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Motor impairment in very preterm-born children

J W Logan, O Dammann, E N Allred, C Dammann, K Beam, R M Joseph, T M O'Shea, A Leviton, K C K Kuban
OBJECTIVE: A neonatal illness severity score, The Score for Neonatal Acute Physiology-II (SNAP-II), predicts neurodevelopmental impairments at two years of age among children born extremely preterm. We sought to evaluate to what extent SNAP-II is predictive of cognitive and other neurodevelopmental impairments at 10 years of age. STUDY DESIGN: In a cohort of 874 children born before 28 weeks of gestation, we prospectively collected clinical, physiologic and laboratory data to calculate SNAP-II for each infant...
January 12, 2017: Journal of Perinatology: Official Journal of the California Perinatal Association
Anne Synnes, Thuy Mai Luu, Diane Moddemann, Paige Church, David Lee, Michael Vincer, Marilyn Ballantyne, Annette Majnemer, Dianne Creighton, Junmin Yang, Reginald Sauve, Saroj Saigal, Prakesh Shah, Shoo K Lee
OBJECTIVES: Identify determinants of neurodevelopmental outcome in preterm children. METHODS: Prospective national cohort study of children born between 2009 and 2011 at <29 weeks gestational age, admitted to one of 28 Canadian neonatal intensive care units and assessed at a Canadian Neonatal Follow-up Network site at 21 months corrected age for cerebral palsy (CP), visual, hearing and developmental status using the Bayley Scales of Infant and Toddler Development-Third Edition (Bayley-III)...
October 6, 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
So Hyun Kim, Robert M Joseph, Jean A Frazier, Thomas M O'Shea, Katarzyna Chawarska, Elizabeth N Allred, Alan Leviton, Karl K Kuban
OBJECTIVE: To examine the predictive validity of the Modified Checklist for Autism in Toddlers (M-CHAT) administered at age 24 months for autism spectrum disorder (ASD) diagnosed at 10 years of age in a US cohort of 827 extremely low gestational age newborns (ELGANs) followed from birth. STUDY DESIGN: We examined the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of the M-CHAT in predicting an ASD diagnosis at age 10 years based on gold standard diagnostic instruments...
November 2016: Journal of Pediatrics
Brian B Monson, Peter J Anderson, Lillian G Matthews, Jeffrey J Neil, Kush Kapur, Jeanie L Y Cheong, Lex W Doyle, Deanne K Thompson, Terrie E Inder
IMPORTANCE: Smaller cerebral volumes at hospital discharge in very preterm (VPT) infants are associated with poor neurobehavioral outcomes. Brain growth from the newborn period to middle childhood has not been explored because longitudinal data have been lacking. OBJECTIVES: To examine the pattern of growth of cerebral tissue volumes from hospital discharge to childhood in VPT infants and to determine perinatal risk factors for impaired brain growth and associations with neurobehavioral outcomes at 7 years...
August 1, 2016: JAMA Pediatrics
Maja Gilarska, Malgorzata Klimek, Magdalena Nitecka, Grażyna Dutkowska, Monika Gasinska, Przemko Kwinta
BACKGROUND: The aim of our study was multifaceted neurodevelopmental examination of children born prematurely with very low birth weight (VLBW) in order to evaluate the usefulness of popularly used tests. The second aim of the study was exploration of risk and protective factors of neurodevelopmental impairment. METHODS: Eighty-nine VLBW patients were evaluated at the age of 50 months. All children underwent anthropometric measurements and psychomotor tests: functional independence measure scale (WeeFIM), Gross Motor Function Measurement (GMFM), non-verbal psychometric evaluation (Leiter test), Developmental Test of Visual Perception (DTVP-2), temperament questionnaire (EAS-C) and children vocabulary test (TSD)...
June 8, 2016: Minerva Pediatrica
M A Matthews, J L Aschner, A R Stark, P E Moore, J C Slaughter, S Steele, A Beller, G L Milne, O Settles, O Chorna, N L Maitre
OBJECTIVE: This study examined the association between increased early oxidative stress, measured by F2-isoprostanes (IsoPs), and respiratory morbidity at term equivalent age and neurological impairment at 12 months of corrected age (CA). STUDY DESIGN: Plasma samples were collected from 136 premature infants on days 14 and 28 after birth. All participants were infants born at ⩽28 weeks of gestational age enrolled into the Prematurity and Respiratory Outcomes Program (PROP) study...
September 2016: Journal of Perinatology: Official Journal of the California Perinatal Association
Sirkku Setänen, Liisa Lehtonen, Riitta Parkkola, Jaakko Matomäki, Leena Haataja
BACKGROUND: Preterm infants are at a higher risk for poor motor outcome than term infants. This study aimed to describe the long-term motor profile in very preterm born children. METHODS: A total of 98 very preterm infants were included. Volumetric brain magnetic resonance imaging (MRI) was performed at term age, and the Movement Assessment Battery for Children-Second Edition (The Movement ABC-2) was employed at 11 y of age. The diagnosis of Developmental Coordination Disorder (DCD) was determined at 11 y of age according to the International Classification of Diseases...
September 2016: Pediatric Research
Deanne K Thompson, Jian Chen, Richard Beare, Christopher L Adamson, Rachel Ellis, Zohra M Ahmadzai, Claire E Kelly, Katherine J Lee, Andrew Zalesky, Joseph Y M Yang, Rodney W Hunt, Jeanie L Y Cheong, Terrie E Inder, Lex W Doyle, Marc L Seal, Peter J Anderson
OBJECTIVE: To use structural connectivity to (1) compare brain networks between typically and atypically developing (very preterm) children, (2) explore associations between potential perinatal developmental disturbances and brain networks, and (3) describe associations between brain networks and functional impairments in very preterm children. METHODS: 26 full-term and 107 very preterm 7-year-old children (born <30weeks' gestational age and/or <1250g) underwent T1- and diffusion-weighted imaging...
July 1, 2016: NeuroImage
Katelyn Cahill-Rowley, Jessica Rose
Children born preterm with very-low birth-weight (VLBW) have increased risk of motor impairment. Early identification of impairment guides treatment to improve long-term function. Temporal-spatial gait parameters are an easily-recorded assessment of gross motor function. The objective of this study was to characterize preterm toddlers' gait and its relationship with neurodevelopment. Velocity, cycle time, step width, step length and time asymmetry, %stance, %single-limb support, and %double-limb support were calculated for 81 VLBW preterm and 43 typically-developing (TD) toddlers...
March 2016: Gait & Posture
Louise Linsell, Reem Malouf, Joan Morris, Jennifer J Kurinczuk, Neil Marlow
AIM: There is a large literature reporting risk factor analyses for poor neurodevelopment in children born very preterm (VPT: ≤32wks) or very low birthweight (VLBW: ≤1250g), which to date has not been formally summarized. The aim of this paper was to identify prognostic factors for cerebral palsy (CP) and motor impairment in children born VPT/VLBW. METHOD: A systematic review was conducted using Medline, Embase, and Pyscinfo databases to identify studies published between 1 January 1990 and 1 June 2014 reporting multivariable prediction models for poor neurodevelopment in VPT/VLBW children (registration number CRD42014006943)...
June 2016: Developmental Medicine and Child Neurology
Jorien M Kerstjens, Ard Nijhuis, Christian V Hulzebos, Deirdre E van Imhoff, Aleid G van Wassenaer-Leemhuis, Ingrid C van Haastert, Enrico Lopriore, Titia Katgert, Renate M Swarte, Richard A van Lingen, Twan L Mulder, Céleste R Laarman, Katerina Steiner, Peter H Dijk
OBJECTIVE: To test the ability of the Ages and Stages Questionnaire, Third Edition (ASQ3) to help identify or exclude neurodevelopmental impairment (NDI) in very preterm-born children at the corrected age of two. METHODS: We studied the test results of 224 children, born at <32 postmenstrual weeks, who had scores on ASQ3 and Bayley Scales of Infant and Toddler Development, Third Edition (BSIDIII) and neurological examination at 22-26 months' corrected age. We defined NDI as a score of <70 on the cognitive--or motor composite scale of BSIDIII, or impairment on neurological examination or audiovisual screening...
2015: PloS One
H Torchin, P-Y Ancel, P-H Jarreau, F Goffinet
Every year, approximately 15 million babies are born preterm worldwide (before 37 completed weeks of gestation), putting the global preterm birth rate at 11%; they are about 60,000 in France. About 85% of these births are moderate (32-33 weeks) to late preterm babies (34-36 weeks), 10% are very preterm babies (28-31 weeks) and 5% are extremely preterm babies (< 28 weeks). Though neonatal mortality rates are dropping, they remain high and are largely determined by gestational age at birth (over 10% mortality for infants born before 28 weeks, 5-10% at 28-31 weeks and 1-2% at 32-34 weeks)...
October 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Toril Fjørtoft, Kristine Hermansen Grunewaldt, Gro C Christensen Løhaugen, Siv Mørkved, Jon Skranes, Kari Anne I Evensen
AIMS: The aims were to compare adaptive behavior in 10-11 year old VLBW children with and without cerebral palsy (CP) to term-born children, and examine its relationship with neonatal factors and infant motor repertoire in VLBW children without CP. METHODS: Twenty-eight VLBW children without CP, 10 VLBW children with CP and 31 term-born control children were examined at 10-11 years using the parent-reported Vineland Adaptive Behavior Scales-II. The Adaptive Behavior Composite Score, based on communication, daily living skills and socialization, was adjusted for sex, socioeconomic status (SES), cognitive (WISC-III) and motor function (MABC-2)...
March 2015: European Journal of Paediatric Neurology: EJPN
Verena E Pritchard, Samudragupta Bora, Nicola C Austin, Karelia J Levin, Lianne J Woodward
OBJECTIVES: Children born very preterm (VPT) are at high risk of educational delay, yet few guidelines exist for the early identification of those at greatest risk. Using a school readiness framework, this study examined relations between preschool neurodevelopmental functioning and educational outcomes to age 9 years. METHODS: The sample consisted of a regional cohort of 110 VPT (≤ 32 weeks' gestation) and 113 full-term children born during 1998-2000. At corrected age 4 years, children completed a multidisciplinary assessment of their health/motor development, socioemotional adjustment, core learning skills, language, and general cognition...
September 2014: Pediatrics
Em Boyle, Es Draper, Ta Evans, Dj Field, B Manktelow, N Marlow, S Seaton, Lk Smith, S Johnson
INTRODUCTION: Very preterm (<32 weeks) infants are at high risk for neurodevelopmental sequelae. Less is known about outcomes following birth at late and moderately preterm gestations (LMPT; 32-36 weeks). METHODS: 1130 LMPT and 1255 term-born (≥37 weeks) babies were recruited at birth to the Late and Moderately Preterm Birth Study (LAMBS). At 2-years, parents completed the Parent Report of Children's Abilities-Revised (PARCA-R) to assess cognitive impairment and a questionnaire to assess neurosensory (vision, hearing, motor) impairment...
June 2014: Archives of Disease in Childhood. Fetal and Neonatal Edition
Janeline W Van Hus, Eva S Potharst, Martine Jeukens-Visser, Joke H Kok, Aleid G Van Wassenaer-Leemhuis
AIM: To elucidate the relation between motor impairment and other developmental deficits in very preterm-born children without disabling cerebral palsy and term-born comparison children at 5 years of (corrected) age. METHOD: In a prospective cohort study, 165 children (81 very preterm-born and 84 term-born)were assessed with the Movement Assessment Battery for Children - 2nd edition, Touwen’s neurological examination, the Wechsler Preschool and Primary Scale of Intelligence, processing speed and visuomotor coordination tasks of the Amsterdam Neuropsychological Tasks, and the Strengths and Difficulties Questionnaire...
June 2014: Developmental Medicine and Child Neurology
Jorrit F de Kieviet, Petra J W Pouwels, Harrie N Lafeber, R Jeroen Vermeulen, Ruurd M van Elburg, Jaap Oosterlaan
BACKGROUND: Very preterm children (<32 weeks of gestation) are characterized by impaired white matter development as measured by fractional anisotropy (FA). This study investigates whether altered FA values underpin the widespread motor impairments and higher incidence of developmental coordination disorder (DCD) in very preterm children at school-age. METHODS: Thirty very preterm born children (mean (SD) age of 8.6 (0.3) years) and 47 term born controls (mean [SD] age 8...
March 2014: European Journal of Paediatric Neurology: EJPN
Emma G Duerden, Margot J Taylor, Steven P Miller
Infants born very preterm are high risk for acquired brain injury and disturbances in brain maturation. Although survival rates for preterm infants have increased in the last decades owing to improved neonatal intensive care, motor disabilities including cerebral palsy persist, and impairments in cognitive, language, social, and executive functions have not decreased. Evidence from neuroimaging studies exploring brain structure, function, and metabolism has indicated abnormalities in the brain development trajectory of very preterm-born infants that persist through to adulthood...
June 2013: Seminars in Pediatric Neurology
Lianne J Woodward, Caron A C Clark, Samudragupta Bora, Terrie E Inder
BACKGROUND: Cerebral white matter abnormalities on term MRI are a strong predictor of motor disability in children born very preterm. However, their contribution to cognitive impairment is less certain. OBJECTIVE: Examine relationships between the presence and severity of cerebral white matter abnormalities on neonatal MRI and a range of neurocognitive outcomes assessed at ages 4 and 6 years. DESIGN/METHODS: The study sample consisted of a regionally representative cohort of 104 very preterm (≤32 weeks gestation) infants born from 1998-2000 and a comparison group of 107 full-term infants...
2012: PloS One
Jozien C Tanis, Meike H van der Ree, Elise Roze, Anna E Huis in 't Veld, Paul P van den Berg, Koenraad N J A Van Braeckel, Arend F Bos
BACKGROUND: Our aim was to determine functional outcome of very preterm-born and small-for-gestational-age (SGA) children as compared with matched controls at school age. METHODS: We included 28 very preterm SGA children (GA <32 wk, birth weight (BW) <10th percentile), born in 2000-2001. We also included 28 very preterm but appropriate-for-gestational-age (AGA) children, matched for GA, gender, and birth year, as controls. We assessed motor skills, intelligence quotient (IQ), attention, verbal memory, visual perception, visuomotor integration, executive functioning, and behavior of both sets of children at school age...
December 2012: Pediatric Research
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