| Abstract [eng] |
The author: Lina Kazlauskaitė Academic advisor: Prof. dr., Nijolė Drazdienė, Vilnius University Faculty of Medicine, Children's Clinic, Professor. The aim of research work–to identify the factors that affect preterm infants’ motor development. The Goals: 1.Asses anthropometric, medical, social, demographic data, and compare it with theterm infants’ data. 2.Compare preterm and term infants’ motor development in certain periods of infancy and to assess the significance of physical therapy in preterm infants’ motor development. 3.Compare motor development assessment scales. 4.To analyze the factors which influence preterm infants’ motor development. Research methods. The study was done at Neonatology Centre, The Children’s Hospital, Affiliate of Vilnius University Hospital Santariškių Klinikos and Family Medical Center, Closed Joint- Stock Company“ Medical Service Center” from December 2014 to April 2016. The study included 46 partisipants (n = 46). Partisipants were divided into two groups: Research group –preterm infants born 32/0 -36/6 weeks gestational age and infants of 1 month corrected age. Comparative group –term infants born 37/0 -42/6 weeks gestational age and the infants of the age of one month - (n = 25) infants. During the study babies‘ medical, social, demographic and anthropometric data was assessed, giving their parents a standart questionnaire of 26 questions and from newborns’ medical history. Factors that may affect the motor developmentwere identified during the study. Infants’ motor development was estimated, using the Alberta infant motor scale, Milani–Comparetti motor development test, the Munich functional development diagnostic test and the importance of physical therapy in preterm infant motor development in various corrected age stages was determined. Data analysis was performed using the statistical analysis R –packet and Microsoft office excel 2007. Results. The study showed that most of the evaluated anthropometric, medical factors between the groups differed statistically significantly (p<0.05). Comparing the social factors, a significant difference was detected only in assessing parents' education (p<0.05). The assessment test of motor development of six months corrected age stage showed that the research group lags behind in motor development significantly in comparison with the comparative group (p<0.05). However, applying the intervention programs, a statistically significant improvement in motor development is observed (p<0.05). Comparing motor development scales, it was found that more research group infants were assessed using the Munich functional development diagnostic test who did not meet the test rate limits, but comparing all scales, using the kappa coefficient it showed that most of the infants at six months period, matched each other with the Alberta infant motor scale and Milani –Comparetti motor development assessment test. After the evaluation of the factors that affect premature babies’ motor development it was found that with medical factors mostly interface social factors, the link between mother's higher education and child’s motor development. Conclusions.Preterm infants’ organism and organ systems are immature, so more pathologies or various diseases are noticed in this population as compared to full-term infants. In addition, a premature newborn is affected by social and other medical factors, adversely affect their motor development, so application of in tervention programs should be started as early as possible. It was found that intervention applied from the second month of corrected age effectively improves the premature babies’ motor development. |
