[Kinesiologic assessment of motor development dynamic in premature children until the expected term of delivery].

Sbornik lekarsky Pub Date : 2003-01-01
T Klánová
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Abstract

Background: Kinesiologic assessment is included in the neurological examination and the kinesiologic findings may be used as a valuable criterion in assessment of the motor development dynamics.

Methods: The experimental group consisted of twenty-one preterm children (11 boys and 10 girls) born between 28th and 36th week of gestational age. All children were examined every two weeks till the expected term of delivery. Examinations included neurological-kinesiological assessment based on selected parameters of spontaneous or forced movement, muscle tonus, primitive reflexology and postural reactivity and screening scores according to Touwen and Salokorpi.

Results: When comparing the results obtained in the examined sample of children, using examination records and screening scores according to Touwen and Salokorpi, the neurological-kinesiological appeared as the best to be applied to the clinical practice. The criteria of rehabilitation applied, proved to be very effective.

Conclusions: Despite the diagnosis based on the kinesiological assessment cannot be determined, further precision of the specific features of the kinesiological picture in these children, as a parameter of the motor development dynamics, is needed, as it will allow for subsequent evaluation of the therapy applied.

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[预产期前早产儿运动发育动态的运动学评估]。
背景:运动学评估包括在神经学检查中,运动学结果可作为评估运动发育动力学的一个有价值的标准。方法:实验组为28 ~ 36周出生的早产儿21例(男11例,女10例)。所有的孩子每两周检查一次,直到预产期。检查包括基于自发或强迫运动、肌肉张力、原始反射学和姿势反应性的选定参数的神经-运动学评估,以及根据Touwen和Salokorpi进行的筛选评分。结果:在比较检查样本的结果时,根据Touwen和Salokorpi的检查记录和筛查分数,神经-运动学似乎是最好的应用于临床实践。康复标准的应用,证明非常有效。结论:尽管基于运动机能学评估的诊断不能确定,但需要进一步精确地了解这些儿童的运动机能学图像的具体特征,作为运动发育动力学的参数,因为它将允许后续评估所应用的治疗。
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