Increased Muscle Tone in Pre-term Infants as a Sign of Neuromaturation and Options for its Assessment


Authors: A. Můčková 1–3;  M. Janura 1;  J. Hálek 3
Authors‘ workplace: Katedra přírodních věd v kinantropologii, FTK UP v Olomouci 1;  Ústav fyzioterapie, FZV UP v Olomouci 2;  Oddělení neonatologie, FN Olomouc 3
Published in: Cesk Slov Neurol N 2017; 80/113(2): 146-149
Category: Review Article
doi: 10.14735/amcsnn2017146

Podpořeno grantem IGA FZV_2013_005.

Overview

Rising incidence of premature births increases the need for evaluation of neuromaturation and neurobehavioral development in pre-term infants. Fluctuating muscle tone in these children informs us of the neuromaturation of the central nervous system. Questions evaluating passive and active tone are included in many neurobehavioral scales and inform medical doctors and physiotherapists of the advancing developments of the lower motor centres. Achieving neonatal quality of limb flexion tone is the goal of neonatal physiotherapy, followed by paediatric physiotherapy that aims to involve higher motor centres.

Key words:
pre-term infant – neuromaturation – passive tone – active tone

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


Sources

1. Vích M, Chmelíková B. Multioborová analýza současného stavu péče o předčasně narozené děti v ČR 2014. [as­sesed 21 Feb 2017]. Dostupné z URL: http:/ / docplayer.cz/ 1564118-Multioborova-analyza-soucasneho-stavu-pece-o-predcasne-narozene-deti-v-cr-praha-2014-koordinator-analyzy-ceske-zdravotnicke-forum-o-p-s.html.

2. Goldenberg RL, Culhane JF, Iams JD, et al. Epidemiology and causes of preterm birth. Lancet 2008;371(9606):75– 84. doi: 10.1016/ S0140-6736(08)60074-4.

3. Sharma PK, Sankar JM, Sapra S, et al. Growth and neurosensory outcomes of preterm very low birth weightinfants at 18 months of cor­rected age. Indian J Pediatr 2011;78(12):1485– 90. doi: 10.1007/ s12098-011-0442-9.

4. Bott­ing N, Powls A, Cooke RW, et al. Cognitive and educational outcome of very-low-birthweight children in early adolescence. Dev Med Child Neurol 1998;40(10):652– 60. doi: 10.1111/ j.1469-8749.1998.tb12324.x.

5. Nikolic SJ, Ilic-Stosovic DD. Detection and prevalence of motor skill disorders. Res Dev Disabil 2009;30(6):1281– 7. doi: 10.1016/ j.ridd.2009.05.003.

6. Butler S, Als H. Individualized developmental care improves the lives of infants born preterm. Acta Pediatr 2008;97(9):1173– 5. doi: 10.1111/ j.1651-2227.2008.00916.x.

7. Al­len MC, Aucott S, Cristofalo EA et al. Extrauterine neuromaturation of low risk preterm infants. Pediatr Res 2009;65(5):542– 7. doi: 10.1203/ PDR.0b013e3181998b86.

8. Duerden EG, Taylor MJ, Mil­ler SP. Brain development in infants born preterm: look­ing beyond injury. Semin Pediatr Neurol 2013;20(2):65– 74. doi: 10.1016/ j.spen.2013.06.007.

9. Dylevský I. Dětský pohybový systém. Olomouc: Poznání 2012.

10. Gos­selin J, Gahagan S, Amiel-Tison C. The Amiel-Tison neurological as­ses­sment at term: conceptual and methodological continuity in the course of fol­low-up. Ment Retard Dev Disabil Res Rev 2005;11(1):34– 51. doi: 10.1002/ mrdd20049.

11. Als H, Butler S, Kosta S, et al. The As­ses­sment of Preterm Infants‘ Behavior (APIB): further­ing the understand­ing and measurement of neurodevelopmental competence in preterm and ful­l-term infants. Ment Retard Dev Disabil Res Rev 2005;11(1):94– 102. doi: 10.1002/ mrdd.20053.

12. Vojta V, Peters A. Vojtův princip. Praha: Grada Publish­ing 2010.

13. Vlach V. Novorozenec. In: Lesný I, ed. Obecná vývojová neurologie. Praha: Avicenum 1987.

14. Dubowitz L, Dubowitz V, Mercuri E. The neurological as­ses­sment of the preterm a ful­l-term newborn infant. 2nd ed. London: Mac Keith Press 1999.

15. Bal­lard J, Khoury C, Wedig K, et al. New Bal­lard Score, expanded to include extremely premature infants. J Pediatr 1991;119(3):417– 23.

16. Korner A, Brown J, Thom V, et al. The neurobehavioral as­ses­sment of the preterm infant. USA: San Antonio: Child Development Media 2000.

17. Morgan AM, Koch V, Lee V, et al. Neonatal neurobehavioral examination a new instrument for quantitative analysis of neonatal neurological status. Phys Ther 1988;68(9):1352– 8.

18. André-Thomas, Chesni Y, Saint-An­ne D. The neurological examination of the infant. Little Club Clinics in Developmental Medicine. London: Heinemann 1960.

19. Al­len MC, Capute AJ. Tone and reflex development before term. Pediatrics 1990;85:393– 9.

20. Mercuri E, Guzzetta A, Laroche S, et al. Neurologic examination of preterm infants at term age: comparison with term infants. J Pediatr 2003;142(6):647– 55.

21. Ricci D, Romeo DM, Haataja L, et al. Neurological examination of preterm infants at term equivalent age. Early Hum Dev 2008;84(11):751– 61. doi: 10.1016/ j.earlhumdev.2008.05.007.

Labels
Paediatric neurology Neurosurgery Neurology

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Czech and Slovak Neurology and Neurosurgery

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