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
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.
prematurely born children, perinatal risk factors, infant postural control disorders, posturometry, stabilographic platform