Stručni rad
Association Between Neurological Signs and Developmental Outcome: Pilot Results in Preterm Group
Darja Paro-Panjan
; Neonatal Unit, Division of Pediatrcs University Medical Slovenia
Jana Kodrič
; Department of Neurology, Division of Pediatrics, University Medical Center Ljubljana, Slovenia
Breda Šušteršič
; Developmental Department, Health Center Domžale, Slovenia
Sažetak
Aim To study the correlations between neurological signs
and developmental performance, and to analyze the value
of neurological signs in identification of developmental
disabilities.
Methods A group of 26 preterm infants (gestational age
from 23 weeks to 36 weeks) was studied. The neurological
assessment described by Amiel-Tison and Gosselin was
performed at term age and repeated every 3 months up
to the age of 2, when the sum of all adverse findings was
categorized. According to the nature and associations of
neurological and cranial signs, patients were divided into
5 categories: 1) cerebral palsy; 2) minimal cerebral palsy; 3)
Amiel-Tison triad; 4) intermediate; and 5) normal. Developmental
assessment using the Bayley Scales of Infant Development,
second edition, was performed between the age
of 2 and 3, and the Mental and Psychomotor Developmental
Index was determined.
Results The developmental performance was highest in
the group of children without neurological signs and lowest
in the group with cerebral palsy. There was a strong
correlation between neurological signs and mental developmental
performance (Spearman ρ = 0.71), while the
correlation between neurological signs and psychomotor
developmental performance was weaker (Spearman
ρ = 0.54).
Conclusion Categorization of neurological assessment
and identification of 3 minor neurological signs may be a
valuable tool for early detection of children with developmental
disabilities.
Ključne riječi
infants; neurological signs; development
Hrčak ID:
41343
URI
Datum izdavanja:
15.8.2009.
Posjeta: 1.580 *