Predictive models of early motor development in preterm infants: a longitudinal-prospective study

Autores

  • Cibelle Kayenne Martins Roberto Formiga Universidade Estadual de Goiás
  • Martina Estevam Brom Vieira Departamento de Neurociências e Ciências do Comportamento, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo - Departamento de Fisioterapia e Educação Física, Universidade Estadual de Goiás.
  • Rayne Ramos Facundes Departamento de Fisioterapia e Educação Física, Universidade Estadual de Goiás
  • Maria Beatriz Martins Linhares Departamento de Neurociências e Ciências do Comportamento, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo

DOI:

https://doi.org/10.7322/jhgd.111288

Palavras-chave:

preterm, motor development, infants, predictive model.

Resumo

Introduction: Preterm infants are vulnerable to developmental delays. Detecting problems at an early age is one of the challenges of professionals and researchers in the area.

Objectives: To analyse the motor development and to identify the risk factors associated with predictors of overall and motor delay in preterm newborns.

Methods: Eighty preterm infants (50% female; mean gestational age = 33 ± 2.2 weeks) with low birth weight (average of 1,715 ± 437 g) were evaluated using the Neurobehavioral Assessment of the Preterm Infant (NAPI) during the neonatal phase (prior to term age), the Denver Developmental Screening Test II (DDST-II) between 2 and 8 months, the Test of Infant Motor Performance between 2 and 4 months regarding motor development and the Alberta Infant Motor Scale between 4 and 8 months.

Results: Neurobehavioural delay was noted in 24% of the infants in the neonatal phase. Between 2 and 8 months, the delay in overall development was ≥ 31% and the delay in motor development was 35–36 %. Decreased levels of alertness, orientation, motor developmentand vigouraccording to theNAPIwereshown to be predictive of a delay indevelopment between4 and 6 months of age.The delayin overall development between 2 and 6 months was predictive of a delay in motor development between6 and 8months.

Conclusion: Neurobehavioural variables, hospital stayandoverall delayare goodpredictorsof motor developmentduring the first yearof age.

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Publicado

2017-09-06

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