| Effects on motor development of kicking and stepping exercise in preterm infants with periventricular brain injury: a pilot study. | |
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MedLine Citation:
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PMID: 22543889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Preterm infants with periventricular brain injury (PBI) have a high incidence of atypical development and leg movements. OBJECTIVE: Determine whether kicking and treadmill stepping intervention beginning at 2 months corrected age (CA) in children with PBI improves motor function at 12 months CA when compared with control subjects. METHOD: In a multi-center pilot study for a controlled clinical trial, sixteen infants with PBI were randomly assigned to home exercise consisting of kicking and treadmill stepping or a no-training control condition. Development was assessed at 2, 4, 6, 10, and 12 months CA with the Alberta Infant Motor Scale (AIMS). At 12 months children were classified as normal, delayed, or with cerebral palsy (CP). RESULTS: At 12 months CA 3 of 7 (43%) of the exercise group children walked alone or with one hand held versus 1 of 9 (11%) in the control group (p=0.262), but no significant differences in AIMS scores were found at any age. Half of the subjects had CP or delay; the outcomes of these infants were not improved by exercise. Compliance with the home program was lower than requested and may have affected results. CONCLUSION: Although not statistically significant with a small sample size, self-produced kicking and treadmill exercise may lower age at walking in infants with normal development following PBI, but improvements of the protocol to increase and document compliance are needed before a larger study is implemented. |
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Authors:
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Suzann K Campbell; Deborah Gaebler-Spira; Laura Zawacki; April Clark; Kara Boynewicz; Raye-Ann deRegnier; Maxine M Kuroda; Rama Bhat; Jinsheng Yu; Rose Campise-Luther; Dipti Kale; Michelle Bulanda; Xiaohong Joe Zhou |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural |
Journal Detail:
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Title: Journal of pediatric rehabilitation medicine Volume: 5 ISSN: 1875-8894 ISO Abbreviation: J Pediatr Rehabil Med Publication Date: 2012 |
Date Detail:
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Created Date: 2012-04-30 Completed Date: 2012-12-27 Revised Date: 2013-04-18 |
Medline Journal Info:
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Nlm Unique ID: 101490944 Medline TA: J Pediatr Rehabil Med Country: Netherlands |
Other Details:
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Languages: eng Pagination: 15-27 Citation Subset: IM |
Affiliation:
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Center for Clinical and Translational Science, University of Illinois at Chicago, Chicago, IL, USA. skc@uic.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Age Factors Cerebral Palsy* / diagnosis, etiology, physiopathology, therapy Child Development Exercise Movement Techniques / methods* Exercise Therapy / methods* Female Humans Infant Infant, Newborn Infant, Premature / growth & development* Leukomalacia, Periventricular* / complications, diagnosis, physiopathology, therapy Male Monitoring, Physiologic / methods Motor Skills Pilot Projects Treatment Outcome Walking* |
| Grant Support | |
ID/Acronym/Agency:
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UL1 RR029879/RR/NCRR NIH HHS; UL1RR029879/RR/NCRR NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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