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Stimulating the motor development of very premature infants: effects of early crawling training on a mini-skateboard

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  • معلومة اضافية
    • Contributors:
      Centre Neurosciences intégratives et Cognition / Integrative Neuroscience and Cognition Center (INCC - UMR 8002); Centre National de la Recherche Scientifique (CNRS)-Université Paris Cité (UPCité); Cognitions Humaine et ARTificielle (CHART); Université Paris 8 Vincennes-Saint-Denis (UP8)-École Pratique des Hautes Études (EPHE); Université Paris Sciences et Lettres (PSL)-Université Paris Sciences et Lettres (PSL)-Université Paris Nanterre (UPN)-Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12)-CY Cergy Paris Université (CY); This work was supported by the grant ANR-20-CE17-0014 from the Agence Nationale de la Recherche, the grant Project-106 from theSATT-Erganeo (Société Accélération des Transferts de Technologies) and a fellowship (ED261) from the French Government to supportthe doctoral thesis of Marie-Victorine Dumuids-Vernet.; ANR-20-CE17-0014,Premalocom,Stimuler la locomotion quadrupède précoce pour diagnostiquer et entraîner des nourrissons grands prématurés à risque de retards moteurs(2020)
    • بيانات النشر:
      HAL CCSD
      Frontiers
    • الموضوع:
      2023
    • Collection:
      Université Paris 8 Vincennes-Saint-Denis: HAL
    • نبذة مختصرة :
      International audience ; Aim To examine the effects of an early home-based 8-week crawling intervention performed by trained therapists on the motor and general development of very premature infants during the first year of life. Methods At term-equivalent age, immediately following discharge from the Neonatal Intensive Care Unit (NICU), we randomly allocated 44 premature infants born before 32 weeks' gestation without major brain damage to one of three conditions in our intervention study: crawling on a mini-skateboard, the Crawliskate (Crawli), prone positioning control (Mattress), or standard care (Control). The Crawli and Mattress groups received 5 min daily at-home training administered by trained therapists for 8 consecutive weeks upon discharge from the NICU. The outcomes of greatest interest included gross motor development (Bayley-III) at 2, 6, 9, and 12 months (primary outcome) corrected age (CA), mature crawling at 9 months CA and general development at 9 and 12 months CA [Ages and Stages Questionnaires-3 (ASQ-3)]. The study was registered at www.clinicaltrials.gov ; registration number: NCT05278286. Results A 3 (Condition) × 4 (Age) repeated measures ANOVA revealed that Crawli group infants had significantly higher Bayley-III gross motor development scores than Mattress and Control group infants. Crawli group infants also scored significantly higher on groups of Bayley-III items related to specific motor skills than infants in the other groups, including crawling at 9 months CA. We found significant differences in favor of the Crawli group in separate one-way ANOVAs at each of the ages we examined. A 3 (Condition) × 2 (Age) repeated measures ANOVA revealed that the Crawli group scored significantly higher than the Control group for the ASQ-3 total score and communication score and significantly higher for the fine motor score than the Control and Mattress groups. We found additional significant differences in favor of the Crawli group for other dimensions of the ASQ-3 in separate one-way ANOVAs at 9 ...
    • Relation:
      hal-04133214; https://hal.science/hal-04133214; https://hal.science/hal-04133214/document; https://hal.science/hal-04133214/file/fped-11-1198016.pdf
    • الرقم المعرف:
      10.3389/fped.2023.1198016
    • Rights:
      info:eu-repo/semantics/OpenAccess
    • الرقم المعرف:
      edsbas.7BCCAB15