Head Lag in Infancy: What Is It Telling Us?
| Autor: | Cynthia E. Rogers, Claudia Hilton, Lauren C. Reynolds, Kristin Seefeldt, Roberta Pineda, Terrie E. Inder |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Pediatrics Neonatal intensive care unit Head (linguistics) Lag Developmental Disabilities Posture Endotracheal intubation Sepsis Child Development Occupational Therapy medicine Humans Children and Youth Longitudinal Studies Muscle Strength Prospective Studies Prospective cohort study Muscle Skeletal Neurologic Examination business.industry Postmenstrual Age Infant medicine.disease Surgery Gestation Female sense organs business Head Infant Premature |
| Popis: | OBJECTIVE. To investigate changes in head lag across postmenstrual age and define associations between head lag and (1) perinatal exposures and (2) neurodevelopment.METHOD. Sixty-four infants born ≤30 wk gestation had head lag assessed before and at term-equivalent age. Neurobehavior was assessed at term age. At 2 yr, neurodevelopmental testing was conducted.RESULTS. Head lag decreased with advancing postmenstrual age, but 58% (n = 37) of infants continued to demonstrate head lag at term. Head lag was associated with longer stay in the neonatal intensive care unit (p = .009), inotrope use (p = .04), sepsis (p = .02), longer endotracheal intubation (p = .01), and cerebral injury (p = .006). Head lag was related to alterations in early neurobehavior (p < .03), but no associations with neurodevelopment were found at 2 yr.CONCLUSION. Head lag was related to medical factors and early neurobehavior, but it may not be a good predictor of outcome when used in isolation. |
| Databáze: | OpenAIRE |
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