Features of Clinical and Anamnestic Indicators of Infants of the First Year of Life with Impaired Motor Development, Born at Different Stages of Gestation
https://doi.org/10.31550/1727-2378-2023-22-7-43-47
Abstract
Aim. To identify the features of clinical and anamnestic indicators in children of the first year of life with impaired motor development, born at different stages of gestation.
Design. Сomparative study.
Materials and methods. 64 children of the first year of life with motor development disorders were examined. 4 groups were formed: 1st (n = 16) — full-term, 2nd (n = 16) — late preterm, 3rd (n = 16) — moderately premature, 4th (n = 16) — extremely preterm children. All children underwent an examination, which included an assessment of psychomotor development using the L.P. Zhurba and E.M. Mastyukova scale and studying the features of the course of their anamnesis.
Results. Very premature children had a greater severity of cerebral ischemic and respiratory disorders in the neonatal period compared to full-term, late preterm and moderately premature patients (p < 0.001). Total score of psychomotor development according to the L.P. Zhurba and E.M. Mastyukova scale in patients of all study groups was below standard values (p < 0.001), while the total score in very premature infants was lower than in full-term infants (p = 0.004).
Conclusion. The results obtained can serve as the basis for the development of a personalized approach to planning treatment and rehabilitation activities for children with motor development disorders.
About the Authors
A. I. MalyshkinaRussian Federation
20 Pobedy Atr., Ivanovo, 153045
T. V. Samsonova
Russian Federation
20 Pobedy Atr., Ivanovo, 153045
V. A. Krivonogov
Russian Federation
20 Pobedy Atr., Ivanovo, 153045
References
1. Volpe J.J. Neurology of the newborn. Philadelphia; 2008. 1094 p.
2. Jacobsson B., Pettersson K., Modzelewska D., Abrahamsson T. et al. Preterm delivery: an overview on epidemiology, pathophysiology and consequences for the individual and the society. Lakartidningen. 2019;116:116:FR6F.
3. Murata T., Isogami H., Imaizumi K. et al. Association between gestational age at threatened preterm birth diagnosis and incidence of preterm birth: the Japan Environment and Children’s Study. Scientific reports. 2023;13(1):12839. DOI: 10.1038/s41598-023-38524-9
4. Wang J., Shen X., Yang H. et al. Early markers of neurodevelopmental disorders based on general movements for very preterm infants: study protocol for a multicentre prospective cohort study in a clinical setting in China. BMJ Open. 2023;13(5):e069692. DOI: 10.1136/bmjopen-2022-069692
5. Bokonbaeva S.D., Urmatova B.K., Kim E.G. Risk factors and patterns of morbidity and mortality in premature babies. International journal of applied and fundamental research. 2022;(6):27–33. (in Russian) DOI: 10.17513/mjpfi.13393
6. Healthcare in Russia 2019: Statistical collection. Moscow; 2019. 170 p. (in Russian)
7. Benis N.A., Samsonova T.V. Clinical and functional characteristics of preterm infants with extreme law and very law birth weight of different gestational ages. Children's medicine of the North-West. 2012;3(1):26–29. (in Russian)
8. Baranov A.A., Namazova-Baranova L.S., YAcyk G.V. et al. Federal clinical guidelines for the provision of medical care to children with consequences of perinatal damage to the central nervous system with hydrocephalic and hypertension syndromes. Moscow; 2015. 16 p. (in Russian)
9. AlMuqbil M., Alanazi J., Alsaif N., Baarmah D. et al. Clinical characteristics and risk factors of neonatal hypoxic-ischaemic encephalopathy and its associated neurodevelopmental outcomes during the first two years of life: a retrospective study in Saudi Arabia. International Journal of General Medicine. 2023;16:525–536. DOI: 10.2147/IJGM.S401803
10. Kuriczuk J.J., White-Koning M., Badawi N. Epidemiology of neonatal encephalopathy and hypoxic-ischaemic encephalopathy. Early Hum Dev. 2010;86(6):329–338. DOI: 10.1016/j.earlhumdev.2010.05.010
11. Liu L., Oza S., Hogan D. et al. Global, regional, and national causes of child mortality in 2000-2013, with projections to inform post-2015 priorities: an updated systematic analysis. Lancet. 2015;385:430–440. DOI: 10.1016/S0140-6736(14)61698-6
12. Parikh P., Jull S.E. Neuroprotective strategies in neonatal brain injury. J. Pediatr. 2018;192:22–32. DOI: 10.1016/j.jpeds.2017.08.031
13. Namusoke H., Nannyonga M.M., Ssebunya R. et al. Incidence and short term outcomes of neonates with hypoxic ischemic encephalopathy in a Peri Urban teaching hospital, Uganda: a prospective cohort study. Matern. Health Neonatol. Perinatol. 2018;4:6. DOI: 10.1186/s40748-018-0074-4
14. Sokolov P.L., Prityko A.G., Zykov V.P. et al. Methodologikal aspects of the objectification of the level of motor and mental development in children with severe perinatal brain lesions. Detskaâ i podrostkovaâ reabilitaciâ. 2019;(3):22–27. (in Russian)
15. Hachatryan L.G. Early and long-term manifestations of perinatal damage to the nervous system in young children: abstract of thesis. ... doc. med. sciences. Moscow; 2003. 49 p. (in Russian)
16. Shkarenkova E.I. Samsonova T.V. The clinico-functional characteristics of neurologic disorders in children in the age 12 month old having syndrome of disorders and motor neurological abnormalities. Vestnik novyh medicinskih tehnologij. 2009;(1):66–69. (in Russian)
17. Classification of the consequences of perinatal lesions of the nervous system in newborns. Guidelines. Moscow; 2005. 40 p. (in Russian)
18. Palchik A.B., Shabalov N.P. Hypoxic-ischemic encephalopathy of newborns. Moscow; 2021. 304 p. (in Russian)
19. Kepenek-Varol B., Hosbay Z., Varol S. Assessment of motor development using the Alberta Infant Motor Scale in full-term infants. Turk. J. Pediatr. 2020;62(1):94–102. DOI: 10.24953/turkjped.2020.01.013
20. Zhurba L.T., Mastyukova E.M. Disorders of psychomotor development in children of the first year of life. Moscow; 1981. 272 s. (in Russian)
21. Dochkina E.S., Ustinova A.V., Taranushenko T.E. Peculiarities of anamnesis in children with infantile cerebral palsy. Siberian medical review. 2017;107(5):85–90. DOI: 10.20333/2500136-2017-5-85-90 (in Russian)
22. Barashnev Yu.I. Neonatal neurology: reality, illusions and hopes. Obstetrician-gynecologist (Moscow). 1993;(1):14–18. (in Russian)
23. Mironova A.K., Samigulina M.G., Osmanov I.M. et al. Features of the neuropsychic development of premature babies born with very low and extremely low body weight. Rossijskij vestnik perinatologii i pediatrii. 2021;(1):59–65. DOI: 10.21508/1027-4065-2021-66-1-59-65 (in Russian)
24. Milovanova O.A., Amirxanova D.Yu., Mironova A.K. et al. The risk of forming neurological disease in extremely premature infants: a review of literature and clinical cases. Medical Council. 2021;(1):20–29. DOI: 10.21518/2079-701X-2021-1-20-29 (in Russian)
25. You S.K. Neuroimaging of germinal matrix and intraventricular hemorrhage in premature infants. J. Korean Neurosurg. Soc. 2023;6(3):239–246. DOI: 10.3340/jkns.2022.0277
26. Shal'kevich L.V., Zhevneronok I.V., Ustinovich Yu.A., Tkachenko A.K. The neonatal encephalopathy in full-term newborns. Reproduktivnoe zdorovʹe. Vostočnaâ Evropa. 2020;10(4):509–517. (in Russian)
27. Amirova V.R., Valiulina A.Ya., Zalalova A.A., Rybalko O.V. The health status of preterm babies in the first year of life. Bashkortostan Medical Journal. 2019;(1):69–77. (in Russian)
28. Nefedeva D.L., Belorusova M.V. Early abilitation and ontogenesis features of sensory systems, cognitive functions, and speech in preterm born children. The Bulletin of Contemporary Clinical Medicine. 2019;12(6):41–48. DOI: 10.20969/VSKM.2019.12(6).41-48 (in Russian)
29. Sakharova E.S., Keshishyan E.S., Alyamovskaya G.A. Features of psychomotor development of very premature children. The Bulletin of Contemporary Clinical Medicine. 2013;(6):84–90. (in Russian)
30. Stepanova O.A. Evaluation neuropsychological development of premature infants in the first year. The Bulletin of Contemporary Clinical Medicine. 2013;6(1):77–81. (in Russian)
Review
For citations:
Malyshkina A.I., Samsonova T.V., Krivonogov V.A. Features of Clinical and Anamnestic Indicators of Infants of the First Year of Life with Impaired Motor Development, Born at Different Stages of Gestation. Title. 2023;22(7):43-47. (In Russ.) https://doi.org/10.31550/1727-2378-2023-22-7-43-47