EFFECTS OF PREFERRED SLEEP AND AWAKE POSITIONS ON MOTOR MILESTONE DEVELOPMENT OF VERY LOW BIRTHWEIGHT INFANTS (VLBW) WITH AND WITHOUT WHITE MATTER DISEASE (WMD)
Notice bibliographique
Résumé
Purpose/Hypothesis: The focus of our research was to evaluate the association of preferred sleep and awake positioning on motor milestone acquisition of infants born prematurely with VLBW and with/without WMD. Number of Subjects: Participants were sixty-eight infants: 30 premature infants born VLBW and WMD (PTWMD), 21 premature infants born VLBW without WMD (PT) and 17 full term infants (FT). Testing and parent interview took place in the Developmental Motor Control laboratory at Boston University when infants were 1, 5 and 9 months of age. Parents signed consent forms prior to participation in the study, in accordance with the policies of Boston University Institutional Review Board and the respective hospital. Materials/Methods: Motor milestone development was recorded using the Alberta Infant Motor Scale (AIMS) a 58-item assessment of gross motor performance designed for the identification and evaluation of motor development of infants aged birth to 18 months of age. Reliability between two testers for two, one-month old infants and four, 5 month old infants was established with a Pearson product moment correlation of 0.93 (one month) and 0.92 (5 months). Parents were interviewed by the first author and asked their infants preferred position(s) for sleep (then eat, then play). Multiple regression was used to predict AIMS scores with group (PTWMD, PT, FT) and different positions as the between-subject factors. Alpha level was set at 0.05. Results: At 1 month, the prone position for sleep was positively correlated with AIMS total scores (P = 0.039). At 5 months, the prone position for sleep and play were positively correlated with AIMS total scores; PTWMD was negatively correlated with AIMS total score (prone for sleep: P = 0.004; prone for play: P = 0.027; PTWMD: P = 0.039). At 9 months, the prone position for sleep was positively correlated with AIMS total scores; sitting for play, PTWMD and PT were negatively correlated with AIMS total score. (prone for sleep: P = 0.020; sitting for play: P = 0.001; PTWMD: P = 0.002; PT: P = 0.001). However, group was negatively correlated with AIMS total scores at 5 and 9 months (5 months: PTWMD: P = 0.039; 9 months: PTWMD: P = 0.002, PT: P = 0.001). There was a significant difference for infants who slept prone, with increased ability on the AIMS total scores at 5 months (P = 0.007, r2 = 0.143). At 9 months, infants who chose sitting positions for play or were in the PTWMD group had decreased ability on the AIMS total scores (sitting for play: P = 0.005, PTWMD: P = 0.017, r2 = 0.491). Conclusions: Sleeping supine did not impact motor milestone development contrary to what has been previously reported. Prone sleep and play, however promoted improved AIMS scores. Clinical Relevance: Supine sleep positions should continue to be promoted, but prone activities, particularly for infants who are VLBW/WMD should be highly encouraged.
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Prédiction distillée sur la base complète
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Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
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