Influencia del nivel de riesgo perinatal sobre el desarrollo motor grueso de los niños prematurosEstudio observacional de corte transversa

  1. Francisco Javier Fernández 1
  2. Inmaculada Calvo 2
  3. Sergio Montero 3
  4. Galaad Torró 4
  1. 1 Universidad de Murcia
    info

    Universidad de Murcia

    Murcia, España

    ROR https://ror.org/03p3aeb86

  2. 2 Universidad Catól ica San Antonio de Murcia (España)
  3. 3 Consejería de Educación y Cultura de Murcia
  4. 4 Centro de Desarrollo Infantil y Atención Temprana ( Murcia )
Journal:
European Journal of Health Research: (EJHR)

ISSN: 2444-9067 2445-0308

Year of publication: 2020

Volume: 6

Issue: 2

Pages: 169-180

Type: Article

DOI: 10.30552/EJHR.V6I2.214 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: European Journal of Health Research: (EJHR)

Sustainable development goals

Abstract

Prematurity is one of the main issue of perinatal health; taking into account its high incidence, the morbidity shown in the short and long term and the scarce scientific evidence that determines the influence that risk factors have on motor development in preterm infants, we propose to conduct a study that will analyse the influence that perinatal factors risk have on the gross motor development of this population. Method is based on: cross-sectional observational study on a sample of 261 preterm infants, evaluated from November 2014 to April 2018. The Alberta Infant Motor Scale (AIMS) was used to assess the level of gross motor development, the percentile in which is the premature one and the Perinatal Risk Inventory (PERI) to determine the score and the level of perinatal risk. Results are a significant and inverse relationship between perinatal risk and gross motor skills is found in both sexes (p= 0.000). So, the gross motor development of preterm infants is lower as the level of perinatal risk increases. Intracranial hemorrhage and gestational age are the perinatal risk factors that have shown the greatest influence on the gross motor development of preterm infants.

Bibliographic References

  • Beck, S., Wojdyla, D., Say, L., Betran, A.P., Merialdi, M., Requejo, J.H., … Van Look, P.F.A. (2010). The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bulletin of the World Health Organization, 88(1), 31-38.
  • Blencowe, H., Cousens, S., Oestergaard, M.Z., Chou, D., Moller, A.B., Narwal, R., … Lawn, J.E. (2012). National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet, 379(9832), 2162-2172.
  • Bos, A.F., Einspieler, C., y Prechtl, H.F. (2001). Intrauterine growth retardation, general movements, and neurodevelopmental outcome: a review. Developmental Medicine and Child Neurology, 43(1), 61-68.
  • Brown, N.C., Doyle, L.W., Bear, M.J., y Inder, T.E. (2006). Alterations in neurobehavior at term reflect differing perinatal exposures in very preterm infants. Pediatrics, 118(6), 2461-2471.
  • Christian, P., Murray-Kolb, L.E., Tielsch, J.M., Katz, J., LeClerq, S.C., y Khatry, S.K. (2014). Associations between preterm birth, small-for-gestational age, and neonatal morbidity and cognitive function among school-age children in Nepal. BMC Pediatrics, 14, 58-66.
  • de Kieviet, J.F., Zoetebier, L., van Elburg, R.M., Vermeulen, R.J., y Oosterlaan, J. (2012). Brain development of very preterm and very low-birthweight children in childhood and adolescence: a meta-analysis. Developmental Medicine and Child Neurology, 54(4), 313-323.
  • Fernández-Rego, FJ. (2014). Fisioterapia en neonatología. En Piñero, J., Pérez, J., Vargas, F., y Candela, A. (Eds). Atención Temprana en el Ámbito Hospitalario (pp. 189-236). Madrid, España: Ediciones Pirámide.
  • Ferreira, R.C., Mello, R.R., y Silva, K.S. (2014). Neonatal sepsis as a risk factor for neurodevelopmental changes in preterm infants with very low birth weight. Jornal de Pediatría, 90(3), 293-299.
  • García, P., San Feliciano, L., Benito, F., García, R., Guzmán, J., Salas, S., … Figueras, J. (2013). Outcome at two years corrected age of a cohort of very low birth weight infants from hospitals within the neonatal SEN1500 network. Anales de Pediatría, 79(5), 279-287.
  • Heineman, K.R., La Bastide-Van, S., Fidler, V., Middelburg, K.J., Bos, A.F., y Hadders-Algra, M. (2010). Construct validity of the Infant Motor Profile: relation with prenatal, perinatal, and neonatal risk factors. Developmental Medicine and Child Neurology, 52(9), e209- e215.
  • IBM Corp. Released (2017). IBM SPSS Statistics for Windows, Version 25.0. Armonk, New York: IBM Corp.
  • Janssen, A.J.W.M., Nijhuis-van der Sanden, M.W.G., Akkermans, R.P., Oostendorp, R.B., y Kollée, L.A.A. (2008). Influence of behaviour and risk factors on motor performance in preterm infants at age 2 to 3 years. Developmental Medicine and Child Neurology, 50(12), 926-931.
  • Kinney, H.C., Haynes, R.L., Xu, G., Andiman, S.E., Folkerth, R.D., Sleeper, L.A., y Volpe, J.J. (2012). Neuron deficit in the white matter and subplate in periventricular leukomalacia. Annals of Neurology, 71(3), 397-406.
  • Lee, J.Y., Kim, H.S., Jung, E., Kim, E.S., Shim, G.H., Lee, H.J., … Choi, J.H. (2010). Risk factors for periventricular-intraventricular hemorrhage in premature infants. Journal of Korean Medical Science, 25(3), 418-424.
  • Leversen, K.T., Sommerfelt, K., Rønnestad, A., Kaaresen, P.I., Farstad, T., Skranes, J., … Markestad, T. (2011). Prediction of neurodevelopmental and sensory outcome at 5 years in Norwegian children born extremely preterm. Pediatrics, 127(3), e630-e638.
  • Marín, M.A., Pallás, C.R., De La Cruz, J., Caserío, S., López, M., Moral, M., … Lora, D. (2009). Age of sitting unsupported and independent walking in very low birth weight preterm infants with normal motor development at 2 years. Acta Pediátrica, 98(11), 1815-1821.
  • Mendoza, L.A., Claros, D.I., Mendoza, L.I., Arias, M.D., y Peñaranda, C.B. (2016). Epidemiología de la prematuridad, sus determinantes y prevención del parto prematuro. Revista Chilena de Obstetricia y Ginecología, 8(4), 330-342.
  • Ment, L.R., y Constable, R.T. (2007). Injury and recovery in the developing brain: evidence from functional MRI studies of prematurely born children. Nature Clinical Practice Neurology, 3(10), 558-571.
  • Organización Mundial de la Salud (2012). Nacidos demasiado pronto: informe de acción global sobre nacimientos prematuros. Ginebra: OMS.
  • Oskoui, M., Coutinho, F., Dykeman, J., Jetté, N., y Pringsheim, T. (2013). An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Developmental Medicine and Child Neurology, 55(6), 509-519.
  • Piper, M.C., y Darrah, J. (1994). Motor Assessment of the Developing Infant. Philadelphia, United States: WB Saunders Company.
  • Potharst, E.S., van Wassenaer-Leemhuis, A.G., Houtzager, B.A., Livesey, D., Kok, J.H., Last, B.F., y Oosterlaan, J. (2013). Perinatal risk factors for neurocognitive impairments in preschool children born very preterm. Developmental Medicine and Child Neurology, 55(2), 178-184.
  • Pritchard, M.A., Colditz, P.B., Cartwright, D., Gray, P.H., Tudehope, D., y Beller, E. (2013). Risk determinants in early intervention use during the first postnatal year in children born very preterm. BMC Pediatrics, 13, 201-205.
  • Roze, E., Kerstjens, J.M., Maathuis, C.G.B., ter Horst, H.J., y Bos, A.F. (2008). Risk factors for adverse outcome in preterm infants with periventricular hemorrhagic infarction. Pediatrics, 122(1), e46-e52.
  • Scheiner, A.P., y Sexton, M.E. (1991). Prediction of developmental outcome using a perinatal risk inventory. Pediatrics, 88(6), 1135-1143.
  • Spittle, A.J., Boyd, R.N., Inder, T.E., y Doyle, L.W. (2009). Predicting motor development in very preterm infants at 12 months’ corrected age: the role of qualitative magnetic resonance imaging and general movements assessments. Pediatrics, 123(2), 512-517.
  • Thomaidis, L., Zantopoulos, G.Z., Fouzas, S., Mantagou, L., Bakoula, C., y Konstantopoulos, A. (2014). Predictors of severity and outcome of global developmental delay without definitive etiologic yield: a prospective observational study. BMC Pediatrics, 14, 40-47.
  • Volpe, J.J. (2009). The encephalopathy of prematurity--brain injury and impaired brain development inextricably intertwined. Seminars in Pediatric Neurology, 16(4), 167-178.
  • World Medical Association (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191-2194.
  • Zanudin, A., Burns, Y., Gray, P.H., Danks, M., Poulsen, L., y Watter, P. (2013). Perinatal events and motor performance of children born with ELBW and nondisabled. Pediatric Physical Therapy: The Official Publication of the Section on Pediatrics of the American Physical Therapy Association, 25(1), 30-35.