Objective To explore the application value of the Alberta Infant Motor Scale(AIMS) in assessing the effect of early comprehensive intervention on the prognosis of preterm infants, so as to provide evidence for clinical assessment of premature infants. Methods A total of 68 early preterm infants born in the Department of Obstetrics and Gynecology in Shangqiu First People's Hospital from May 2019 to February 2021 were selected into this study, and were divided into observation group (n=34) and control group (n=34). In one week after birth, two rehabilitation therapists used Peabody Developmental Motor Scales-2(PDMS-2) and AIMS to evaluate the motor function of all premature infants, and used video to record the infant's motion status. According to the AIMS or PDMS-2 scoring results, the rehabilitation specialists made early comprehensive intervention plans for premature infants both in the observation group and the control group, and the interventions were implemented by infants' parents. After three months of intervention, the AIMS and PDMS-2 scales were used to assess preterm infants. All AIMS scores were scored a second time by the same two rehabilitation therapists based on the video one month after the score. Results The intra-rater and inter-rater reliability of AIMS was strong, the intra-group and inter-group correlation coefficients were 0.952 (95%CI:0.419 - 0.990) and 0.977 (95%CI:0.947 - 0.990), respectively. The concurrent validity between AIMS and PDMS-2 was 0.948(95%CI:0.907 - 0.971). After three months of intervention, the motor function development score of preterm infants in the observation group was higher than that in the control group, but the difference was not significant(t=0.287,P=0.362). Conclusion AIMS has good reliability and concurrent validity in measuring the effect of early comprehensive intervention on the prognosis of preterm infants, which is an appropriate tool for early assessment of motor function of premature infants.
Key words
Alberta Infant Motor Scale /
premature infants /
early intervention /
motor development
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References
[1] Raghupathy MK, Rao BK, Nayak SR, et al. Effect of family-centered care interventions on motor and neurobehavior development of very preterm infants:A protocol for systematic review[J]. Syst Rev Pharm, 2021, 10(1):59.
[2] 张国华,袁柳芬,黄巧莲,等. 早产儿轻度运动发育迟缓的评定与干预模式研究[J]. 中国儿童保健杂志,2020,28(12):1374-1377.
[3] 刘明霞,戴霄天,花静. 中国三城市25254例不同出生胎龄儿童神经行为发育水平研究[J]. 中国当代儿科杂志,2020,22(9):931-935.
[4] 朱春,芮洪新,张光宝,等. Peabody运动量表与Gesell发育量表在2岁早产儿运动功能评估中的相关性研究[J]. 中国妇幼保健,2019,34(10):2259-2260.
[5] 李彐峰,余文,戴燕琼,等. Alberta婴儿运动量表指导治疗脑瘫高危儿的疗效观察[J]. 现代生物医学进展,2019,19(12):2287-2290.
[6] Van I, Patricia AM, La Bastide-van GS, et al. Alberta Infant Motor Scale:Cross-cultural analysis of gross motor development in Dutch and Canadian infants and introduction of Dutch norms[J]. Early Hum Dev,2020,151:105239.
[7] 张九菊,梁丽霞,袁志忠,等.全身运动评估与Peabody运动发育量表在早产高危患儿精神运动发育迟缓及脑瘫发生中预测价值[J].临床军医杂志,2020,48(7):834-835.
[8] Milan L,Dejan N,Dejan F, et al. Reliability, consistency and temporal stability of Alberta infant motor scale in serbian infants[J]. Children,2020,7(3):16.
[9] 申量,袁福容,余扬,等. Alberta婴幼儿运动量表在早产儿大运动评估中的信度研究[J]. 四川医学,2021,42(6):552-555.
[10] 张国华,袁柳芬,黄巧莲,等. 早产儿轻度运动发育迟缓的评定与干预模式研究[J]. 中国儿童保健杂志,2020,28(12):1374-1377.
[11] Anna ML,Naomi RW,Charlotte AX, et al. Predictive validity of the Lacey Assessment of Preterm Infants for motor outcome at 2 years corrected age[J].Early Hum Dev,2021,155:105334.
[12] Angela C,Letizia G,Francesca F,et al. Early motor development predicts clinical outcomes of siblings at high-risk for autism:Insight from an innovative motion-tracking technology[J].Brain Sci,2020,10(6):379.
[13] 唐亮,袁伟明,宋燕燕,等. 胎龄<32周极低/超低出生体重早产儿1岁时神经发育状况的随访研究[J]. 中国小儿急救医学,2021,28(11):946-950.
[14] 倪钰飞,顾秋燕,杨卫超,等. 婴儿运动表现测试在早产儿运动发育促进性干预中的价值[J]. 中国妇幼健康研究,2020,31(8):1050-1053.
[15] 林玲,张丽珊,章依文,等. 早期综合干预对高危儿婴儿期运动和认知发育的影响[J]. 中国儿童保健杂志,2020,28(12):1313-1316.
[16] 罗欣,漆洪波.早产的诊治现状和面临的问题[J].中国实用妇科与产科杂志,2020,36(2):111-114.
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