Motor performance, postural stability and behaviour of non-disabled extremely preterm or extremely low birth weight children at four to five years of age

Brown, Laura, Burns, Yvonne R, Watter, Pauline, Gibbons, Kristen S and Gray, Peter H (2015) Motor performance, postural stability and behaviour of non-disabled extremely preterm or extremely low birth weight children at four to five years of age. Early Human Development, 91 5: 309-315. doi:10.1016/j.earlhumdev.2015.03.003


Author Brown, Laura
Burns, Yvonne R
Watter, Pauline
Gibbons, Kristen S
Gray, Peter H
Title Motor performance, postural stability and behaviour of non-disabled extremely preterm or extremely low birth weight children at four to five years of age
Journal name Early Human Development   Check publisher's open access policy
ISSN 1872-6232
0378-3782
Publication date 2015-05
Year available 2015
Sub-type Article (original research)
DOI 10.1016/j.earlhumdev.2015.03.003
Volume 91
Issue 5
Start page 309
End page 315
Total pages 7
Place of publication Shannon, Clare Ireland
Publisher Elsevier Ireland Ltd
Collection year 2016
Language eng
Formatted abstract
Background
Extremely preterm or extremely low birth weight (ELBW) children who are non-disabled and otherwise healthy are at risk of neurodevelopmental impairments. Further understanding of these impairments is needed before commencement of formal education to optimise participation levels at a critical time point for these children.

Aims
To explore motor co-ordination, postural stability, limb strength and behaviour of non-disabled four to five year old children with a history of extreme prematurity or ELBW.

Study design
Prospective–descriptive-cohort-study.

Subjects
50 children born at less than 28 weeks gestation or who had a birth weight less than 1000 g with minimal/mild motor impairments and no significant neurological/cognitive impairments.

Outcome measures
Movement Assessment Battery for Children second-edition (MABC-2), single leg stance test (SLS), lateral reach test, standing long jump test and Child Behaviour Checklist for preschool children (CBCL).

Results
The mean percentile rank of the extremely preterm or ELBW sample on MABC-2 was 31% (SD 23%). SLS right (mean ± SD; 4.6 ± 2.5 s) and lateral reach to the right (10.0 ± 3.9 cm) were slightly stronger than SLS left (4.4 ± 3.3 s) and lateral reach left (9.9 ± 3.5 cm). The average for standing long jump was 71.6 cm (SD 21.0 cm). All participants were classified as ‘normal’ on CBCL syndrome scale scores, internalizing and externalizing syndrome T scores and total problem T score.

Conclusions
This sample of non-disabled extremely preterm or ELBW children performed in the lower range of normal. These children continue to be at risk of impairments, therefore, ongoing monitoring and tailored intervention may optimise development.
Keyword Children
Preterm
Neurodevelopment
Motor
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

 
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