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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Referências

Kiechl-Kohlendorfer U, Ralser E, Pupp Peglow U, Reiter G, Trawöger R. Adverse neurodevelopmental outcome in preterm infants: risk factor profiles for different gestational ages. Acta Paediatr. 2009;98(5):792-6. DOI: http://dx.doi.org/10.1111/j.1651-2227.2009.01219.x

Evensen KA, Skranes J, Brubakk AM, Vik T. Predictive value of early motor evaluation in preterm very low birth weight and term small for gestational age children. Early Hum Dev. 2009;85(8):511-8. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2009.04.007

Wolf MJ, Koldewijn K, Beelen A, Smit B, Hedlund R, de Groot IJ. Neurobehavioral and developmental profile of very low birthweight preterm infants in early infancy. Acta Paediatr. 2002;91(8):930-8. DOI: http://dx.doi.org/10.1111/j.1651-2227.2002.tb02858.x

World Health Organization (WHO). Born too soon: the global action report on preterm birth. Geneva: World Health Organization; 2012.

Salt A, Redshaw M. Neurodevelopmental follow-up after preterm birth: follow up after two years. Early Hum Dev. 2006;82(3):185-97. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2005.12.015

Hack M. Survival and neurodevelopmental outcomes of preterm infants. J Pediatr Gastroenterol Nutr. 2007;45(3): S141-2. DOI: http://dx.doi.org/10.1097/01.mpg.0000302959.55428.05

Marret S, Ancel PY, Marpeau L, Marchand L, Pierrat V, Larroque B, et al. Neonatal and 5-year outcomes after birth at 30-34 weeks of gestation. Obstet Gynecol. 2007; 110(1):72-80. DOI: http://dx.doi.org/10.1097/01.AOG.0000267498.95402.bd

Pin TW, Darrer T, Eldridge B, Galea MP. Motor development from 4 to 8 months corrected age in infants born at or less than 29 weeks' gestation. Dev Med Child Neurol. 2009;51(9):739-45. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03265.x

Latal B. Prediction of neurodevelopmental outcome after preterm birth. Pediatr Neurol. 2009;40(6)413-9. DOI: http://dx.doi.org/10.1016/j.pediatrneurol.2009.01.008

Arditi-Babchuk H, Feldman R, Eidelman AI. Rapid eye movement (REM) in premature neonates and developmental outcome at 6 months. Infant Behav Dev. 2009; 32(1):27-32. DOI: http://dx.doi.org/10.1016/j.infbeh.2008.09.001

Badr LK, Bookheimer S, Purdy I, Deeb M. Predictors of neurodevelopmental outcome for preterm infants with brain injury: MRI, medical and environmental factors. Early Hum Dev. 2009; 85(5):279-84. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2008.11.005

Janssen AJ, Nijhuis-van der Sanden MW, Akkermans RP, Tissingh J, Oostendorp RA, Kollée LA. A model to predict motor performance in preterm infants at 5 years. Early Hum Dev. 2009;85(9):599-604. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2009.07.001

Luu TM, Ment LR, Schneider KC, Katz KH, Allan WC, Vohr BR. Lasting effects of preterm birth and neonatal brain hemorrhage at 12 years of age. Pediatrics. 2009; 123(3):1037-44. DOI: http://dx.doi.org/10.1542/peds.2008-1162

Nuysink J, Van Haastert IC, Eijsermans MJ, Koopman-Esseboom C, Helders PJM, Vries LS, et al. Prediction of gross motor development and independent walking in infants born very preterm using the Test of Infant Motor Performance and the Alberta Infant Motor Scale. Early Hum Dev. 2013; 89(9):693–7. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2013.04.016

Gorzilio DM, Garrido E, Gaspardo CM, Martinez FE, Linhares MBM. Neurobehavioral development prior to term-age of preterm infants and acute stressful events during neonatal hospitalization. Early Hum Dev. 2015;91(12):769-75. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2015.09.003

Tieman BL, Palisano RJ, Sutlive AC. Assessment of motor development and function in preschool children. Ment Retard Dev Disabil Res Rev. 2005;11(3):189-96. DOI: http://dx.doi.org/10.1002/mrdd.20074

Maitre NL, Slaughter JC, Aschner JL. Early prediction of cerebral palsy after neonatal intensive care using motor development trajectories in infancy. Early Hum Dev. 2013;89(10):781-6. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2013.06.004

Majnemer A, Snider L. A comparasion of developmental asssessments of the newborn and young infant. Ment Retard Dev Disabil Res Rev 2005;11(1):68-73. DOI: http://dx.doi.org/10.1002/mrdd.20052

Fjørtoft T, Grunewaldt KH, Løhaugen GC, Mørkved S, Skranes J, Evensen KA. Assessment of motor behaviour in high-risk-infants at 3 months predicts motor and cognitive outcomes in 10 years old children. Early Hum Dev. 2013;89(10):787-93. DOI: http://dx.doi.org/10.1016/j.earlhumdev.2013.06.007

Potijk MR, Kerstjens JM, Bos AF, Reijneveld SA, Winter AF. Developmental delay in moderately preterm-born children with low socioeconomic status: risks multiply. J Pediatr. 2013;163(5):1289-95. DOI: http://dx.doi.org/10.1016/j.jpeds.2013.07.001

Simard MN, Luu TM, Gosselin J. Concurrent validity of ages and stages Questionnaires in preterm infants. Pediatrics. 2012; 130;e108. DOI: http://dx.doi.org/ 10.1542/peds.2011-3532

Bornstein MH, Hendricks C. Screening for developmental disabilities in developing countries. Soc Sci Med. 2013; 97:307-15. DOI: http://dx.doi.org/ 10.1016/j.socscimed.2012.09.049

Korner AF, Browns JV, Thom VA, Constantinou JC. The neurobehavioral assessment of the preterm infant. Manual revised. 2nd ed. Van Nuys: Child Development Media; 2000.

Constantinou JC, Adamson-Macedo EM, Mirmiran M, Fleisher BE. Movement, imaging and neurobehavioral assessment as predictors of cerebral palsy in preterm infants. J Perinatol. 2007;27(4):225-9. DOI: http://dx.doi.org/10.1038/sj.jp.7211664

Frankenburg WK, Dodds JB, Archer P, Shapiro H, Bresnick B. The Denver II: a major revision and restandardization of denver developmental screening test. Pediatrics. 1992; 89(1):91-7.

Campbell SK, Kolobe THA, Osten ET, Lenke M, Girolami G. Construct validity of the test of infant motor performance. Test user's manual version 1.4. Campbell; 2001.

Campbell SK, Kolobe THA, Wright B, Linacre JM. Validity of Test of Infant Motor Performance for prediction of 6, 9 and 12 month scores on the Alberta Infant Motor Scale. Dev Med Child Neurol. 2002; 44(4): 263-72. DOI: http://dx.doi.org/ 10.1111/j.1469-8749.2002.tb00802.x

Piper MC, Darrah J. Motor assessment of the developing infant. EUA: Saunders Company; 1994.

Darrah J, Piper MC, Watt M. Assessment of gross motor skills of at-risk infants: predictive validity of the Alberta Infant Motor Scale. Dev Med Child Neurol. 1998;40 (7):485-91. DOI: http://dx.doi.org/ 10.1111/j.1469-8749.1998.tb15399.x

Gabriel PSZ, Formiga CKMR, Linhares MBM. Early neurobehavioral development of preterm infants. Psicol Reflex Crit. 2013;26(1):202-11. DOI: http://dx.doi.org/10.1590/S0102-79722013000100022

Halpern R, Giugliani ER, Victora CG, Barros FC, Horta BL. Risk factors for suspicion of developmental delays at 12 months of age. J Pediatr. 2000;76(6):421-8. DOI: http://dx.doi.org/10.1111/j.1365-3016.2010.01115.x

Lekskulchai R, Cole J. The relationship between the scarf ratio and subsequent motor performance in infants born preterm. Pediatr Phys Ther. 2000;12(4):150-7.

Afrasiabi N, Mohagheghi P, Kalani M, Mohades G, Farahani Z. The Effect of High Risk Pregnancy on Duration of Neonatal Stay in Neonatal Intensive Care Unit. Iran J Pediatr. 2014;24(4):423-28.

Van Schie PE, Becher JG, Dallmeijer AJ, Barkhof F, Van Weissenbruch MM, Vermeulen RJ. Motor testing at 1 year improves the prediction of motor and mental outcome at 2 years after perinatal hypoxic-ischaemic encephalopathy. Dev Med Child Neurol. 2010;52(1):54-9. DOI: http://dx.doi.org/10.1111/j.1469-8749.2009.03302.x

Macy M. The evidence behind developmental screening instruments. Infants Young Children. 2012;25(1):19-61. DOI: http://dx.doi.org/10.1097/IYC.0b013e31823d37dd

Formiga CKMR, Vieira MEB, Linhares MBM. Avaliação do desenvolvimento de bebês nascidos pré-termo: a comparação entre idades cronológica e corrigida. J Hum Growth Dev. 2015; 25(2):230-6. DOI: http://dx.doi.org/10.7322/JHGD.103020

Vohr BR, O'Shea M, Wright LL. Longitudinal multicenter follow-up of high-risk infants: why, who, when, and what to assess. Semin Perinatol. 2003;27(4):333-42. DOI: https://doi.org/10.1016/S0146-0005(03)00045-4

Oliveira C, Castro L, Silva R, Freitas I, Gomes M, Candida M. Factors associated with the development of preterm children at four and eight months of corrected gestational age. J Hum Growth Dev. 2016; 26(1):41-7. DOI: http://dx.doi.org/10.7322/jhgd.110024

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Publicado

2017-09-06

Edição

v. 27 n. 2 (2017)

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Artigos Originais

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