Influence of family support on the effect of early intervention on motor function in high-risk children

QIN Yueyi; TIAN Tian; LU Xiao

doi:10.11852/zgetbjzz2022-1419

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (11) : 1168-1173. DOI: 10.11852/zgetbjzz2022-1419

Original Articles

Influence of family support on the effect of early intervention on motor function in high-risk children

QIN Yueyi¹, TIAN Tian¹, LU Xiao²

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Abstract

Objective To explore the relationship between the involvement degree of family intervention and the effect of motor function intervention on high-risk infants aged 0 to 3 years, in order to provide ideas for early intervention strategies for high-risk infants. Methods From June 2020 to April 2022, 81 high-risk infants with motor development retardation were included in this study for follow-up. All children received regular intervention in hospital and family guidance, and were divided into group with intervention frequency of <15min/d and group with intervention frequency of ≥15min/d according to the average length of daily family intervention. The level of children′s motor function was evaluated with Peabody Developmental Motor Scale (PDMS-2) before and 3 months after the intervention, and the intervention effect was compared. Results After intervention, gross motor development quotient (GMQ), fine motor development quotient (FMQ) and total motor development quotient (TMQ) of all children were significantly higher than those before intervention (t=5.250, 5.601, 5.705, P<0.05). Further group comparison showed that the GMQ, FMQ and TMQ both in children aged 0 - 12 months and 13 - 36 months were significantly higher than those before intervention in group with intervention frequency of <15min/d and group with intervention frequency of ≥15min/d (P<0.05), but the GMQ, FMQ and TMQ of children aged 0 - 12 months after intervention were significantly higher than those of children aged 13 - 36 months (P<0.05). Families of children with abnormal cranial MRI were more likely to devote more time to the intervention each day than families of children without abnormalities (χ²=4.516, P=0.034), and GMQ, FMQ and TMQ all improved significantly more in families of children with abnormal cranial MRI after the intervention (t=2.104,2.264,2.757,P<0.05). Conclusions The early intervention training mode of hospital rehabilitation intervention combined with family intervention has a good promotion effect on improving the motor function of high-risk children with motor retardation aged 0 - 3 years. Family interventions that involve a higher level of investment and an early start are more likely to improve children′s motor development. The findings of the child′s cranial MRI have a certain influence on the family motivation and the effectiveness of the intervention.

Key words

high-risk children / early intervention / family intervention / delayed motor development

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QIN Yueyi, TIAN Tian, LU Xiao. Influence of family support on the effect of early intervention on motor function in high-risk children[J]. Chinese Journal of Child Health Care. 2023, 31(11): 1168-1173 https://doi.org/10.11852/zgetbjzz2022-1419

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