Sensory-motor performance in seven-year-old children born extremely preterm

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http://hdl.handle.net/10138/302393

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Lönnberg , P , Niutanen , U , Parham , L D , Wolford , E , Andersson , S , Metsäranta , M & Lano , A 2018 , ' Sensory-motor performance in seven-year-old children born extremely preterm ' , Early Human Development , vol. 120 , pp. 10-16 . https://doi.org/10.1016/j.earlhumdev.2018.03.012

Title: Sensory-motor performance in seven-year-old children born extremely preterm
Author: Lönnberg, Piia; Niutanen, Ulla; Parham, L. Diane; Wolford, Elina; Andersson, Sture; Metsäranta, Marjo; Lano, Aulikki
Contributor: University of Helsinki, Lastenneurologian yksikkö
University of Helsinki, Children's Hospital
University of Helsinki, Medicum
University of Helsinki, HUS Children and Adolescents
University of Helsinki, HUS Children and Adolescents
University of Helsinki, Lastenneurologian yksikkö
Date: 2018-05
Language: eng
Number of pages: 7
Belongs to series: Early Human Development
ISSN: 0378-3782
URI: http://hdl.handle.net/10138/302393
Abstract: Background: Children born preterm are prone to motor problems. Research on their motor performance has, however, rarely been integrated with sensory processing. Aim: To examine sensory-motor performance in children born extremely preterm (EPT). Method: In a longitudinal prospective cohort study, 49 EPT (born <28 gestational weeks; 32 boys and 17 girls) and 33 term-born (16 boys and 17 girls) children were assessed with six individual subtests from the Sensory Integration and Praxis Tests at the age of 7.0 to 7.3 years. Results: The rate of test z-scores indicating dysfunction [from - 2 standard deviations (SD) to <-1 SD for mild and <- 2 SD for moderate-to-severe] was significantly higher in EPT children than in term-born children in all the subtests. When comparing mean performance adjusted for gender and mother's education, EPT children performed worse than term-born children in Design Copying (z-score difference - 0.83; 95% confidence interval -1.32 to - 0.34), Motor Accuracy (- 0.82; -1.26 to - 0.38), Postural Praxis (- 0.95; -1.45 to - 0.45), Manual Form Perception (- 0.59; -1.12 to - 0.06), and Finger Identification (- 0.88; -1.45 to - 0.31). Additional adjustment for Full-Scale Intelligence Quotient rendered difference in Manual Form Perception non-significant. Conclusion: Seven-year-old EPT children perform worse than their term-born peers in tests for visual-motor, somatosensory, and motor planning performance.
Subject: AGE
BIRTH-WEIGHT CHILDREN
Children
Extremely preterm
GESTATION
INFANTS
METAANALYSIS
OUTCOMES
Sensory-motor
Somatosensory
Visual-motor
3123 Gynaecology and paediatrics
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