Effects of 4 weeks of play in standing and walking on gross motor ability and segmental trunk control in preterm infants using a playpen: A randomized control trial

IF 2.2 3区医学 Q2 OBSTETRICS & GYNECOLOGY Early human development Pub Date : 2024-09-11 DOI:10.1016/j.earlhumdev.2024.106121

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Abstract

Objective

To investigate the effect of computer-based early intervention with a playpen to enhance standing and walking, and to examine the relationship between changes in gross motor percentile and segmental trunk control in preterm infants nine months corrected age.

Methods

Forty infants born before 37 weeks of gestation were randomly assigned to either the experimental or control group. The Alberta Infant Motor Scale (AIMS) and the Segmental Assessment of Trunk Control (SATCo) were administered before and after the intervention. The experimental group, consisting of twenty preterm infants, participated in a computer-based early intervention involving 45 min of play in standing and walking positions, five times a week for 4 weeks.

Results

There were significant between-group differences in the gross motor percentiles of the AIMS (p-value <0.001). In addition, there was a significant difference in all conditions of the SATCo scores (p-value <0.05) compared with baseline score. The change in percentiles of gross motor development was significantly correlated (r_s = 0.643; p-value <0.001) with reactive SATCo during walking in infants in the experimental group.

Conclusion

Early intervention with a playpen in a standing and walking position can be applied to improve changes in gross motor percentiles and segmental trunk control in preterm infants.

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4 周的站立和行走游戏对使用游戏围栏的早产儿粗大运动能力和躯干分节控制能力的影响：随机对照试验

方法将 40 名妊娠 37 周前出生的婴儿随机分配到实验组或对照组。在干预前后分别进行阿尔伯塔婴儿运动量表（AIMS）和躯干控制分段评估（SATCo）。实验组由 20 名早产儿组成，他们参加了基于计算机的早期干预，包括 45 分钟的站立和行走姿势游戏，每周 5 次，持续 4 周。此外，与基线分数相比，所有条件下的 SATCo 分数均有显著差异（p 值为 0.05）。实验组婴儿在行走时粗大运动发育百分位数的变化与反应性 SATCo 显著相关（rs = 0.643; p-value<0.001）。

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来源期刊

Early human development 医学-妇产科学

CiteScore

4.40

自引率

4.00%

发文量

100

审稿时长

46 days

期刊介绍： Established as an authoritative, highly cited voice on early human development, Early Human Development provides a unique opportunity for researchers and clinicians to bridge the communication gap between disciplines. Creating a forum for the productive exchange of ideas concerning early human growth and development, the journal publishes original research and clinical papers with particular emphasis on the continuum between fetal life and the perinatal period; aspects of postnatal growth influenced by early events; and the safeguarding of the quality of human survival. The first comprehensive and interdisciplinary journal in this area of growing importance, Early Human Development offers pertinent contributions to the following subject areas: Fetology; perinatology; pediatrics; growth and development; obstetrics; reproduction and fertility; epidemiology; behavioural sciences; nutrition and metabolism; teratology; neurology; brain biology; developmental psychology and screening.