Objective To learn the level of motor development in positional plagiocephaly(PP) infants. Method Using Infant Neurological International Battery (INFANIB),level of motor development was evaluated in 393 PP and 390 normal infants during 0~18 months. Results Compared with normal infants,the infants with PP aged at 0~3.9 months had lower scores in spasticity,head and trunk,legs,french angles scales and the total score(P<0.05);4~18 months infants with PP had lower scores in spasticity,head and trunk,vestibular function,legs,french angles scales and the total score,which had significantly statistic differences(P<0.05).And in PP group,the more serious head deformation was,the lower total scores presented.There were statistic differences among mild,moderate and severe degree(P<0.05). Conclusions Compared with the normal group,PP infants have worse motor development level.The more serious PP is,the worse motor development level exists.These remind us that PP should be detected,follow-up visited and intervened early.PP may be risk signal of delayed motor development.
Key words
positional plagiocephaly /
Infant Neurological International Battery /
motor development
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Cummings C,Canadian Paediatric Society Community,Paediatrics Committee.Positional plagiocephaly[J].Paediatr Child Health,2011,16(8):493-494.
[2] American Academy of Pediatrics AAP Task Force on Infant.Positioning and SIDS[J].Pediatrics,1992,90(2pt 1):264.
[3] Knight SJ,Anderson VA, Meara JG,et al.Early neurodevelopment in infants with deformational plagiocephaly[J].The Journal of Craniofacial Surgery,2013,24(4):1225-1228.
[4] Knight SJ,Anderson VA,Meara JG,et al.Early Neurodevelopment in infants with deformational plagiocephaly[J].Journal of Craniofacial Surgery,2013,24(4):1225-1228.
[5] Wei LIAO,En-yi WEN,Chao LI,et al.Predicting neurodevelopmental outcomes for at-risk infants:reliability and predictive validity using a Chinese version of the INFANIB at 3,7 and 10 months[J].BMC Pediatrics,2012,12:72-80.
[6] Wilbrand JF,Wilbrand M,Pons-Kuehnemann J,et al.Value and reliability of anthropometric measurements of cranial deformity in early childhood[J].Journal of Cranio-Maxillo-Facial Surgery,2011,39 (1):24-29.
[7] Roby BB,Finkelstein M,Tibesar RJ,et al.Prevalence of positional plagiocephaly in teens born after the "Back to Sleep" campaign[J].Otolaryngol Head Neck Surg,2012,146(5):823-828.
[8] Looman WS,Amanda B.Evidence-based care of the child with deformational plagiocephaly,part I:assessment and diagnosis[J].Journal of Pediatric Health Care,2012,26(4):242-250.
[9] 罗芳,陈正,马晓路,等.Infanib对新生儿重症监护病房出院早产儿早期运动发育及预后评估[J].中国当代儿科杂志,2013,15(1):5-8.
PDF(428 KB)
