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    
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.
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:
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    
Center for Clinical and Translational Science, University of Illinois at Chicago, Chicago, IL, USA.
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MeSH Terms
Age Factors
Cerebral Palsy* / diagnosis,  etiology,  physiopathology,  therapy
Child Development
Exercise Movement Techniques / methods*
Exercise Therapy / methods*
Infant, Newborn
Infant, Premature / growth & development*
Leukomalacia, Periventricular* / complications,  diagnosis,  physiopathology,  therapy
Monitoring, Physiologic / methods
Motor Skills
Pilot Projects
Treatment Outcome
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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