Analysis of effect of individualized early comprehensive intervention on high-risk infants based on general movements in writhing movements stage
Objective To analyse effect of individualized early comprehensive intervention on high-risk infants based on results of general movements assessment(GMs)in writhing movements stage,so as to explore clinical application value of GMs in development monitoring of high-risk infants.Methods 460 infants who had abnormal results of GMs assessment in writhing movements stage and were followed up in our hospital from January 2020 to July 2022 were selected.The infants were randomly divided into observation group(n=261)and control group(n=199).The infants in the control group received routine nursing,feeding and exercise guidance,while those infants in the observation group received individualized comprehensive intervention.The distributions of fidgety movements(FMs)assessment results in the infants were compared between the two groups.Gesell developmental schedule(GDS)was used to evaluate developmental quotient(DQ)of the subjects at respective 6 months of age and 12 months of age(corrected month age was used for preterm infants).Results Before intervention,there was no difference in distribution of abnormal GMs results in writhing movements stage between the two groups(X2=1.568,P=0.210).After intervention,the proportion of normal FMs results at the last time assessment in the infants in the observation group was higher than that in the control group(X2=6.803,P=0.009).GDS showed that the DQs in gross motor repertoire,fine motor repertoire,object-adaptive behavior,language skill and personal-social ability at 6 month of age(short-term effect)were higher than those in the control group,and the differences were significant(t=2.035-4.728,all P＜0.05).After 6 months of intervention(at 12 months of age),except DQ in language skills in the observation group and DQ in gross motor skills in the control group,DQs in other domains of the infants in the two groups were higher than those at 6 months of age(all P＜0.05).At 12 months of age(long-term effect),the DQs in all domains of the infants in the observation group were all higher than those in the control group(t=6.861-9.305,all P＜0.05).Conclusion Individualized comprehensive intervention can increase incidence of normal FMs and promote neural development of those high-risk infants.Assessment of GMs in writhing movements stage has guiding significance for early individualized comprehensive intervention on high-risk infants.
high-risk infantgeneral movement assessmentwrithing movementindividualized comprehensive interventionGesell developmental assessment
国家科技期刊平台
NSTL
万方数据
