Document Detail


Effects on motor development of kicking and stepping exercise in preterm infants with periventricular brain injury: a pilot study.
MedLine Citation:
PMID:  22543889     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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
Related Documents :
24158889 - Short-term morbidities of moderate and late preterm infants.
25388049 - The developmental and evolutionary origins of psychological essentialism lie in sortal ...
21722849 - Current methods of non-invasive ventilatory support for neonates.
25285369 - Cross-cultural evidence for multimodal motherese: asian indian mothers' adaptive use of...
25385599 - New insights into eastern beringian mortuary behavior: a terminal pleistocene double in...
20402719 - Perinatal outcomes of women intending to give birth in birth centers in australia.
22202639 - Gender-specific methylation differences in relation to prenatal exposure to cigarette s...
12464499 - Respiratory gas conditioning in infants with an artificial airway.
16788319 - Successful use of recombinant activated fvii and aminocaproic acid in four neonates wit...
Publication Detail:
Type:  Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of pediatric rehabilitation medicine     Volume:  5     ISSN:  1875-8894     ISO Abbreviation:  J Pediatr Rehabil Med     Publication Date:  2012  
Date Detail:
Created Date:  2012-04-30     Completed Date:  2012-12-27     Revised Date:  2013-06-25    
Medline Journal Info:
Nlm Unique ID:  101490944     Medline TA:  J Pediatr Rehabil Med     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  15-27     Citation Subset:  IM    
Affiliation:
Center for Clinical and Translational Science, University of Illinois at Chicago, Chicago, IL, USA. skc@uic.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
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:
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


Previous Document:  StepWatch stride counting: accuracy, precision, and prediction of energy expenditure in children.
Next Document:  A preliminary evaluation of the PEDI-CAT Mobility item bank for children using walking aids and whee...