Document Detail


The forward parachute reaction and independent walking in infants with brain lesions.
MedLine Citation:
PMID:  21418202     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim  The aim of this study was to assess the onset of forward parachute reaction (FPR) in infants with brain lesions and its correlation with age of walking. Method  FPR was assessed at 6, 9, and 12 months in 140 infants with brain lesions (78 males, 62 females; mean gestational age 31wks; SD 3.6wks; mean birthweight 1450g, SD 252g). On cranial ultrasound 62 infants had mild and 78 had major abnormalities; 86 developed cerebral palsy. All were followed for 5 years, and the age at which each child achieved independent walking was recorded. Infants who had been born small for gestational age (weight <10th centile) were excluded, as were those who had major congenital malformations, severe postnatal infectious diseases, or metabolic or haematological complications. Results  A complete FPR was present in eight infants at 6 months, in 42 at 9 months, and in 71 at 12 months. At 12 months, 29 infants presented incomplete FPR and 40 presented absent FPR. Seventy-three infants were able to walk independently between the ages of 11 months and 60 months (67 with complete FPR and six with incomplete FPR at 12mo). A complete FPR at 12 months was a good predictor of independent walking. The age at onset of complete FPR was also a good predictor of age of walking. Interpretation  The late acquisition of a complete FPR appears to be an early sign of a more general delayed maturation of functional abilities.
Authors:
Domenico M Romeo; Daniela Ricci; Giovanni Baranello; Emanuela Pagliano; Claudia Brogna; Giorgia Olivieri; Ilaria Contaldo; Domenico Mazzone; Michela Quintiliani; Maria Giulia Torrioli; Mario G Romeo; Eugenio Mercuri
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-21
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  -     ISSN:  1469-8749     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© The Authors. Developmental Medicine & Child Neurology © 2011 Mac Keith Press.
Affiliation:
Paediatric Neurology Unit, Catholic University, Rome Division of Child Neurology and Psychiatry, Department of Paediatrics, University of Catania, Catania Developmental Neurology Unit, C. Besta Foundation Neurological Institute, Milan Neonatal Intensive Care Unit, Department of Paediatrics, University of Catania, Catania, Italy.
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