1
|
Mendonça B, Kong M, Coombs A, Kysh L, Sargent B. Psychometric properties of the Alberta Infant Motor Scale and culturally adapted or translated versions when used for infant populations internationally: A systematic review. Dev Med Child Neurol 2024. [PMID: 39234875 DOI: 10.1111/dmcn.16070] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 07/07/2024] [Accepted: 07/16/2024] [Indexed: 09/06/2024]
Abstract
AIM To systematically review the psychometric properties of the Alberta Infant Motor Scale (AIMS) when used for infant populations internationally, defined as infants not living in Canada, where the normative sample was established. METHOD Seven databases were searched for studies that informed the psychometric properties of the AIMS and culturally adapted or translated versions in non-Canadian infant cohorts. RESULTS Forty-nine studies reported results from 11 663 infants representing 22 countries. Country-specific versions of the AIMS are available for Brazilian, Polish, Serbian, Spanish, and Thai infant cohorts. Country-specific norms were introduced for Brazilian, Dutch, Polish, and Thai cohorts. The original Canadian norms were appropriate for Brazilian, Greek, and Turkish cohorts. Across countries, the validity, reliability, and responsiveness of the AIMS was generally sufficient, except for predictive validity. Sufficient structural validity was found in one study, responsiveness in one study, discriminant validity in four of four studies, concurrent validity in 14 of 16 studies, reliability in 26 of 26 studies, and predictive validity in only eight of 13 studies. INTERPRETATION The use of the AIMS with validated versions and norms is recommended. The AIMS or country-specific versions should be used with caution if norms have not been validated within the specific cultural context.
Collapse
Affiliation(s)
- Bianca Mendonça
- Division of Pediatric Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA
- Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA
- NeuroFit Institute, Carlsbad, CA, USA
| | - Michael Kong
- Division of Pediatric Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA
- Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA
| | - Alison Coombs
- Division of Pediatric Rehabilitation Medicine, Children's Hospital Los Angeles, Los Angeles, CA, USA
| | - Lynn Kysh
- Children's Hospital Los Angeles, Innovation Studio, Los Angeles, CA, USA
- Blaisdell Medical Library, UC Davis, Sacramento, CA, USA
| | - Barbara Sargent
- Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA
| |
Collapse
|
2
|
Park HS, Kang MY, Choi CW, Koo JW, Jeong YG. The Relationship Between Postural Torticollis Abnormalities and Plagiocephaly on the Early Motor Development Milestones of Lying and Rolling Activities in Infants: A Retrospective Study. Dev Neurorehabil 2024; 27:179-185. [PMID: 38965666 DOI: 10.1080/17518423.2024.2374543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/26/2023] [Revised: 05/07/2024] [Accepted: 06/26/2024] [Indexed: 07/06/2024]
Abstract
The study examined how neck muscle imbalance and plagiocephaly affect the lying and rolling activities in 118 infants aged 4 to 6 months with postural torticollis. Outcome measures included age, sex, cervical movement, and plagiocephaly severity. Neck muscle function was assessed with the Muscle Function Scale (MFS), and infant motor abilities in lying and rolling were evaluated through the corresponding dimensions of the Gross Motor Function Measure (GMFM). Multiple regression analysis showed that a better MFS score of the affected neck was significantly associated with improved lying and rolling activities in the GMFM (p < .01), and importantly, the interaction between the plagiocephaly and the MFS scores of the affected neck muscle in these activities was found to be significant (p < .05). These results highlight the need for early intervention in infants with torticollis to address muscle imbalance and plagiocephaly, crucial for early motor development (KCT0008367).
Collapse
Affiliation(s)
- Hyun-Suk Park
- Rehabilitation Team, The Catholic University of Korea Incheon St. Mary's Hospital, Incheon, Republic of Korea
| | - Mo-Yeol Kang
- Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Chi-Whan Choi
- Rehabilitation Sciences PhD Program, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA
| | - Jung-Wan Koo
- Department of Occupational and Environmental Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Yeon-Gyu Jeong
- Department of Physical Therapy, Yeoju Institut of Technology, Yeoju-si, Republic of Korea
| |
Collapse
|
3
|
Siegel DN, Siddicky SF, Davis WD, Mannen EM. Mechanical environment influences muscle activity during infant rolling. Hum Mov Sci 2024; 95:103208. [PMID: 38484420 PMCID: PMC11176023 DOI: 10.1016/j.humov.2024.103208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2023] [Revised: 03/03/2024] [Accepted: 03/07/2024] [Indexed: 06/15/2024]
Abstract
An infant's musculoskeletal and motor development is largely affected by their environment. Understanding how different mechanical environments affect an infant's movements and muscle use is necessary to inform the juvenile products industry and reduce incidents involving inclined nursery products each year. The purpose of this study was to determine how the coordinated movements and corresponding muscle activation patterns are affected by different mechanical environments, specifically the back incline angle. Thirty-eight healthy infants (age: 6.5 ± 0.7 months; 23 M/15 F) were enrolled in this IRB-approved in-vivo biomechanics study. Surface electromyography sensors recorded muscle activity of the erector spinae, abdominal muscles, quadriceps, and hamstrings while infants rolled in five different mechanical environments: a flat surface and four device configurations representing a range of inclines infants are commonly exposed to. Coordinated movements were determined using video. In all configurations featuring an inclined seatback angle, infants experienced significantly higher erector spinae muscle activation and significantly lower abdominal muscle activation compared to the flat surface. Infants also exhibited a different coordinated movement featuring spinal extension and a pelvic thrust in the inclined device configurations that was not previously observed on the flat surface alone. Understanding how infants coordinate their movements and use their muscles during rolling in different inclined environments provides more insight into motor development and may inform the juvenile products industry. Many factors impact an infant's movements, therefore future work should explore how other environmental interactions influence an infant's movements and muscle activation, particularly for rolling.
Collapse
Affiliation(s)
- Danielle N Siegel
- Biomedical Engineering Doctoral Program, Boise State University, Boise, ID, United States
| | - Safeer F Siddicky
- Mechanical and Biomedical Engineering Department, College of Engineering, Boise State University, Boise, ID, United States; Department of Kinesiology and Health Education, College of Education, The University of Texas at Austin, Austin, TX, United States
| | - Wyatt D Davis
- Mechanical and Biomedical Engineering Department, College of Engineering, Boise State University, Boise, ID, United States
| | - Erin M Mannen
- Biomedical Engineering Doctoral Program, Boise State University, Boise, ID, United States; Mechanical and Biomedical Engineering Department, College of Engineering, Boise State University, Boise, ID, United States.
| |
Collapse
|
4
|
Zhao GJW, Li ZQ, Ma Y, Zhu YB, Ding N, Yi HL, Li SJ, Yan DL, Zhang JR. Cellphone application rehabilitation management and evaluations of cardiopulmonary function and motor development in infants with congenital heart disease: a pilot study. World J Pediatr 2023; 19:805-812. [PMID: 37285015 PMCID: PMC10244849 DOI: 10.1007/s12519-023-00734-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 05/21/2023] [Indexed: 06/08/2023]
Affiliation(s)
- Ge-Jing-Wa Zhao
- Department of Cardiovascular Surgery II, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 56th Nan Lishi Rd, Beijing, 100045, China
| | - Zhi-Qiang Li
- Department of Cardiovascular Surgery II, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 56th Nan Lishi Rd, Beijing, 100045, China.
| | - Yang Ma
- Department of Healthcare, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
| | - Yao-Bin Zhu
- Department of Cardiovascular Surgery II, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 56th Nan Lishi Rd, Beijing, 100045, China
| | - Nan Ding
- Department of Cardiovascular Surgery II, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 56th Nan Lishi Rd, Beijing, 100045, China
| | - Han-Lu Yi
- Department of Cardiovascular Surgery II, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 56th Nan Lishi Rd, Beijing, 100045, China
| | - Shi-Jie Li
- Department of Healthcare, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China
| | - Dao-Le Yan
- Department of Cardiovascular Surgery II, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 56th Nan Lishi Rd, Beijing, 100045, China
| | - Jin-Rui Zhang
- Department of Cardiovascular Surgery II, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, 56th Nan Lishi Rd, Beijing, 100045, China
| |
Collapse
|
5
|
Karasik LB, Adolph KE, Fernandes SN, Robinson SR, Tamis-LeMonda CS. Gahvora cradling in Tajikistan: Cultural practices and associations with motor development. Child Dev 2023; 94:1049-1067. [PMID: 37016553 PMCID: PMC10521344 DOI: 10.1111/cdev.13919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 01/24/2023] [Accepted: 01/26/2023] [Indexed: 04/06/2023]
Abstract
In Tajikistan, infants are bound supine in a "gahvora" cradle that severely restricts movement. Does cradling affect motor development and body growth? In three studies (2013-2018), we investigated associations between time in the gahvora (within days and across age) and motor skills and flattened head dimensions in 8-24-month-old Tajik infants (N = 269, 133 girls, 136 boys)) and 4.3-5.1-year-old children (N = 91, 53 girls, 38 boys). Infants had later motor onset ages relative to World Health Organization standards and pronounced brachycephaly; cradling predicted walk onset age and the proficiency of sitting, crawling, and walking. By 4-5 years, children's motor skills were comparable with US norms. Cultural differences in early experiences offer a unique lens onto developmental processes and equifinality in development.
Collapse
Affiliation(s)
- Lana B. Karasik
- College of Staten Island & Graduate Center, CUNY, Staten Island, New York, USA
| | | | - Sara N. Fernandes
- College of Staten Island & Graduate Center, CUNY, Staten Island, New York, USA
- New York University, New York City, New York, USA
| | - Scott R. Robinson
- College of Staten Island & Graduate Center, CUNY, Staten Island, New York, USA
| | | |
Collapse
|
6
|
Lima MFR, Costa LB, Pereira DG, Gomes WF, Oliveira VC, Morais RLS. A qualidade do ambiente domiciliar influencia nas habilidades funcionais de crianças na primeiríssima infância? FISIOTERAPIA E PESQUISA 2022. [DOI: 10.1590/1809-2950/21025429022022pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
RESUMO A literatura extensamente associa o desenvolvimento infantil à qualidade da estimulação ambiental. Entretanto, são escassos os estudos que verificam se tal associação tem relação com as habilidades funcionais da criança. Este estudo tem por objetivo investigar quais oportunidades no ambiente domiciliar estão associadas e explicam às habilidades funcionais de mobilidade e função social de crianças na primeiríssima infância. Trata-se de um estudo transversal e exploratório feito com 74 crianças entre 6 e 18 meses. Para avaliar as oportunidades presentes no ambiente domiciliar, foi utilizado o instrumento affordances in the home environment motor development - infant scale. Para avaliar as habilidades funcionais das crianças, foi utilizado o inventário de avaliação pediátrica de incapacidade. Observou-se que a mobilidade das crianças pode ser explicada em 45,6% (R² ajustado=0,45) e a função social em 30% (R² ajustado=0,30) pela quantidade de brinquedos de motricidade grossa, pelos equipamentos e pela variedade de estimulação presente no ambiente domiciliar. Conclui-se que posições, brinquedos e materiais que mantêm a criança mais restrita e menos ativa exercem influência negativa. Por outro lado, brinquedos que oportunizam um maior deslocamento e interação favorecem as habilidades funcionais de mobilidade e função social.
Collapse
Affiliation(s)
| | - Lucas B. Costa
- Universidade Federal dos Vales do Jequitinhonha e Mucuri, Brasil
| | | | | | | | | |
Collapse
|
7
|
Lima MFR, Costa LB, Pereira DG, Gomes WF, Oliveira VC, Morais RLS. Does the quality of the home environment influence the functional abilities of infants in early childhood? FISIOTERAPIA E PESQUISA 2022. [DOI: 10.1590/1809-2950/21025429022022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
ABSTRACT The literature associates child development with the quality of the environment stimulation. However, few studies verify if this is associated with the infant’s functional abilities. This study aims to assess which opportunities in the home environment are associated with functional mobility skills and social function of infants in early childhood and explain them. This is a cross-sectional and exploratory study with 74 infants aged from six to 18 months. The affordances in the home environment motor development - infant scale instrument was used to evaluate the opportunities in the home environment. The pediatric evaluation of disability inventory was used to assess the infants’ functional abilities. We observed that infants’ mobility can be explained in 45.6% (Adjusted R²=0.45) and social function in 30% (Adjusted R²=0.30) by the amount of gross motor skills toys, equipment and variety of stimulation in the home environment. We concluded that positions, toys, and materials that keep the infant more restricted and less active have a negative effect. On the other hand, toys that offer greater displacement and interaction favor the functional mobility skills and social function.
Collapse
Affiliation(s)
| | - Lucas B. Costa
- Universidade Federal dos Vales do Jequitinhonha e Mucuri, Brasil
| | | | | | | | | |
Collapse
|
8
|
The Influence of Parent Education on the Neurobehavior and Sucking Reflexes of Very Preterm Infants. Brain Sci 2022; 12:brainsci12070840. [PMID: 35884647 PMCID: PMC9313055 DOI: 10.3390/brainsci12070840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 06/15/2022] [Accepted: 06/25/2022] [Indexed: 11/18/2022] Open
Abstract
The diagnosis of neurobehavioral problems in very preterm neonates helps with planning and applying proper and direct therapeutic interventions. (1) Background: The aim of this study was to determine the direct impact of neurobehavior on the sucking reflex and eating abilities of neonates. (2) Methods: We assessed 18 preterm neonates twice hospitalized at the Gynecology and Obstetrics Clinical Hospital through the use of the Neonatal Behavioral Assessment Scale (NBAS). (3) Results: We found that that a neonate’s sucking ability positively correlated with the activity level item from the motor system cluster of the NBAS. (4) Conclusions: Neurobehavior should be closely assessed in very preterm neonates. Firstly, because assessments can detect fundamental problems and help a practitioner plan for early intervention. Secondly, the education of parents regarding the neurobehavior of their child can help in the facilitation of feeding skills and the planning of early rehabilitation.
Collapse
|
9
|
Intra-Individual Variability in Gross Motor Development in Healthy Full-Term Infants Aged 0-13 Months and Associated Factors during Child Rearing. CHILDREN (BASEL, SWITZERLAND) 2022; 9:children9060801. [PMID: 35740738 PMCID: PMC9221916 DOI: 10.3390/children9060801] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 05/27/2022] [Accepted: 05/28/2022] [Indexed: 11/17/2022]
Abstract
The gross motor development of a typically developing infant is a dynamic process, the intra-individual variability of which can be investigated through longitudinal assessments. Changes in gross motor development vary, according to the interaction of multiple sub-systems within the child, environment, task setting, and experience or practice of movement. At present, studies on environmental factors that influence gross motor development in full-term infants over time are limited. The main aim of this study was to investigate environmental factors affecting intra-individual variability from birth to 13 months. The gross motor development of 41 full-term infants was longitudinally assessed every month from the age of 15 days using the Alberta Infant Motor Scale. Parents were interviewed monthly about environmental factors during childcare. Infants showed fluctuations in the percentile of gross motor development, and no systematic pattern was detected. The total mean range of gross motor percentile was 65.95 (SD = 15.74; SEM = 2.28). The percentiles of gross motor skills over the 14 assessments ranged from 36 to 93 percentile points. Factors that were significantly associated with the gross motor development percentile were the use of a baby walker (Coef. = -8.83, p ≤ 0.0001) and a baby hammock (Coef. = 7.33, p = 0.04). The use of baby hammocks could increase the gross motor percentile by 7.33 points. Although the usage of a baby walker is common practice in childcare, it may cause a decrease in the gross motor percentile by 8.83 points according to this study. In conclusion, healthy full-term infants exhibited a natural variability in gross motor development. Placing infants in a baby walker during the first year of age should be approached with caution due to the risk of delayed gross motor development.
Collapse
|
10
|
Carson V, Zhang Z, Predy M, Pritchard L, Hesketh KD. Longitudinal associations between infant movement behaviours and development. Int J Behav Nutr Phys Act 2022; 19:10. [PMID: 35090492 PMCID: PMC8800227 DOI: 10.1186/s12966-022-01248-6] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 01/10/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND This study aimed to address methodological limitations of the evidence that informed national and international movement behaviour guidelines for the early years. Specifically, the primary objective was to examine the longitudinal associations of infant physical activity (i.e., tummy time) and sedentary behaviour (i.e., back time, screen time, reading time, restrained time) with gross motor development. Secondary and tertiary objectives were to examine longitudinal associations of: (1) infant physical activity and sedentary behaviour with communication, fine motor, personal-social, and problem solving development, and (2) sleep time with primary and secondary outcomes. METHODS Participants were 411 parents and their infants from the Early Movers project in Edmonton, Canada. Physical activity, sedentary behaviour, and sleep were measured with a parental questionnaire and the Ages & Stages Questionnaire (ASQ-3) developmental screening tool was administered at 2, 4, and 6 months. Parents reported the dates six major gross motor milestones (i.e., independent sitting, crawling, assisted standing, assisted walking, independent standing, independent walking) were acquired in the first 18 months of life according to World Health Organization criteria. In a subsample (n = 125), gross motor development was assessed using the Alberta Infant Motor Scale (AIMS) at 6 months. RESULTS Higher tummy time across time points was significantly associated with higher ASQ-3 gross motor and personal-social development scores over time, higher total AIMS scores at 6 months, and earlier acquisition of all gross motor milestones. Higher reading time across time points was significantly associated with higher ASQ-3 fine motor, gross motor, personal-social, and total development scores over time. In contrast, higher back time across time points was significantly associated with lower total AIMS scores at 6 months and the later acquisition of assisted standing, assisted walking, and independent walking. Similarly, higher restrained time across time points was significantly associated with a later acquisition of supported walking. CONCLUSIONS Tummy time was consistently longitudinally associated with more advanced gross motor development and reading with more advanced total development. Whereas, some detrimental associations were observed for back and restrained time. Findings support the promotion of tummy time and certain sedentary behaviours (i.e., reading) in young infants to enhance overall development.
Collapse
Affiliation(s)
- Valerie Carson
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada.
| | - Zhiguang Zhang
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada
| | - Madison Predy
- Faculty of Kinesiology, Sport, and Recreation, University of Alberta, Edmonton, AB, Canada
| | - Lesley Pritchard
- Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada
| | - Kylie D Hesketh
- Institute for Physical Activity and Nutrition, Deakin University, Geelong, Vic, Australia
| |
Collapse
|
11
|
Berger SE, Moore CT. A time series analysis of the relation between motor skill acquisition and sleep in infancy. Infant Behav Dev 2021; 65:101654. [PMID: 34688078 DOI: 10.1016/j.infbeh.2021.101654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Revised: 10/07/2021] [Accepted: 10/07/2021] [Indexed: 10/20/2022]
Abstract
To systematically examine the relation between motor milestone onset and disruption of night sleep in infancy, three families kept microgenetic, prospective, daily checklist diaries of their infants' motor behavior and sleep (197-313 observation days; 19,000 diary entries). Process control and interrupted time series analyses examined whether deviations from the moving average for night wakings and evening sleep duration were temporally linked to motor skill onset and tested for meaningful differences in individual sleep patterns before and after skill onset. Model assumptions defined skill onset as first day of occurrence or as mastery and moving average windows as 3, 7, or 14 days. Changes in infants' sleep patterns were associated with changing expertise for motor milestones. The temporal relation varied depending on infant and sleep parameter. Intensive longitudinal data collection may increase our understanding of micro-events in infant development.
Collapse
Affiliation(s)
- Sarah E Berger
- Department of Psychology, The College of Staten Island, The City University of New York, 2800 Victory Blvd., 4S-108, SI, NY, 10314, United States; The Graduate Center of the City University of New York, United States.
| | - Calandra T Moore
- Department of Mathematics, The College of Staten Island, The City University of New York, 2800 Victory Blvd., SI, NY, 10314, United States
| |
Collapse
|
12
|
Factors Associating with the Segmental Postural Control during Sitting in Moderate-to-Late Preterm Infants via Longitudinal Study. CHILDREN-BASEL 2021; 8:children8100851. [PMID: 34682116 PMCID: PMC8534436 DOI: 10.3390/children8100851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/29/2021] [Revised: 09/22/2021] [Accepted: 09/23/2021] [Indexed: 11/30/2022]
Abstract
(1) Background: biological variables and particular child rearing practices could be linked to postural control and rates of sitting onset. The segmental Assessment of Trunk Control (SATCo) is currently used as an assessment of postural control with a specific segment on premature infants. However, the association between related factors and segmental trunk control during sitting development in preterm infants via longitudinal assessments is still limited. Objective: to investigate the associations between biological and child rearing factors and segmental trunk control during sitting in moderate to late premature birth from the age of 4 months to age of independent sitting attainment. (2) Methods: forty-two infants born between 32 and 36 weeks of gestation were recruited. Their segmental trunk control was assessed using the SATCo. Their related factors were recorded from the age of 4 months to early onset of independent sitting attainment. The generalised estimating equation (GEE) model was used to identify the association between related factors and the SATCo with a linear distribution. (3) Results: cause of prematurity, baby rocking recliner and baby walker usage were negative factors, while play in a sitting position, opportunity to move on a traditional mat and sleep mattress were positive factors contributing to the segmental control of the trunk. (4) Conclusions: the experience of sitting on different surfaces and an opportunity to sit without support during the child rearing period from age of 4 months corrected could be positive factors associating with the segmental trunk control in moderate-to-late premature infants.
Collapse
|
13
|
The Influence of Maternal Cognitions Upon Motor Development in Infants Born Preterm: A Scoping Review. Pediatr Phys Ther 2021; 33:137-147. [PMID: 34151889 DOI: 10.1097/pep.0000000000000806] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
PURPOSE This scoping review summarizes the extent, nature, and type of evidence linking broadly defined maternal cognitions to motor outcomes in infants born preterm. Maternal cognitions are beliefs, perceptions, or psychosocial attributes that inform parenting practices. METHODS Arksey and O'Malley's 5-step method was applied. Thirteen articles between 1980 and November 2019 met inclusion criteria. RESULTS Two key themes emerged with infants born preterm: (1) quality of the social and physical caregiving environment influence developmental outcomes with implications for motor development; and (2) complex interactions between environmental factors, prematurity-related biomedical risks, and maternal cognitions contribute to eventual motor outcomes. CONCLUSION Further research is needed to understand how maternal cognitions either scaffold or constrain early motor opportunities for infants born preterm and at risk for motor delays. WHAT THIS ADDS TO THE EVIDENCE This review summarizes studies that explore potential links between maternal cognitions and motor development in infants born preterm.
Collapse
|
14
|
Boonzaaijer M, Suir I, Mollema J, Nuysink J, Volman M, Jongmans M. Factors associated with gross motor development from birth to independent walking: A systematic review of longitudinal research. Child Care Health Dev 2021; 47:525-561. [PMID: 33210319 PMCID: PMC8252538 DOI: 10.1111/cch.12830] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2020] [Revised: 11/02/2020] [Accepted: 11/04/2020] [Indexed: 01/31/2023]
Abstract
AIM The aim of this study is to gain more insight into child and environmental factors that influence gross motor development (GMD) of healthy infants from birth until reaching the milestone of independent walking, based on longitudinal research. BACKGROUND A systematic search was conducted using Scopus, PsycINFO, MEDLINE and CINAHL to identify studies from inception to February 2020. Studies that investigated the association between child or environmental factors and infant GMD using longitudinal measurements of infant GMD were eligible. Two independent reviewers extracted key information and assessed risk of bias of the selected studies, using the Quality in Prognostic Studies tool (QUIPS). Strength of evidence (strong, moderate, limited, conflicting and no evidence) for the factors identified was described according to a previously established classification. RESULTS In 36 studies, six children and 11 environmental factors were identified. Five studies were categorized as having low risk of bias. Strong evidence was found for the association between birthweight and GMD in healthy full-term and preterm infants. Moderate evidence was found for associations between gestational age and GMD, and sleeping position and GMD. There was conflicting evidence for associations between twinning and GMD, and breastfeeding and GMD. No evidence was found for an association between maternal postpartum depression and GMD. Evidence for the association of other factors with GMD was classified as 'limited' because each of these factors was examined in only one longitudinal study. CONCLUSION Infant GMD appears associated with two child factors (birthweight and gestational age) and one environmental factor (sleeping position). For the other factors identified in this review, insufficient evidence for an association with GMD was found. For those factors that were examined in only one longitudinal study, and are therefore classified as having limited evidence, more research would be needed to reach a conclusion.
Collapse
Affiliation(s)
- Marike Boonzaaijer
- Research Group Lifestyle and Health, Institute of Human Movement StudiesHU University of Applied SciencesUtrechtThe Netherlands
| | - Imke Suir
- Research Group Lifestyle and Health, Institute of Human Movement StudiesHU University of Applied SciencesUtrechtThe Netherlands
| | - Jurgen Mollema
- Research Group Lifestyle and Health, Institute of Human Movement StudiesHU University of Applied SciencesUtrechtThe Netherlands
| | - Jacqueline Nuysink
- Research Group Lifestyle and Health, Institute of Human Movement StudiesHU University of Applied SciencesUtrechtThe Netherlands
| | - Michiel Volman
- Faculty of Social and Behavioural Sciences, Department of Pedagogical and Educational SciencesUtrecht UniversityUtrecht3584 CSThe Netherlands
| | - Marian Jongmans
- Faculty of Social and Behavioural Sciences, Department of Pedagogical and Educational SciencesUtrecht UniversityUtrecht3584 CSThe Netherlands
| |
Collapse
|
15
|
Modeling a gross motor curve of typically developing Dutch infants from 3.5 to 15.5 months based on the Alberta Infant Motor Scale. Early Hum Dev 2021; 157:105366. [PMID: 33865116 DOI: 10.1016/j.earlhumdev.2021.105366] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/21/2020] [Revised: 03/19/2021] [Accepted: 03/26/2021] [Indexed: 11/23/2022]
Abstract
BACKGROUND Interindividual variability in gross motor development of infants is substantial and challenges the interpretation of motor assessments. Longitudinal research can provide insight into variability in individual gross motor trajectories. PURPOSE To model a gross motor growth curve of healthy term-born infants from 3.5 to 15.5 months with the Alberta Infant Motor Scale (AIMS) and to explore groups of infants with different patterns of development. METHODS A prospective longitudinal study including six assessments with the AIMS. A Linear Mixed Model analysis (LMM) was applied to model motor growth, controlled for covariates. Cluster analysis was used to explore groups with different pathways. Growth curves for the subgroups were modelled and differences in the covariates between the groups were described and tested. RESULTS In total, data of 103 infants was included in the LMM which showed that a cubic function (F(1,571) = 89.68, p < 0.001) fitted the data best. None of the covariates remained in the model. Cluster analysis delineated three clinically relevant groups: 1) Early developers (32%), 2) Gradual developers (46%), and 3) Late bloomers (22%). Significant differences in covariates between the groups were found for birth order, maternal education and maternal employment. CONCLUSION The current study contributes to knowledge about gross motor trajectories of healthy term born infants. Cluster analysis identified three groups with different gross motor trajectories. The motor growth curve provides a starting point for future research on motor trajectories of infants at risk and can contribute to accurate screening.
Collapse
|
16
|
Design and validation of a smart garment to measure positioning practices of parents with young infants. Infant Behav Dev 2021; 62:101530. [PMID: 33548894 DOI: 10.1016/j.infbeh.2021.101530] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 01/19/2021] [Accepted: 01/25/2021] [Indexed: 12/26/2022]
Abstract
The aim of this cross-sectional study was to evaluate the feasibility, construct validity, and reliability of a smart garment to characterize parent-child positioning practices in infants less than six months old. The smart garment (Get Around Garment, GG) was developed through feedback from seven infants and their parents. The final system was then tested with sixteen infants (M = 3.1 ± 1.1 months) assessed in their homes during one visit that consisted of a: 1) Structured Play Assessment (2.5 min): infant was placed in each of five positions (prone, supine, reclined/inclined, and upright) for 30 s, 2) Free Play Assessment (40-60 min): parents were asked to engage in typical daily activities, and 3) second Structured Play Assessment. Infants' body position was both coded from video and identified from sensor data using a custom program. Feasibility was measured by data from a Daily Wearing Log and Garment Perception Questionnaire. Validity was evaluated by comparing the coding and sensor data. Reliability was measured by comparing the sensor data between the two Structured Play Assessments. The GG was considered feasible for use. The smart wearable system showed high levels of accuracy for classifying body position secondby- second and when comparing cumulative duration across time. Reliability of the smart garment was excellent. Young infants spent more time in supine and supported upright positions relative to prone, reclined, or inclined positions. The results suggest that accelerometers can be integrated into garments in a manner that is feasible to provide accurate and consistent data about positioning practices of parents with young infants. Monitoring early positioning practices is important because these practices impact future motor and cognitive developmental trajectories.
Collapse
|
17
|
Gross motor development of Thai healthy full-term infants aged from birth to 14 months using the Alberta Infant Motor Scale: Inter individual variability. Early Hum Dev 2020; 151:105169. [PMID: 32920281 DOI: 10.1016/j.earlhumdev.2020.105169] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/29/2019] [Revised: 08/01/2020] [Accepted: 08/28/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND The gross motor percentiles of the Alberta Infants Motor Scale (AIMS) have been commonly referenced in research. Cross-cultural assessment of gross motor development during the first year of life is suggested as diverse child-rearing practices can cause inter-variability. The main aim of this study was to develop an AIMS percentile curve for typically developing home-raised infants in the northeastern part of Thailand. The AIMS scores of these infants were also compared with the standard Canadian norms. METHODS The gross motor development of 574 full-term infants aged 15 days to 14 months was assessed using the Thai version of the AIMS. Percentile curves of their gross motor ability were developed. The Thai infants' mean AIMS scores were compared with the Canadian norm using the one-sample t-test. RESULTS The percentile curve of gross motor development of healthy Thai infants showed that mean AIMS scores increased with age. Large inter-variability was present from the 7th to 10th months. The mean AIMS scores of Thai infants were significantly lower than the standard Canadian means during the first three months (P < 0.05), but significantly higher in three age groups: 7-<8 months, 11-<12 months, and 13-14 months. CONCLUSION The developed percentile curve of gross motor development is applicable for infants from the same demographic and environmental context. According to the study, infants from diverse cultures display a natural inter-variability in gross motor development between the 7th and 10th months.
Collapse
|
18
|
Hewitt L, Kerr E, Stanley RM, Okely AD. Tummy Time and Infant Health Outcomes: A Systematic Review. Pediatrics 2020; 145:peds.2019-2168. [PMID: 32371428 DOI: 10.1542/peds.2019-2168] [Citation(s) in RCA: 45] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 03/04/2020] [Indexed: 11/24/2022] Open
Abstract
CONTEXT The World Health Organization recommends tummy time for infants because of the benefits of improved motor development and reduced likelihood of plagiocephaly. Because of poor uptake of these recommendations, the association of tummy time with other health outcomes requires further investigation. OBJECTIVE To review existing evidence regarding the association of tummy time with a broad and specific range of infant health outcomes. DATA SOURCES Electronic databases were searched between June 2018 and April 2019. STUDY SELECTION Peer-reviewed English-language articles were included if they investigated a population of healthy infants (0 to 12 months), using an observational or experimental study design containing an objective or subjective measure of tummy time which examined the association with a health outcome (adiposity, motor development, psychosocial health, cognitive development, fitness, cardiometabolic health, or risks/harms). DATA EXTRACTION Two reviewers independently extracted data and assessed their quality. RESULTS Sixteen articles representing 4237 participants from 8 countries were included. Tummy time was positively associated with gross motor and total development, a reduction in the BMI-z score, prevention of brachycephaly, and the ability to move while prone, supine, crawling, and rolling. An indeterminate association was found for social and cognitive domains, plagiocephaly, walking, standing, and sitting. No association was found for fine motor development and communication. LIMITATIONS Most studies were observational in design and lacked the robustness of a randomized controlled trial. High selection and performance bias were also present. CONCLUSIONS These findings guide the prioritization of interventions aimed at assisting parents meet the global and national physical activity guidelines.
Collapse
Affiliation(s)
- Lyndel Hewitt
- Early Start, Faculty of Social Sciences, University of Wollongong and Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia
| | - Erin Kerr
- Early Start, Faculty of Social Sciences, University of Wollongong and Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia
| | - Rebecca M Stanley
- Early Start, Faculty of Social Sciences, University of Wollongong and Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia
| | - Anthony D Okely
- Early Start, Faculty of Social Sciences, University of Wollongong and Illawarra Health and Medical Research Institute, Wollongong, New South Wales, Australia
| |
Collapse
|
19
|
Oudgenoeg-Paz O, Atun-Einy O, van Schaik SDM. Two Cultural Models on Infant Motor Development: Middle Class Parents in Israel and the Netherlands. Front Psychol 2020; 11:119. [PMID: 32116925 PMCID: PMC7012936 DOI: 10.3389/fpsyg.2020.00119] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/14/2019] [Accepted: 01/16/2020] [Indexed: 11/13/2022] Open
Abstract
Culture influences the way parents shape children's environment. Two studies examined cross-cultural differences in parental practices related to motor development in Israel and the Netherlands. In the first study, 198 Dutch and 206 Israeli parents of infants aged 1-7.5 months completed questionnaires measuring parental practices and beliefs regarding motor development. In the second study, 30 Dutch and 30 Israeli parents completed the same questionnaires when their children were 2 and 10 months old. While similarities were found across the cultures, Israeli parents practiced infant prone positioning more. Additionally, Dutch infants spent substantial more time in the playpen. Furthermore, beliefs stressing stimulation and stimulating practices (both more frequent within Israeli parents) predicted better prone skills, shown by the Israeli infants. Findings highlight the diversity of parental practices related to infant motor development.
Collapse
Affiliation(s)
- Ora Oudgenoeg-Paz
- Department of Pedagogical and Educational Sciences, Faculty of Social Sciences, Utrecht University, Utrecht, Netherlands
| | - Osnat Atun-Einy
- Department of Physical Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel
| | - Saskia D M van Schaik
- Department of Pedagogical and Educational Sciences, Faculty of Social Sciences, Utrecht University, Utrecht, Netherlands
| |
Collapse
|
20
|
Shin HI, Shin HI. Delayed Development of Head Control and Rolling in Infants With Tracheostomies. Front Pediatr 2020; 8:571573. [PMID: 33194899 PMCID: PMC7661431 DOI: 10.3389/fped.2020.571573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2020] [Accepted: 10/06/2020] [Indexed: 11/13/2022] Open
Abstract
Objective: Advances in neonatal care lead to an increased survival rate of critically ill babies. Infantile tracheostomies are not uncommon. However, only a few studies have addressed the effect of infant tracheostomy on early motor function. By comparing the scores of the Gross Motor Function Measure-88 (GMFM) on head control and rolling of infants with and without tracheostomies, the authors aimed to evaluate the effect of infant tracheostomy on early motor development. Methods: Medical records and the GMFM of subjects were retrospectively reviewed. Thirty-three infants with tracheostomies and 132 infants without tracheostomies were matched by gestational age, birth weight, and corrected age when the GMFM was performed using propensity score matching. GMFM scores in head control and rolling in different positions were compared by using generalized estimating equation (GEE). Results: Infants with tracheostomy showed lower values for head control in the supine position and in the pull to sit maneuver in multivariate GEE (p = 0.008, 0.004, respectively). However, the results of head control in a prone position and head lift while the examiner held the thorax showed no difference between the groups. Rolling from prone to supine was delayed in the infants with tracheostomy (p = 0.002), while rolling from supine to prone was not delayed compared to the non-tracheostomized group. More than half (54%) of the tracheostomy group scored better in rolling from a prone to supine position than in head control in supine position, which was a higher ratio compared to the non-tracheostomy group (p = 0.00). Conclusions: Tracheostomy seems to influence early motor development in infants. In particular, head control skills related to neck flexor muscle activation and rolling from prone to supine were delayed. Interventions may be required to facilitate these activities.
Collapse
Affiliation(s)
- Hyun Iee Shin
- Department of Rehabilitation Medicine, Chung-Ang University College of Medicine, Seoul, South Korea
| | - Hyung-Ik Shin
- Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, South Korea
| |
Collapse
|
21
|
Benjamin-Neelon SE, Neelon B, Pearce J, Grossman ER, Gonzalez-Nahm S, Slining M, Duffey K, Frost N. State Regulations Promoting Infant Physical Activity in Early Care and Education. Child Obes 2019; 14:368-374. [PMID: 30199297 DOI: 10.1089/chi.2018.0087] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND State policies have the potential to improve early care and education (ECE) settings, but little is known about the extent to which states are updating their licensing and administrative regulations, especially in response to national calls to action. In 2013, we assessed state regulations promoting infant physical activity in ECE and compared them with national recommendations. To assess change over time, we conducted this review again in 2018. METHODS We reviewed regulations for all US states for child care centers (centers) and family child care homes (homes) and compared them with three national recommendations: (1) provide daily tummy time; (2) use cribs, car seats, and high chairs for their primary purpose; and (3) limit the use of restrictive equipment (e.g., strollers). We performed exact McNemar's tests to compare the number of states meeting recommendations from 2013 to 2018 to evaluate whether states had made changes over this period. RESULTS From 2013 to 2018, we observed significant improvement in one recommendation for homes-to use cribs, car seats, and high chairs for their primary purpose (odds ratio 11.0; 95% CI 1.6-47.3; p = 0.006). We did not observe any other significant difference between 2013 and 2018 regulations. CONCLUSIONS Despite increased awareness of the importance of early-life physical activity, we observed only modest improvement in the number of states meeting infant physical activity recommendations over the past 5 years. In practice, ECE programs may be promoting infant physical activity, but may not be required to do so through state regulations.
Collapse
Affiliation(s)
- Sara E Benjamin-Neelon
- 1 Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD
| | - Brian Neelon
- 2 Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC
| | - John Pearce
- 2 Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC
| | - Elyse R Grossman
- 1 Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD
| | - Sarah Gonzalez-Nahm
- 1 Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health , Baltimore, MD
| | - Meghan Slining
- 3 Department of Health Sciences, Furman University , Greenville, SC
| | - Kiyah Duffey
- 4 Kiyah Duffey Consulting, Inc. , Blacksburg, VA
| | - Natasha Frost
- 5 Public Health Law Center , Mitchell Hamline School of Law, St Paul, MN
| |
Collapse
|
22
|
Sargent B, Kaplan SL, Coulter C, Baker C. Congenital Muscular Torticollis: Bridging the Gap Between Research and Clinical Practice. Pediatrics 2019; 144:e20190582. [PMID: 31350358 PMCID: PMC6855899 DOI: 10.1542/peds.2019-0582] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/02/2019] [Indexed: 12/16/2022] Open
Abstract
Congenital muscular torticollis (CMT) is a common postural deformity evident shortly after birth, typically characterized by ipsilateral cervical lateral flexion and contralateral cervical rotation due to unilateral shortening of the sternocleidomastoid muscle. New evidence is emerging on the pathogenesis of CMT, the negative long-term consequences of delaying intervention, and the importance of early identification and early intervention to maximize outcomes. Our purpose in this article is to inform pediatricians and health care providers about new research evidence and share selected recommendations and implementation strategies specifically relevant to pediatric practice to optimize outcomes and health services for infants with CMT.
Collapse
Affiliation(s)
- Barbara Sargent
- Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California;
| | - Sandra L Kaplan
- Department of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers University, Newark, New Jersey
| | - Colleen Coulter
- Department of Orthotics and Prosthetics, Children's Healthcare of Atlanta, Atlanta, Georgia; and
| | - Cynthia Baker
- Department of Pediatrics, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California
| |
Collapse
|
23
|
Dagenais L, Materassi M, Desnous B, Vinay MC, Doussau A, Sabeh P, Prud'homme J, BSc KG, Lenoir M, Charron MA, Nuyt AM, Poirier N, Beaulieu-Genest L, Carmant L, Birca A. Superior Performance in Prone in Infants With Congenital Heart Disease Predicts an Earlier Onset of Walking. J Child Neurol 2018; 33:894-900. [PMID: 30226082 DOI: 10.1177/0883073818798194] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Infants with congenital heart disease are at risk of impaired neurodevelopment, which frequently manifests as motor delay during their first years of life. This delay is multifactorial in origin and environmental factors, such as a limited experience in prone, may play a role. In this study, we evaluated the motor development of a prospective cohort of 71 infants (37 males) with congenital heart disease at 4 months of age using the Alberta Infant Motor Scales (AIMS). We used regression analyses to determine whether the 4-month AIMS scores predict the ability to walk by 18 months. The influence of demographic and clinical variables was also assessed. Fifty-one infants (71.8%) were able to maintain the prone prop position (AIMS score of ≥3 in prone) at 4 months. Of those, 47 (92.2%) were able to walk by 18 months compared to only 12/20 (60%) of those who did not maintain the position. Higher AIMS scores were predictive of a greater likelihood of walking by 18 months ( P < .001), with the scores in prone having a higher predictive ability compared to those in other positions (Exp(B) 15.2 vs 4.0). Shorter hospital stays and female gender were also associated with an earlier onset of walking. In conclusion, our study demonstrates that early ventral performance in infants with congenital heart disease impacts the age of acquisition of walking and could be used to guide referral to rehabilitation.
Collapse
Affiliation(s)
- Lynn Dagenais
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada
| | - Manuela Materassi
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada
| | - Beatrice Desnous
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada.,2 Division of Neurology, Department of Neuroscience, CHU Sainte-Justine and the University of Montréal, Montréal, Québec, Canada
| | - Marie-Claude Vinay
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada
| | - Amélie Doussau
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada
| | - Pascale Sabeh
- 3 CHU Sainte-Justine Research Centre, University of Montréal, Montréal, Québec, Canada
| | - Joelle Prud'homme
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada
| | - Karine Gagnon BSc
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada
| | - Marien Lenoir
- 4 Division of Cardiac Surgery, Department of Surgery, University of Montréal, Montréal, Québec, Canada
| | - Marc-Antoine Charron
- 3 CHU Sainte-Justine Research Centre, University of Montréal, Montréal, Québec, Canada
| | - Anne Monique Nuyt
- 3 CHU Sainte-Justine Research Centre, University of Montréal, Montréal, Québec, Canada.,5 Department of Pediatrics, CHU Sainte-Justine and the University of Montréal, Montréal, Québec, Canada
| | - Nancy Poirier
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada.,4 Division of Cardiac Surgery, Department of Surgery, University of Montréal, Montréal, Québec, Canada
| | - Laurence Beaulieu-Genest
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada.,5 Department of Pediatrics, CHU Sainte-Justine and the University of Montréal, Montréal, Québec, Canada
| | - Lionel Carmant
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada.,2 Division of Neurology, Department of Neuroscience, CHU Sainte-Justine and the University of Montréal, Montréal, Québec, Canada.,3 CHU Sainte-Justine Research Centre, University of Montréal, Montréal, Québec, Canada.,5 Department of Pediatrics, CHU Sainte-Justine and the University of Montréal, Montréal, Québec, Canada.,These authors contributed equally to this work
| | - Ala Birca
- 1 Clinique d'Investigation Neuro-Cardiaque (CINC), CHU Sainte-Justine, Montréal, Québec, Canada.,2 Division of Neurology, Department of Neuroscience, CHU Sainte-Justine and the University of Montréal, Montréal, Québec, Canada.,3 CHU Sainte-Justine Research Centre, University of Montréal, Montréal, Québec, Canada.,5 Department of Pediatrics, CHU Sainte-Justine and the University of Montréal, Montréal, Québec, Canada.,These authors contributed equally to this work
| |
Collapse
|
24
|
Franchak JM. Changing Opportunities for Learning in Everyday Life: Infant Body Position Over the First Year. INFANCY 2018; 24:187-209. [DOI: 10.1111/infa.12272] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
25
|
Cugini K, McCormick FB, Mitchell C, Psencik E, Sarduy S, Masuoka I, Toruno R, Davies J. Therapy services and specialized devices for conjoined twins: Unique challenges with conjoined twins and the importance of physical and occupational therapy. Semin Perinatol 2018; 42:361-368. [PMID: 30166054 DOI: 10.1053/j.semperi.2018.07.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Conjoined twins are a rare occurrence that offer unique challenges and circumstances to therapists. The overall goal of physical and occupational therapy treatment is to provide care that promotes developmental progression to two conjoined individuals with distinct personalities and potentially different physical and medical needs. The unique presentation of conjoined twins must be considered in determining therapeutic goals, interventions and plans of care. Providing therapeutic interventions throughout the NICU stay is a dynamic, evolving process, which challenges the therapy team to work together to find solutions. This paper aims to highlight the considerations, challenges, and strategies used to address barriers in the therapeutic care of conjoined twins.
Collapse
Affiliation(s)
- Katherine Cugini
- Department of Physical Medicine and Rehabilitation, Texas Children's Hospital, Houston, Texas, United States
| | - Frank B McCormick
- Department of Physical Medicine and Rehabilitation, Texas Children's Hospital, Houston, Texas, United States
| | - Cheryl Mitchell
- Department of Physical Medicine and Rehabilitation, Texas Children's Hospital, Houston, Texas, United States
| | - Erin Psencik
- Department of Physical Medicine and Rehabilitation, Texas Children's Hospital, Houston, Texas, United States
| | - Stephanie Sarduy
- Department of Physical Medicine and Rehabilitation, Texas Children's Hospital, Houston, Texas, United States
| | - Isabela Masuoka
- Department of Physical Medicine and Rehabilitation, Texas Children's Hospital, Houston, Texas, United States
| | - Rose Toruno
- Department of Physical Medicine and Rehabilitation, Texas Children's Hospital, Houston, Texas, United States
| | - Jonathan Davies
- Department of Pediatrics, Division of Neonatology, Baylor College of Medicine, One Baylor Plaza, MC: BCM320, Houston, Texas 77030, United States.
| |
Collapse
|
26
|
Kaplan SL, Coulter C, Sargent B. Physical Therapy Management of Congenital Muscular Torticollis: A 2018 Evidence-Based Clinical Practice Guideline From the APTA Academy of Pediatric Physical Therapy. Pediatr Phys Ther 2018; 30:240-290. [PMID: 30277962 PMCID: PMC8568067 DOI: 10.1097/pep.0000000000000544] [Citation(s) in RCA: 64] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
BACKGROUND Congenital muscular torticollis (CMT) is a postural deformity evident shortly after birth, typically characterized by lateral flexion/side bending of the head to one side and cervical rotation/head turning to the opposite side due to unilateral shortening of the sternocleidomastoid muscle; it may be accompanied by other neurological or musculoskeletal conditions. Infants with CMT should be referred to physical therapists to treat these postural asymmetries as soon as they are identified. PURPOSE This update of the 2013 CMT clinical practice guideline (CPG) informs clinicians and families as to whom to monitor, treat, and/or refer and when and what to treat. It links 17 action statements with explicit levels of critically appraised evidence and expert opinion with recommendations on implementation of the CMT CPG into practice. RESULTS/CONCLUSIONS The CPG addresses the following: education for prevention; referral; screening; examination and evaluation; prognosis; first-choice and supplemental interventions; consultation; discontinuation from direct intervention; reassessment and discharge; implementation and compliance audits; and research recommendations. Flow sheets for referral paths and classification of CMT severity have been updated.
Collapse
Affiliation(s)
- Sandra L Kaplan
- Department of Rehabilitation and Movement Sciences (Dr Kaplan), Rutgers, The State University of New Jersey, Newark, New Jersey; Orthotics and Prosthetics Department (Dr Coulter), Children's Healthcare of Atlanta, Atlanta, Georgia; Division of Biokinesiology and Physical Therapy at the Herman Ostrow School of Dentistry (Dr Sargent), University of Southern California, Los Angeles, California
| | | | | |
Collapse
|
27
|
Abstract
Research has shown that patients who are mechanically ventilated or immobile for greater than 7 days are at increased risk for deconditioning and muscle atrophy. Immobility impacts length of stay as well as patients' ability to return to their prior level of function. As part of the safe patient-handling initiative created at Michigan Medicine, a special team of nurses and therapists was assembled to adapt an adult mobility framework for the pediatric population. The pediatric mobility model determines each patient's specific mobility "phase" based on detailed criteria. Clinical staff can then implement strategies aimed at preventing deconditioning and hospital-acquired weakness. At C.S. Mott Children's Hospital, a multidisciplinary team is available to support this pediatric mobility model. Specific equipment utilized during the different phases of mobility has been reviewed and discussed in this article.
Collapse
|
28
|
Hewitt L, Stanley RM, Okely AD. Correlates of tummy time in infants aged 0-12 months old: A systematic review. Infant Behav Dev 2017; 49:310-321. [PMID: 29096238 DOI: 10.1016/j.infbeh.2017.10.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2017] [Revised: 10/11/2017] [Accepted: 10/12/2017] [Indexed: 11/19/2022]
Abstract
BACKGROUND Tummy time, defined as an infant being placed on their stomach whilst they are awake and supervised, has been shown to have a positive effect on infant development and head shape. Tummy time can be influenced by a number of factors. Using a social ecological model, categories of potential variables can be examined to determine their influence on behaviours such as tummy time. The purpose of this systematic review was to examine potential correlates of tummy time in infants from birth to 12 months old. METHODS Electronic databases were originally searched between March to December 2016. Included studies needed to be peer-reviewed, written in English, and meet a priori study criteria. The population was apparently healthy infants aged from birth to 12 months old. The article needed to contain an objective or subjective measure of tummy time as a dependent variable and examine the association between a demographic, psychological, behavioral, and/or environmental variable and tummy time. For this study, tummy time could include the ability of the infant to move whilst being positioned on their stomach, for example, the infant's ability to roll from back to front, or lift their head when lying on their stomach (prone positioning ability), or the capacity, time spent, age started, or parent attitudes/behaviours regarding the infant being placed on their stomach. The outcomes were the relationships between potential correlates and tummy time. Risk of bias was assessed at the individual study level using the Cochrane risk of bias assessment for observational studies. RESULTS 15 articles representing 2372 unique participants from 7 countries were included. Correlates that were positively correlated with tummy time were age, prone sleeping, spending greater than 15minutes whilst awake in tummy time when 2 months old, amount of time in the bath, order of achievement of prone extension and prone on elbow positions and parents/carers setting aside time for tummy time. Risk of bias of the included studies ranged from low to high. CONCLUSIONS Specific demographic, environmental and behavioral variables were found to be positively and negatively associated with tummy time. This evidence could assist future research regarding interventions to promote tummy time, enhance motor development, increase infant physical activity and contribute to future tummy time recommendations for parents and health care providers.
Collapse
Affiliation(s)
- Lyndel Hewitt
- Early Start, Faculty of Social Sciences and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, New South Wales, 2522, Australia.
| | - Rebecca M Stanley
- Early Start, Faculty of Social Sciences and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, New South Wales, 2522, Australia.
| | - Anthony D Okely
- Early Start, Faculty of Social Sciences and Illawarra Health and Medical Research Institute, University of Wollongong, Wollongong, New South Wales, 2522, Australia.
| |
Collapse
|
29
|
Zachry AH, Nolan VG, Hand SB, Klemm SA. Infant Positioning, Baby Gear Use, and Cranial Asymmetry. Matern Child Health J 2017; 21:2229-2236. [PMID: 28725930 DOI: 10.1007/s10995-017-2344-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Objectives This study aimed to identify predictors of cranial asymmetry. We hypothesize that among infants diagnosed with cranial asymmetry in the sampled region, there is an association between exposure to more time in baby gear and less awake time in prone and side-lying than in infants who do not present with this condition. Methods The study employed a cross sectional survey of caregivers of typically developing infants and infants diagnosed with cranial asymmetry. Results A mutivariable model reveals that caregivers of children who are diagnosed with cranial asymmetry report their children spending significantly less time in prone play than those children without a diagnosis of cranial asymmetry. Side-lying and time spent in baby gear did not attain statistical significance. Conclusions for Practice Occupational therapists, physical therapists, pediatricians, nurses and other health care professionals must provide parents with early education about the importance of varying positions and prone play in infancy and address fears and concerns that may serve as barriers to providing prone playtime.
Collapse
Affiliation(s)
- Anne H Zachry
- Department of Occupational Therapy, University of Tennessee Health Science Center, 930 Madison Ave, Suite 616, Memphis, TN, 38163, USA.
| | - Vikki G Nolan
- Division of Epidemiology, University of Memphis School of Public Health, Memphis, TN, USA
| | - Sarah B Hand
- Department of Preventative Medicine, University of Tennessee Health Science Center, Memphis, TN, USA
| | | |
Collapse
|
30
|
Gross RS, Mendelsohn AL, Yin HS, Tomopoulos S, Gross MB, Scheinmann R, Messito MJ. Randomized controlled trial of an early child obesity prevention intervention: Impacts on infant tummy time. Obesity (Silver Spring) 2017; 25:920-927. [PMID: 28332324 PMCID: PMC5404992 DOI: 10.1002/oby.21779] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2016] [Revised: 12/01/2016] [Accepted: 12/31/2016] [Indexed: 12/26/2022]
Abstract
OBJECTIVE To describe infant activity at 3 months old and to test the efficacy of a primary care-based child obesity prevention intervention on promoting infant activity in low-income Hispanic families. METHODS This study was a randomized controlled trial (n = 533) comparing a control group of mother-infant dyads receiving standard prenatal and pediatric primary care with an intervention group receiving "Starting Early," with individual nutrition counseling and nutrition and parenting support groups coordinated with prenatal and pediatric visits. Outcomes included infant activity (tummy time, unrestrained floor time, time in movement-restricting devices). Health literacy was assessed using the Newest Vital Sign. RESULTS Four hundred fifty-six mothers completed 3-month assessments. Infant activity results were: 82.6% ever practiced tummy time; 32.0% practiced tummy time on the floor; 34.4% reported unrestrained floor time; 56.4% reported ≥1 h/d in movement-restricting devices. Inadequate health literacy was associated with reduced tummy time and unrestrained floor time. The intervention group reported more floor tummy time (OR 2.16, 95% CI 1.44-3.23) and unrestrained floor time (OR 1.69, 95% CI 1.14-2.49) compared to controls. No difference in the time spent in movement-restricting devices was found. CONCLUSIONS Tummy time and unrestrained floor time were low. Primary care-based obesity prevention programs have potential to promote these activities.
Collapse
Affiliation(s)
- Rachel S. Gross
- Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY, USA
| | - Alan L. Mendelsohn
- Department of Pediatrics, Division of Developmental - Behavioral Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY, USA
- Department of Population Health, New York University School of Medicine and Bellevue Hospital Center, New York, NY, USA
| | - H. Shonna Yin
- Department of Population Health, New York University School of Medicine and Bellevue Hospital Center, New York, NY, USA
- Department of Pediatrics, Division of General Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY, USA
| | - Suzy Tomopoulos
- Department of Pediatrics, Division of General Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY, USA
| | - Michelle B. Gross
- Department of Pediatrics, Division of General Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY, USA
| | - Roberta Scheinmann
- Research and Evaluation Unit, Public Health Solutions, New York, NY, USA
| | - Mary Jo Messito
- Department of Pediatrics, Division of General Pediatrics, New York University School of Medicine and Bellevue Hospital Center, New York, NY, USA
| |
Collapse
|
31
|
Zhao XQ, Wang LY, Zhao CM, Men Q, Wu ZF, Zhang YP. Neurological assessment of Chinese infants with positional plagiocephaly using a Chinese version of the Infant Neurological International Battery (INFANIB). Childs Nerv Syst 2017; 33:281-288. [PMID: 27718070 DOI: 10.1007/s00381-016-3260-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2016] [Accepted: 09/21/2016] [Indexed: 11/29/2022]
Abstract
PURPOSE Positional plagiocephaly (PP) is the most common subtype of asymmetric deformity in the infant skull. Cumulative evidence has demonstrated that PP is associated with abnormal neuromotor development; however, neurological assessment scores of infants with PP have not been well established, and PP has not attracted sufficient attention in China. This study used a Chinese version of the Infant Neurological International Battery (INFANIB) to identify neurological abnormalities among infants with PP and to determine the differences between infants with different (mild, moderate, and severe) degrees of PP. METHODS We compared the neurological evaluation scores between 393 infants with different degrees of PP and 390 healthy infants from 0 to 18 months of age using a Chinese version of the INFANIB. RESULTS The infants with PP aged 0-7.9 months had lower scores on the spasticity, head and trunk, leg, and French angle subscales and lower total scores than the normal infants. Additionally, the infants with PP aged 9-18 months showed statistically significantly lower scores on the spasticity, head and trunk, vestibular function, leg, and French angle subscales and total scores than the normal infants. Among the PP subgroups, the infants with mild PP had the highest scores, followed by the infants with moderate PP and the infants with severe PP. Compared with the normal infants, the infants with PP had abnormal neurological assessment scores, and the degree of neurological abnormality was associated with the severity of PP. CONCLUSIONS The INFANIB revealed neurological abnormalities, including asymmetric movements and abnormal muscle tone, postures, and reflexes, in infants with PP, especially those with moderate or severe PP. These abnormalities were similar to those of infants with cerebral palsy. Therefore, PP may serve as a marker of neurodevelopmental risk and should receive considerable attention. Whether moderate or severe PP is related to cerebral palsy remains to be confirmed in long-term follow-up studies and other future studies.
Collapse
Affiliation(s)
- Xue-Qing Zhao
- Department of Pediatrics, Xinqiao Hospital, Third Military Medical University, 2-V Xinqiao Street, Chongqing, 400037, China
| | - Li-Yan Wang
- Department of Pediatrics, Xinqiao Hospital, Third Military Medical University, 2-V Xinqiao Street, Chongqing, 400037, China
| | - Cong-Min Zhao
- Department of Pediatrics, Xinqiao Hospital, Third Military Medical University, 2-V Xinqiao Street, Chongqing, 400037, China
| | - Qing Men
- Department of Pediatrics, Xinqiao Hospital, Third Military Medical University, 2-V Xinqiao Street, Chongqing, 400037, China
| | - Zhi-Feng Wu
- Department of Pediatrics, Xinqiao Hospital, Third Military Medical University, 2-V Xinqiao Street, Chongqing, 400037, China
| | - Yu-Ping Zhang
- Department of Pediatrics, Xinqiao Hospital, Third Military Medical University, 2-V Xinqiao Street, Chongqing, 400037, China.
| |
Collapse
|
32
|
Atun-Einy O, Oudgenoeg-Paz O, van Schaik SDM. Parental beliefs and practices concerning motor development: Testing new tools. EUROPEAN JOURNAL OF DEVELOPMENTAL PSYCHOLOGY 2016. [DOI: 10.1080/17405629.2016.1263563] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Osnat Atun-Einy
- Faculty of Social Welfare and Health Sciences, Department of Physical Therapy, University of Haifa, Haifa, Israel
| | - Ora Oudgenoeg-Paz
- Faculty of Social and Behavioral Sciences, Department of Education & Pedagogy, Utrecht University, Utrecht, The Netherlands
| | - Saskia D. M. van Schaik
- Faculty of Social and Behavioral Sciences, Department of Education & Pedagogy, Utrecht University, Utrecht, The Netherlands
| |
Collapse
|
33
|
Mendonça B, Sargent B, Fetters L. Cross-cultural validity of standardized motor development screening and assessment tools: a systematic review. Dev Med Child Neurol 2016; 58:1213-1222. [PMID: 27699768 DOI: 10.1111/dmcn.13263] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/01/2016] [Indexed: 11/27/2022]
Abstract
AIM To investigate whether standardized motor development screening and assessment tools that are used to evaluate motor abilities of children aged 0 to 2 years are valid in cultures other than those in which the normative sample was established. METHOD This was a systematic review in which six databases were searched. Studies were selected based on inclusion/exclusion criteria and appraised for evidence level and quality. Study variables were extracted. RESULTS Twenty-three studies representing six motor development screening and assessment tools in 16 cultural contexts met the inclusion criteria: Alberta Infant Motor Scale (n=7), Ages and Stages Questionnaire, 3rd edition (n=2), Bayley Scales of Infant and Toddler Development, 3rd edition (n=8), Denver Developmental Screening Test, 2nd edition (n=4), Harris Infant Neuromotor Test (n=1), and Peabody Developmental Motor Scales, 2nd edition (n=1). Thirteen studies found significant differences between the cultural context and normative sample. Two studies established reliability and/or validity of standardized motor development assessments in high-risk infants from different cultural contexts. Five studies established new population norms. Eight studies described the cross-cultural adaptation of a standardized motor development assessment. INTERPRETATION Standardized motor development assessments have limited validity in cultures other than that in which the normative sample was established. Their use can result in under- or over-referral for services.
Collapse
Affiliation(s)
- Bianca Mendonça
- Division of Pediatric Rehabilitation Medicine, Physical Therapy, Children's Hospital, Los Angeles, CA, USA
| | - Barbara Sargent
- Division of Biokinesiology and Physical Therapy at the Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA
| | - Linda Fetters
- Division of Biokinesiology and Physical Therapy at the Ostrow School of Dentistry, University of Southern California, Los Angeles, CA, USA
| |
Collapse
|
34
|
MOIR CHRIS, MEREDITH-JONES KIM, TAYLOR BARRYJ, GRAY ANDREW, HEATH ANNELOUISEM, DALE KELLY, GALLAND BARBARA, LAWRENCE JULIE, SAYERS RACHELM, TAYLOR RACHAELW. Early Intervention to Encourage Physical Activity in Infants and Toddlers. Med Sci Sports Exerc 2016; 48:2446-2453. [DOI: 10.1249/mss.0000000000001055] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
|
35
|
Hughes AJ, Redsell SA, Glazebrook C. Motor Development Interventions for Preterm Infants: A Systematic Review and Meta-analysis. Pediatrics 2016; 138:peds.2016-0147. [PMID: 27638931 DOI: 10.1542/peds.2016-0147] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/25/2016] [Indexed: 11/24/2022] Open
Abstract
CONTEXTS Preterm infants are at an increased risk of neurodevelopmental delay. Some studies report positive intervention effects on motor outcomes, but it is currently unclear which motor activities are most effective in the short and longer term. OBJECTIVE The aim of the study was to identify interventions that improve the motor development of preterm infants. DATA SOURCES An a priori protocol was agreed upon. Seventeen electronic databases from 1980 to April 2015 and gray literature sources were searched. STUDY SELECTION Three reviewers screened the articles. DATA EXTRACTION The outcome of interest was motor skills assessment scores. All data collection and risk of bias assessments were agreed upon by the 3 reviewers. RESULTS Forty-two publications, which reported results from 36 trials (25 randomized controlled trials and 11 nonrandomized studies) with a total of 3484 infants, met the inclusion criteria. A meta-analysis was conducted by using standardized mean differences on 21 studies, with positive effects found at 3 months (mean 1.37; confidence interval 0.48-2.27), 6 months (0.34; 0.11-0.57), 12 months (0.73; 0.20-1.26), and 24 months (0.28; 0.07-0.49). At 3 months, there was a large and significant effect size for motor-specific interventions (2.00; 0.28-3.72) but not generic interventions (0.33; -0.03 to -0.69). Studies were not excluded on the basis of quality; therefore, heterogeneity was significant and the random-effects model was used. LIMITATIONS Incomplete or inconsistent reporting of outcome measures limited the data available for meta-analysis beyond 24 months. CONCLUSIONS A positive intervention effect on motor skills appears to be present up to 24 months' corrected age. There is some evidence at 3 months that interventions with specific motor components are most effective.
Collapse
Affiliation(s)
- Anita J Hughes
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom; and
| | - Sarah A Redsell
- School of Nursing and Midwifery, Anglia Ruskin University, Cambridge, United Kingdom
| | - Cris Glazebrook
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom; and
| |
Collapse
|
36
|
Xu H, Wen LM, Hardy LL, Rissel C. A 5-year longitudinal analysis of modifiable predictors for outdoor play and screen-time of 2- to 5-year-olds. Int J Behav Nutr Phys Act 2016; 13:96. [PMID: 27561357 PMCID: PMC5000406 DOI: 10.1186/s12966-016-0422-6] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Accepted: 08/17/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Early childhood is a critical time for establishing physical activity and sedentary behaviours. Identifying modifiable predictors of physical activity and sedentary behaviours in the early life stages can inform the development of early intervention programs. The aim of this study was to identify modifiable predictors of outdoor play (a proxy of physical activity) and screen-time in 2- to 5-year-olds. METHODS A longitudinal data analysis was conducted using 5-year follow-up data from the Healthy Beginnings Trial undertaken in Sydney, Australia from 2007 to 2013. A total of 667 pregnant women were recruited for the study. Information on mothers' demographics, physical activity, screen-time, knowledge of child development, and awareness of childhood obesity during pregnancy (at baseline); children's tummy time (a colloquial term describing the time when a baby is placed on his or her stomach while awake and supervised) at 6 months old and screen-time at 1 year old was collected via interviews with participating mothers as potential modifiable predictors. Main outcomes were children's outdoor playtime and screen-time at ages 2, 3.5, and 5 years. Mixed linear and logistic regression models were built to determine these modifiable predictors. RESULTS Mothers' screen-time during pregnancy (β = 2.1, 95 % CI 0.17-4.12; P = 0.030) and children's daily screen-time at age 1 year (β = 15.2, 95 % CI 7.28-23.11; P < 0.0001) predicted children's daily screen-time across ages 2 to 5 years after controlling for confounding factors. Practising tummy time daily (β = 13.4, 95 % CI 1.26-25.52; P = 0.030), mother's physical activity level (β = 3.9, 95 % CI 0.46-7.28; P = 0.026), and having been informed about playing with child at baseline (β = 11.6, 95 % CI 1.56-21.54; P = 0.023) predicted children's outdoor playtime across ages 2 to 5 years. CONCLUSIONS Mothers played an important role in their children's outdoor play and screen-time in the first years of live. Children's early exposure to screen devices could be associated with their later screen-time. Early interventions to improve young children's physical activity and sedentary behaviour should focus on improving pregnant women's physical activity, awareness of playing with their child, reducing their own screen-time as well as practicing daily tummy time for infants after giving birth. TRIAL REGISTRATION The Healthy Beginnings Trial is registered with the Australian Clinical Trial Registry ( ACTRNO12607000168459 ). Registered 13 March 2007. Prospectively registered.
Collapse
Affiliation(s)
- Huilan Xu
- Sydney School of Public Health, University of Sydney, Sydney, NSW 2006 Australia
- Health Promotion Unit, Sydney Local Health District, Level 9, King George V Building, Missenden Road, Camperdown, NSW 2050 Australia
| | - Li Ming Wen
- Sydney School of Public Health, University of Sydney, Sydney, NSW 2006 Australia
- Health Promotion Unit, Sydney Local Health District, Level 9, King George V Building, Missenden Road, Camperdown, NSW 2050 Australia
| | - Louise L Hardy
- Prevention Research Collaboration, Sydney School of Public Health, University of Sydney, Sydney, NSW 2006 Australia
| | - Chris Rissel
- Sydney School of Public Health, University of Sydney, Sydney, NSW 2006 Australia
| |
Collapse
|
37
|
Abstract
PURPOSE To determine the immediate effects of constraining or encouraging positioning devices on leg movement of infants with typical development (TD) and at-risk for developmental delay (AR). METHODS Twenty-six infants (13 TD, 13 AR) were placed in the supine position, a jungle gym, or a car seat. Movement sensors on infants' ankles measured acceleration and angular velocity. We calculated the number of leg movements, peak acceleration, and peak rotational rate of each leg movement. A 2 (group) × 3 (condition) analysis of variance with repeated measures on condition tested for a group effect, a condition effect, and a group by condition interaction for leg movement quantity, average peak acceleration, and average peak rotation. RESULTS Leg movement quantity and average peak acceleration were significantly lower for the car seat condition compared with the supine position or the gym. CONCLUSIONS Positioning device use has an immediate effect on infant leg movement characteristics. Long-term effects remain unknown.
Collapse
|
38
|
Gomez A, Sirigu A. Developmental coordination disorder: core sensori-motor deficits, neurobiology and etiology. Neuropsychologia 2015; 79:272-87. [PMID: 26423663 DOI: 10.1016/j.neuropsychologia.2015.09.032] [Citation(s) in RCA: 69] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Revised: 09/24/2015] [Accepted: 09/25/2015] [Indexed: 12/31/2022]
Abstract
Among developmental disorders, DCD is one of the least studied and less understood one (Bishop, 2010). This review summarizes the current understanding of developmental coordination disorder in neuropsychology with a focus mainly on high level sensorimotor impairments, its etiology and its neural bases. We summarize these core deficits in the framework of an influent motor control model (Blakemore et al., 2002). DCD has several environmental risk factors which probably interplay with genetic factors but those have not been sufficiently identified. High-level sensori-motor deficits are probably multifactorial in DCD and involve predictive coding deficits as well as weaknesses in perceptual and sensory integration. At the brain level, DCD is associated with impaired structure and functions within the motor network. Throughout the review we highlight exciting new findings as well as potential future lines of research to provide a more comprehensive understanding of this disorder.
Collapse
Affiliation(s)
- Alice Gomez
- Centre de Neuroscience Cognitive, CNRS, UMR 5229, 67 Boulevard Pinel, 69675 Bron, France; Université Claude Bernard Lyon 1, ESPE, Lyon, France.
| | - Angela Sirigu
- Centre de Neuroscience Cognitive, CNRS, UMR 5229, 67 Boulevard Pinel, 69675 Bron, France.
| |
Collapse
|
39
|
de Vries AGM, Huiting HG, van den Heuvel ER, L'Abée C, Corpeleijn E, Stolk RP. An activity stimulation programme during a child's first year reduces some indicators of adiposity at the age of two-and-a-half. Acta Paediatr 2015; 104:414-21. [PMID: 25425024 DOI: 10.1111/apa.12880] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/04/2014] [Revised: 09/28/2014] [Accepted: 11/21/2014] [Indexed: 12/24/2022]
Abstract
AIM Obesity tracks from childhood into adulthood. We evaluated the effect of early stimulation of physical activity on growth, body composition, motor activity and motor development in toddlers. METHODS We performed a cluster randomised controlled single-blinded trial in Dutch Well Baby Clinics, with seven nurses and 96 children (40% girls) randomised to the intervention group and six nurses and 65 children (57% girls) to the control group. Intervention nurses advised parents on stimulating motor development and physical activity during regular visits at 2 weeks and two, four, eight and 11 months. Baseline characteristics such as birthweight and mode of feeding were comparable. Outcomes at two-and-a-half years included anthropometry, skinfold thicknesses, bioelectrical impedance analyses, motor development and daily physical activity. We used linear mixed models with nurses as cluster. RESULTS We evaluated 143 children (89 intervention, 54 control) as 18 dropped out. Skinfolds were significantly lower in intervention children (29.6 ± 4.7 mm) than controls (32.4 ± 6.0 mm), without differences in motor development or daily physical activity. Female interventions showed lower weight, skinfolds, waist and hip circumference. CONCLUSION An activity stimulating programme during the child's first year improved indicators of adiposity when they were toddlers, especially in girls. Further research should determine whether these effects persist.
Collapse
Affiliation(s)
- AGM de Vries
- Department of Paediatrics; Beatrix Children's Hospital; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| | - HG Huiting
- Department of Paediatrics; Beatrix Children's Hospital; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
- Department of Epidemiology; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| | - ER van den Heuvel
- Department of Epidemiology; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| | - C L'Abée
- Department of Paediatrics; Beatrix Children's Hospital; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
- Department of Epidemiology; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| | - E Corpeleijn
- Department of Epidemiology; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| | - RP Stolk
- Department of Epidemiology; University Medical Centre Groningen; University of Groningen; Groningen The Netherlands
| |
Collapse
|
40
|
Chang CL, Hung KL, Yang YC, Ho CS, Chiu NC. Corpus callosum and motor development in healthy term infants. Pediatr Neurol 2015; 52:192-7. [PMID: 25497120 DOI: 10.1016/j.pediatrneurol.2014.10.012] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Revised: 10/08/2014] [Accepted: 10/09/2014] [Indexed: 11/27/2022]
Abstract
BACKGROUND Corpus callosum atrophy has been associated with cognitive and motor deficits in elderly people. However, the role of the corpus callosum in infant development is unclear. The aim of this study was to assess the impact of corpus callosum size on motor development in infants. METHODS We investigated cerebral ultrasonograms performed on healthy infants aged 4 to 6 months. The correlation between the development of rolling over and corpus callosum size was calculated for determining odds ratios. Covariates, including gestational age, sex, age in months, and head circumference were tested using logistic regression. RESULTS We investigated 244 cerebral ultrasonograms performed on term infants from 2009 to 2011. The percentage of rolling over development in the examined infants increased with age (47.8%, 78.4%, and 97.5% at ages 4, 5, and 6 months, respectively). There was no significant difference in the development of rolling over between male (67.9%) and female (73.6%) children or among different gestational age groups. After the other covariates in the logistic model were adjusted, only age and corpus callosum size (length and thickness) were significantly associated with the development of rolling over: 3.86 times the odds (confidence interval, 2.1 to 7.0) for age in months, 1.14 times the odds (confidence interval, 1.0 to 1.3) for corpus callosum length, and 3.92 times the odds (confidence interval, 1.6 to 9.6) for corpus callosum thickness. CONCLUSIONS Corpus callosum size is positively associated with the development of rolling over in healthy term infants, independent of the gestational age, sex, age, and head circumference.
Collapse
Affiliation(s)
- Chaw-Liang Chang
- Department of Pediatrics, Cathay General Hospital, Hsinchu, Taiwan; Center for Medical Education and Research, Cathay General Hospital, Hsinchu, Taiwan
| | - Kun-Long Hung
- Department of Pediatrics, Cathay General Hospital, Taipei, Taiwan; School of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan
| | - Yi-Chen Yang
- Center for Medical Education and Research, Cathay General Hospital, Hsinchu, Taiwan
| | - Che-Sheng Ho
- Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; Mackay Junior College of Medicine, Nursing, and Management, New Taipei City, Taiwan
| | - Nan-Chang Chiu
- Department of Pediatrics, MacKay Children's Hospital, Taipei, Taiwan; Mackay Junior College of Medicine, Nursing, and Management, New Taipei City, Taiwan.
| |
Collapse
|
41
|
Saccani R, Valentini NC. Cross-cultural analysis of the motor development of Brazilian, Greek and Canadian infants assessed with the Alberta Infant Motor Scale. REVISTA PAULISTA DE PEDIATRIA 2014; 31:350-8. [PMID: 24142318 PMCID: PMC4182973 DOI: 10.1590/s0103-05822013000300012] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/07/2012] [Accepted: 04/08/2013] [Indexed: 01/03/2023]
Abstract
OBJECTIVE To compare the motor development of infants from three population samples (Brazil, Canada and Greece), to investigate differences in the percentile curves of motor development in these samples, and to investigate the prevalence of motor delays in Brazilian children. METHODS Observational, descriptive and cross-sectional study with 795 Brazilian infants from zero to 18 months of age, assessed by the Alberta Infant Motor Scale (AIMS) at day care centers, nurseries, basic health units and at home. The Brazilian infants' motor scores were compared to the results of two population samples from Greece (424 infants) and Canada (2,400 infants). Descriptive statistics was used, with one-sample t-test and binomial tests, being significant p ≤ 0.05. RESULTS 65.4% of Brazilian children showed typical motor development, although with lower mean scores. In the beginning of the second year of life, the differences in the motor development among Brazilian, Canadian and Greek infants were milder; at 15 months of age, the motor development became similar in the three groups. A non-linear motor development trend was observed. CONCLUSIONS The lowest motor percentiles of the Brazilian sample emphasized the need for national norms in order to correctly categorize the infant motor development. The different ways of motor development may be a consequence of cultural differences in infant care.
Collapse
|
42
|
Vargus-Adams J. Support for the stability of the Alberta Infant Motor Scale after 'back-to-sleep'. Dev Med Child Neurol 2014; 56:804-5. [PMID: 24802544 DOI: 10.1111/dmcn.12479] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Jilda Vargus-Adams
- Division of Pediatric Rehabilitation, Departments of Pediatrics and Neurology & Rehabilitation Medicine, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| |
Collapse
|
43
|
Ricard A, Metz AE. Caregivers’ Knowledge, Attitudes, and Implementation of Awake Infant Prone Positioning. JOURNAL OF OCCUPATIONAL THERAPY SCHOOLS AND EARLY INTERVENTION 2014. [DOI: 10.1080/19411243.2014.898464] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
44
|
Early developmental care interventions of preterm very low birth weight infants. Indian Pediatr 2013; 50:765-70. [DOI: 10.1007/s13312-013-0221-y] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
|
45
|
Størvold GV, Aarethun K, Bratberg GH. Age for onset of walking and prewalking strategies. Early Hum Dev 2013; 89:655-9. [PMID: 23701748 DOI: 10.1016/j.earlhumdev.2013.04.010] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/02/2013] [Revised: 04/21/2013] [Accepted: 04/23/2013] [Indexed: 10/26/2022]
Abstract
BACKGROUND Age for onset of independent walking (AOW) is frequently used as an indicator of the progress of motor development in early life. Yet there is considerable uncertainty in the research literature about the age we should expect children to walk independently, and also whether prewalking strategies are of importance for this milestone. In clinical practice we commonly experience that children start walking at later ages than the standards presented in the Alberta Infant Motor Scale (AIMS), the most frequently used standardized instrument of gross motor development in Norway. AIMS To investigate the normal distribution of AOW among Norwegian children, which prewalking locomotor strategies (PLS) children used before AOW, and if children who crawled on hands and knees started to walk earlier than children with other strategies. DESIGN AND METHODS This cross-sectional study was based on parental self reports from two data sources, i.e. the Norwegian Mother and Child Cohort Study (MoBa, n = 47,515), and project specific regionally collected data (n = 636). RESULTS Half of the Norwegian children had started to walk at 13 months (median). Twenty-five percent walked at 12 months and 75% of the children walked at 14 months. Mean AOW, claiming at least 5 independent steps, was 13.1 (1.91)months. Children who used crawling on hands and knees (84.5%) as PLS started to walk unaided 0.9 months earlier (95% CI = 0.32-1.49, p < 0.05) than bottom shufflers (7.1%). CONCLUSION Norwegian children start to walk considerably later than standards reported in AIMS. Crawling on hands and knees is associated with an earlier onset of walking.
Collapse
Affiliation(s)
- Gunfrid V Størvold
- Department of Child Habilitation Centre, Levanger Hospital, Nord-Trøndelag Health Trust, Levanger, Norway.
| | | | | |
Collapse
|
46
|
Atun-Einy O, Cohen D, Samuel M, Scher A. Season of birth, crawling onset, and motor development in 7-month-old infants. J Reprod Infant Psychol 2013. [DOI: 10.1080/02646838.2013.826347] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
47
|
Children Who Had Congenital Torticollis as Infants Are Not at Higher Risk for a Delay in Motor Development at Preschool Age. PM R 2013; 5:850-5. [DOI: 10.1016/j.pmrj.2013.05.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2012] [Revised: 05/05/2013] [Accepted: 05/09/2013] [Indexed: 11/21/2022]
|
48
|
Abstract
AIM To compare the order and age of emergence of rolling prone to supine and supine to prone before the introduction of back to sleep guidelines and 20 years after their introduction. METHODS The original normative data for the Alberta Infant Motor Scale (AIMS) were collected just prior to the introduction of back to sleep guidelines in 1992. Currently these norms are being re-evaluated. Data of rolling patterns of infants 36 weeks of age or younger from the original sample (n=1114) and the contemporary sample (n=351) were evaluated to compare the sequence of appearance of prone to supine and supine to prone rolls (proportion of infants passing each roll) and the ages of emergence (estimated age when 50% of infants passed each roll). RESULTS The sequence of emergence and estimated age of appearance of both rolling directions were similar between the two time periods. CONCLUSION The introduction of the supine sleep position to reduce the prevalence of Sudden Infant Death Syndrome (SIDS) has not altered the timing or sequence of infant rolling abilities. This information is valuable to health care providers involved in the surveillance of infants' development. Original normative age estimates for these two motor abilities are still appropriate.
Collapse
Affiliation(s)
- Johanna Darrah
- Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, AB, Canada.
| | | |
Collapse
|
49
|
Montero SM, Gómez-Conesa A. Technical devices in children with motor disabilities: a review. Disabil Rehabil Assist Technol 2013; 9:3-11. [DOI: 10.3109/17483107.2013.785034] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
50
|
Physical therapy management of congenital muscular torticollis: an evidence-based clinical practice guideline: from the Section on Pediatrics of the American Physical Therapy Association. Pediatr Phys Ther 2013; 25:348-94. [PMID: 24076627 DOI: 10.1097/pep.0b013e3182a778d2] [Citation(s) in RCA: 72] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Congenital muscular torticollis (CMT) is an idiopathic postural deformity evident shortly after birth, typically characterized by lateral flexion of the head to one side and cervical rotation to the opposite side due to unilateral shortening of the sternocleidomastoid muscle. CMT may be accompanied by other neurological or musculoskeletal conditions. KEY POINTS Infants with CMT are frequently referred to physical therapists (PTs) to treat their asymmetries. This evidence-based clinical practice guideline (CPG) provides guidance on which infants should be monitored, treated, and/or referred, and when and what PTs should treat. Based upon critical appraisal of literature and expert opinion, 16 action statements for screening, examination, intervention, and follow-up are linked with explicit levels of evidence. The CPG addresses referral, screening, examination and evaluation, prognosis, first-choice and supplemental interventions, consultation, discharge, follow-up, suggestions for implementation and compliance audits, flow sheets for referral paths and classification of CMT severity, and research recommendations.
Collapse
|