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Early spontaneous movements and spatiotemporal gait characteristics in preterm children     
Yazarlar (4)
Dr. Öğr. Üyesi Yusuf TOPAL Dr. Öğr. Üyesi Yusuf TOPAL
Türkiye
Bilge Nur Yardımcı Lokmanoğlu
Türkiye
Semra Topuz
Türkiye
Akmer Mutlu
Hacettepe Üniversitesi, Türkiye
Devamını Göster
Özet
This study aimed to analyze spatiotemporal gait characteristics of preterm children from 3 to 4 years of age according to different gestational age groups and to examine the relationship between the detailed general movements assessment and spatiotemporal gait characteristics. A total of 74 preterm children, 32 extremely preterm and very preterm (EP-VP, < 32 weeks gestational age) and 42 moderate to late preterm (MLP, 32 to < 37 weeks gestational age), were included in this prospective study, along with 38 term children. Early spontaneous movements of preterm children were assessed from videos at 9-20 weeks post-term according to the general movements assessment, which determines the Motor Optimality Score-Revised (MOS-R). The spatiotemporal gait characteristics of all children were evaluated using the GAITRite((R))electronic walkway at self-selected walking speeds. EP-VP children walked with shorter step lengths (p = 0.039), and MLP children walked with greater step length variability (p = 0.003) than their term peers. The MOS-R results were related to step length (r = 0.36, p = 0.042), step length variability (r = -0.56, p = 0.001), and base of support (r = -0.37, p = 0.038) in EP-VP children. The MOS-R subcategories, age-adequate movement repertoire, and postural patterns were related to some of the spatiotemporal gait characteristics, including step length, step length variability, and base of support (p < 0.05).Conclusion: EP-VP and MLP children might catch up to their term peers at 3 to 4 years of age in terms of most gait parameters. In addition to the MOS-R, age-adequate movement repertoire and postural patterns of preterm children without cerebral palsy in early life may be a marker of later neurodevelopmental dysfunction.
Anahtar Kelimeler
Gait | Walking | General movements | Premature birth | Children
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı EUROPEAN JOURNAL OF PEDIATRICS
Dergi ISSN 0340-6199 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q1
Makale Dili İngilizce
Basım Tarihi 06-2023
Cilt No 182
Sayı 6
Sayfalar 2913 / 2923
Doi Numarası 10.1007/s00431-023-04949-7
Makale Linki https://link.springer.com/article/10.1007/s00431-023-04949-7