{"title":"在支持性对角线屈曲体位中进行皮肤接触对足月早产儿运动质量的影响","authors":"Aude Buil , Nelly Thomas , Benoît Chevalier , Emmanuel Devouche","doi":"10.1016/j.earlhumdev.2024.105954","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Preterm birth is associated with a high risk of long-term neuromotor disabilities such as coordination of movements, deficient antigravity limb movement, less adaptive postural control strategies, head deformities…</p></div><div><h3>Aims</h3><p>The aim of the present study was to examine the potential positive impact of a Supported Diagonal Flexion (SDF) skin-to-skin contact (SSC) positioning on the neuromotor development and movement quality of very preterm infants at term age.</p></div><div><h3>Study design</h3><p>Monocentric prospective matched-pair case-control study.</p></div><div><h3>Subjects</h3><p>Thirty very preterm infants and their mother were proposed either SDF SSC positioning (<em>n</em> = 15) or Vertical SSC positioning (n = 15).</p></div><div><h3>Outcome measures</h3><p>Amiel-Tison Neurological Assessment at Term (ATNAT) and observation of the spontaneous motor activity were assessed at term corrected age.</p></div><div><h3>Results</h3><p>Infants in the SDF group had less dolichocephaly (adj. <em>p</em> = .014) and arms in candlestick position (adj. <em>p</em> = .048). Only 3 in the SDF group against 11 in the vertical group showed nonoptimal spontaneous motor activity. Infants in the SDF group had more positive signs such as foot-to-foot contact (adj. <em>p</em> = .047) or arms movements toward midline (adj. <em>p</em> = .046 and 0.011).</p></div><div><h3>Conclusions</h3><p>The present study shows that nonoptimal spontaneous motor activity was increased and dolichocephaly was more common in the vertical group. Consistently with current guidelines, it is critical to consider preterm infants' postures during SSC or while in incubators or cradles.</p></div>","PeriodicalId":11435,"journal":{"name":"Early human development","volume":null,"pages":null},"PeriodicalIF":2.2000,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effects of skin-to-skin contact in supported diagonal flexion positioning on movement quality in very preterm infants at term age\",\"authors\":\"Aude Buil , Nelly Thomas , Benoît Chevalier , Emmanuel Devouche\",\"doi\":\"10.1016/j.earlhumdev.2024.105954\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Preterm birth is associated with a high risk of long-term neuromotor disabilities such as coordination of movements, deficient antigravity limb movement, less adaptive postural control strategies, head deformities…</p></div><div><h3>Aims</h3><p>The aim of the present study was to examine the potential positive impact of a Supported Diagonal Flexion (SDF) skin-to-skin contact (SSC) positioning on the neuromotor development and movement quality of very preterm infants at term age.</p></div><div><h3>Study design</h3><p>Monocentric prospective matched-pair case-control study.</p></div><div><h3>Subjects</h3><p>Thirty very preterm infants and their mother were proposed either SDF SSC positioning (<em>n</em> = 15) or Vertical SSC positioning (n = 15).</p></div><div><h3>Outcome measures</h3><p>Amiel-Tison Neurological Assessment at Term (ATNAT) and observation of the spontaneous motor activity were assessed at term corrected age.</p></div><div><h3>Results</h3><p>Infants in the SDF group had less dolichocephaly (adj. <em>p</em> = .014) and arms in candlestick position (adj. <em>p</em> = .048). Only 3 in the SDF group against 11 in the vertical group showed nonoptimal spontaneous motor activity. Infants in the SDF group had more positive signs such as foot-to-foot contact (adj. <em>p</em> = .047) or arms movements toward midline (adj. <em>p</em> = .046 and 0.011).</p></div><div><h3>Conclusions</h3><p>The present study shows that nonoptimal spontaneous motor activity was increased and dolichocephaly was more common in the vertical group. Consistently with current guidelines, it is critical to consider preterm infants' postures during SSC or while in incubators or cradles.</p></div>\",\"PeriodicalId\":11435,\"journal\":{\"name\":\"Early human development\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2024-02-06\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Early human development\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0378378224000239\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"OBSTETRICS & GYNECOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Early human development","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0378378224000239","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景早产与长期神经运动障碍的高风险有关,如动作协调、反重力肢体运动缺陷、姿势控制策略适应性较差、头部畸形......目的本研究旨在探讨支持性对角屈曲(SDF)皮肤接触(SSC)体位对足月早产儿神经运动发育和运动质量的潜在积极影响。研究设计单中心前瞻性配对病例对照研究。受试者30名早产儿及其母亲被建议采用SDF SSC体位(15人)或垂直SSC体位(15人)。结果SDF组婴儿的头畸形(adj. p = .014)和双臂烛台位(adj. p = .048)较少。SDF组中只有3名婴儿出现非最佳自发运动活动,而垂直组中则有11名婴儿。SDF 组婴儿有更多积极体征,如脚对脚接触(adj. p = .047)或手臂向中线移动(adj. p = .046 和 0.011)。与现行指南一致,早产儿在SSC期间或在保温箱或摇篮中的姿势至关重要。
Effects of skin-to-skin contact in supported diagonal flexion positioning on movement quality in very preterm infants at term age
Background
Preterm birth is associated with a high risk of long-term neuromotor disabilities such as coordination of movements, deficient antigravity limb movement, less adaptive postural control strategies, head deformities…
Aims
The aim of the present study was to examine the potential positive impact of a Supported Diagonal Flexion (SDF) skin-to-skin contact (SSC) positioning on the neuromotor development and movement quality of very preterm infants at term age.
Thirty very preterm infants and their mother were proposed either SDF SSC positioning (n = 15) or Vertical SSC positioning (n = 15).
Outcome measures
Amiel-Tison Neurological Assessment at Term (ATNAT) and observation of the spontaneous motor activity were assessed at term corrected age.
Results
Infants in the SDF group had less dolichocephaly (adj. p = .014) and arms in candlestick position (adj. p = .048). Only 3 in the SDF group against 11 in the vertical group showed nonoptimal spontaneous motor activity. Infants in the SDF group had more positive signs such as foot-to-foot contact (adj. p = .047) or arms movements toward midline (adj. p = .046 and 0.011).
Conclusions
The present study shows that nonoptimal spontaneous motor activity was increased and dolichocephaly was more common in the vertical group. Consistently with current guidelines, it is critical to consider preterm infants' postures during SSC or while in incubators or cradles.
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.