比利时、印度、挪威和美国低风险足月婴儿运动和姿势模式的发展。

IF 3.5 4区 医学 Q1 ORTHOPEDICS Physical Therapy Pub Date : 2024-10-02 DOI:10.1093/ptj/pzae081
Lynn Boswell, Lars Adde, Toril Fjørtoft, Aurelie Pascal, Annemarie Russow, Ragnhild Støen, Niranjan Thomas, Christine Van den Broeck, Raye-Ann de Regnier
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引用次数: 0

摘要

研究目的本研究的目的是利用一般运动评估(GMA)调查比利时、印度、挪威和美国(US)低风险婴儿在足月后 10-16 周时运动发育的影响因素:这是一项横断面研究,对象是前瞻性登记的足月低风险婴儿(n = 186)。经认证的 GMA 观察员对婴儿的烦躁动作、动作模式的质量、动作剧目的年龄适宜性、姿势模式、动作特征和总体运动优化评分 - 修订版 (MOS-R) 进行评分。对得分与性别、出生体重类别、胎龄、录像时的足月年龄和国家的关系进行了评估:结果:大多数婴儿有正常的烦躁动作(179/186,96.2%)。性别、出生体重、胎龄、录像时的足月年龄和国家均无差异。所有婴儿都表现出正常>典型的运动模式。婴儿的年龄适宜性(最佳:137/183,74.9%)、姿势模式(正常>典型:164/183,89.6%)和平稳/流畅的运动特征(138/183,75.4%)存在差异。录像时的妊娠年龄和足月年龄与非典型姿势模式有关,但在多变量回归中,只有较小的足月年龄具有显著性(OR 2.94,95% CI:1.05-8.24)。缺乏适当年龄与产后年龄(OR 13.15,95% CI:4.36-39.72)和国家(与挪威相比;比利时 OR 3.38,95% CI:12.4-9.22;印度 OR 3.16,95% CI:1.01-9.87:美国差异不大)。印度婴儿的最佳 MOS-R 比率(25-28)也低于挪威婴儿:躁动动作的规范性和时间组织并不因性别、出生体重、足月后年龄或国家而异,这表明躁动动作不受文化和环境的影响。在这批健康的足月婴儿中,大多数在使用 MOS-R 进行的运动发育测试中各方面的得分都正常。不同国家的婴儿在适龄性和 MOS-R 方面的差异值得通过更大范围的队列和纵向随访进行研究:影响声明:了解典型运动发育的变化对于解释有非典型发育风险的婴儿的运动和姿势模式至关重要。本研究采用 Prechtl 一般动作评估框架,显示健康婴儿的动作和姿势发育受年龄和出生国家的影响,但烦躁动作的发育似乎不受这些因素的影响。要在所有人群中解释运动最优性评分-修订版,可能需要当地的标准,但这一课题还需要进一步研究。
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Development of Movement and Postural Patterns in Full-Term Infants Who Are at Low Risk in Belgium, India, Norway, and the United States.

Objective: The objective of this study was to investigate the influences on motor development in infants who are at low risk from Belgium, India, Norway, and the United States using the General Movement Assessment at 10-16 weeks postterm age.

Methods: This was a cross-sectional study of prospectively enrolled full-term infants at low risk (n = 186). Certified General Movement Assessment observers rated the fidgety movements, quality of the movement patterns, age-adequacy of the movement repertoire, postural patterns, movement character, and overall Motor Optimality Score-Revised (MOS-R). Scores were evaluated for associations with sex, birth weight category, gestational age, postterm age at video, and country.

Results: The majority of infants had normal fidgety movements (179/186, 96.2%). This did not vary by sex, birth weight, gestational age, postterm age at video, or country. All infants showed normal>atypical movement patterns. Variability was seen for age adequacy (optimal: 137/183, 74.9%), postural patterns (normal>atypical: 164/183, 89.6%), and smooth/ fluent movement character (138/183, 75.4%). Gestational age and postterm age at video were associated with atypical postural patterns, but in multivariable regression, only younger postterm age retained significance (OR = 2.94, 95% CI = 1.05-8.24). Lack of age adequacy was associated with postterm age (OR = 13.15, 95% CI = 4.36-39.72) and country (compared with Norway; Belgium OR = 3.38 95% CI = 12.4-9.22; India OR = 3.16, 95% CI = 1.01-9.87; United States not significant). Infants from India also showed lower rates of an optimal MOS-R (25-28) than infants from Norway.

Conclusion: The normality and temporal organization of fidgety movements did not differ by sex, birth weight, postterm age, or country, suggesting that the fidgety movements are free of cultural and environmental influences. The majority of full-term infants who were healthy in this cohort showed normal scores for all aspects of motor development tested using the MOS-R. Differences in age adequacy and MOS-R by country warrant investigation with larger cohorts and longitudinal follow-up.

Impact: Understanding variations in typical motor development is essential to interpreting patterns of movement and posture in infants at risk for atypical development. Using the framework of Prechtl's General Movement Assessment, this study showed that the development of movement and posture in healthy infants was affected by age and country of birth, but the development of the fidgety movements appeared to be free of these influences. Local norms may be needed to interpret the Motor Optimality Score-Revised in all populations, but further research on this topic is needed.

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来源期刊
Physical Therapy
Physical Therapy Multiple-
CiteScore
7.10
自引率
0.00%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Physical Therapy (PTJ) engages and inspires an international readership on topics related to physical therapy. As the leading international journal for research in physical therapy and related fields, PTJ publishes innovative and highly relevant content for both clinicians and scientists and uses a variety of interactive approaches to communicate that content, with the expressed purpose of improving patient care. PTJ"s circulation in 2008 is more than 72,000. Its 2007 impact factor was 2.152. The mean time from submission to first decision is 58 days. Time from acceptance to publication online is less than or equal to 3 months and from acceptance to publication in print is less than or equal to 5 months.
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