Tag: perinatal risk factors

Postural stability of children born prematurely in the perinatal risk group

Katarzyna Kniaziew-Gomoluch, Andrzej Szopa, Tomasz Łosień, Zenon Kidoń, Małgorzata Domagalska-Szopa


Katarzyna Kniaziew-Gomoluch, Andrzej Szopa, Tomasz Łosień, Zenon Kidoń, Małgorzata Domagalska-Szopa – Postural stability of children born prematurely in the perinatal risk group. Fizjoterapia Polska 2022; 22(2); 118-129

Abstract
Introduction. With advances in neonatal care, children born prematurely have a greater chance of survival, but their organ immaturity puts them at increased risk for central developmental disorders. The most common risk factors for such disorders are neonatal respiratory distress syndrome (RDS) and intraventricular hemorrhage (IVH grade III, IV).
Object. Based on the assumption that early central motor disorders are accompanied by impaired postural control, we compared measures of postural stability in infants born prematurely and at high risk for central motor disorders, i.e.: 1) IVH stage III or IV; or 2) RDS with infants born prematurely with normal brain ultrasound results and no perinatal burden (control group).
Materials and Methods. For this purpose, in a group of 76 prematurely born infants qualified for the SYNAGIS program, a posturometric examination was performed in a supine position using a stabilographic platform (device designed and manufactured in the Department of Biomedical Electronics of the Institute of Electronics of the Silesian University of Technology in Gliwice).
Results. Analysis of stability measures in individual subgroups showed that in both groups of infants with perinatal risk (IVH and RDS), the values of all evaluated posturometric parameters were lower than those presented by infants without perinatal stress.
Conclusions. 1. Evaluation of stability measures  in the supine position is an original proposal for the evaluation of postural control of infants born prematurely in the first months of life.
2. Differences in stability measures between children born prematurely with the risk of central disturbances due to hypoxia (RDS) or intraventricular hemorrhage (IVH) and their peers without perinatal stress with normal head ultrasound results may indicate the appearance of postural control development disorders in the former.
Key words:
prematurely born children, perinatal risk factors, infant postural control disorders, posturometry, stabilographic platform
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Assessment of general movements and its relation to gestational age in preterm infants

Aneta Skworc


Aneta Skworc – Assessment of general movements and its relation to gestational age in preterm infants. Fizjoterapia Polska 2022; 22(2); 88-95

Abstract
Introduction. The task of contemporary neonatology is not only to save the lives of children born prematurely, but also to provide them with the highest possible quality of life. One of the methods of assessing the quality of general movement patterns is the Prechtl method, which enables early identification of immaturity or damage to the central nervous system. Aim. Dynamic assessment of the type and quality of GMs (General Movements) in preterm infants to determine the indications for early neurodevelopmental support and to determine the relationship between the occurrence of maternal and neonatal perinatal risk factors, and the type and quality of general movements. Material and method. Assessment was conducted in 90 infantsborn between 28 and 36 weeks gestational age. Dominant cases (57 cases) were infants brn between32 and 36 weeks GE. Most cases (48) received low Apgar score at 1 minute (≤ 7), including two born in very severe condition. The study included three GM assessments: I –up to 14 day post-natally, II at term and III between12 and 15 weeks corrected age. The analysis included gestational age, general condition of the newborn in Apgar score. Results. There is a close correlation with the gestational age of a preterm newborn, and the occurrence of damage to the nerve centers and the finding of abnormal global movements.It was confirmed that gestational age is important variables affecting the occurrence of abnormal general movements.
Key words:
general movements, preterm infants, perinatal risk factors, neurodevelopmental physiotherapy
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