, poor social skills, behavioral issues, and poor academic performance.3-5 Most VPT children without major motor disability will attend mainstream schools, but one-third who demonstrate motor impairments will also experience learning and behavioral difficulties. 6 For any child to be able to function in his or her environment, including activities of daily living and play, it is important for them to have sufficient postural stability to achieve optimum motor performance. Postural control is fundamental in contributing to stability and execution of motor skills, and reduced motor performance is often associated with underlying balance impairment in preterm children. 2,[7][8][9][10]

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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Postural control at 4 years in very preterm children compared with term‐born peers

Lorefice

Galea

Clark

et al. 2014

Develop Med Child Neuro

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“…Decreased postural control has previously been reported after preterm birth with VLBW with eyes open and closed, though in that study the differences found were small compared with a control group born after full-term pregnancy (Kluenter et al 2008). Moreover, the study was performed on VLBW children of 7 years of age without major neurological disorders.…”

Section: Discussionmentioning

confidence: 55%

Decreased postural control in adolescents born with extremely low birth weight

et al. 2015

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The survival rates of infants born preterm with extremely low birth weight (ELBW ≤ 1000 g) have gradually improved over the last decades. However, these infants risk to sustain long-term disorders related to poor neurodevelopment. The objective was to determine whether adolescents born with ELBW have decreased postural control and stability adaptation. Twenty-nine ELBW subjects performed posturography with eyes open and closed under unperturbed and perturbed standing by repeated calf vibration. Their results were compared with twenty-one age-and gender-matched controls born after full-term pregnancy. The ELBW group had significantly decreased stability compared with controls in anteroposterior direction, both during the easier quiet stance posturography (p = 0.007) and during balance perturbations (p = 0.007). The ELBW group had similar stability decrease in lateral direction during balance perturbations (p = 0.013). Statistically, the stability decreases were similar with eyes closed and open, but proportionally larger with eyes open in both directions. Both groups manifested significant adaptation (p ≤ 0.023) to the balance perturbations in anteroposterior direction, though this adaptation process could not compensate for the general stability deficits caused by ELBW on postural control. Hence, adolescent survivors of ELBW commonly suffer long-term deficits in postural control, manifested as use of substantially more recorded energy on performing stability regulating high-frequency movements and declined stability with closed and open eyes both in anteroposterior and lateral direction. The determined relationship between premature birth and long-term functional deficits advocates that interventions should be developed to provide preventive care in neonatal care units and later on in life.

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“…However, these differences are less distinctive in older children, closer in age to the group assessed in the present study. According to Kluenter et al, static and dynamic postural control did not significantly differ in full-term and preterm children, with very low birth weight, at 7 years of age [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

Body Posture Asymmetry in Prematurely Born Children at Six Years of Age

Walicka-Cupryś

Drzał–Grabiec

Rachwał

et al. 2017

BioMed Research International

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Aims The purpose of the study was to assess body posture asymmetries in the standing and sitting position in prematurely born children at six years of age. Study Design and Subjects We measured trunk symmetry in coronal plane. The study was carried out in a group of 101 children, aged 6-7 years, mean age of 6.63, including 50 preterm children born at gestational age <32 weeks (preterm group) and 51 full-term children (control group). Outcome Measures Trunk symmetry in coronal plane was measured using photogrammetric technique with Mora 4G CQ Elektronik. The subjects were examined in standing and sitting position. Statistical analyses were carried out using Shapiro-Wilk W-test, Student's t-test, Mann–Whitney U test, and Pearson's chi-squared test. Statistical significance was assumed at p < 0.05. Results No significant differences were found between the groups in the asymmetries identified in the relevant anthropometric points, relative to the position assumed during the examination or to the subjects' sex. Conclusions There are no significant differences in body posture in the coronal plane, between preterm children and full-term children. Premature birth does not have adverse effects related to body posture asymmetry in preterm children at the age of six.

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Postural Control at 7 Years of Age After Preterm Birth With Very Low Birth Weight

Abstract: Postural control still is not fully developed in infants at early school age. At this age, formerly extremely preterm infants without major neurological disorders have almost caught up to the postural control of healthy full-term subjects.

Cited by 13 publications

References 16 publications

Postural control at 4 years in very preterm children compared with term‐born peers

Postural control at 4 years in very preterm children compared with term‐born peers

Decreased postural control in adolescents born with extremely low birth weight

Body Posture Asymmetry in Prematurely Born Children at Six Years of Age

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