Analysis of motor activity of premature newborns

Анализ двигательной активности у недоношенных новорожденных
Tamara Chuvakova 1, Gulnar Tortaуeva 1, Elena Sagandykova 1
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1 Department of neonatology, National research center for maternal and child health of the corporate fund «UMC», Astana, Kazakhstan
J CLIN MED KAZ, Volume 3, Issue 45 special issue, pp. 39-43. https://doi.org/10.23950/1812-2892-JCMK-00513
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ABSTRACT

Objective: The article studies the clinical features of the motor system of premature newborns, a possible prognosis for development has been determined and the program of non-drug rehabilitation of children born with a burdened perinatal anamnesis has been optimized.
Methods. Observation of the movements of the child was carried out with the help of a video camera, which was installed over an incubator or crib. Video recording of the child's movements was carried out in a state of calm wakefulness, in the absence of external stimulant. Recording was interrupted for the period of feeding, sleeping, crying. For shooting and assessing the movements of a prematurely born baby, a video recording session of 30-40 minutes is required.
Results. Based on the results of the survey of 129 premature infants in the department of neonatology of the NNCMD, it was found that in children with a gestational age of 29-34 weeks, the poor repertoire is the most frequent - 41.4%. Normal generalized movements and the norm option - non-optimal movements occur 22.7% and 23.5% respectively, convulsively-synchronized and chaotic movements - in 12.9%. In the case of repeated studies, transitions from normal generalized movements to poor repertoire occurred in 3.2% of children, from poor repertoire to normal generalized movements in 7.4%, from spasmodically synchronized to poor repertoire - in 1.6% of convulsive- synchronized into normal generalized movements - in 1.9%. At the age of 3-5 months of life, all children with poor repertoire formed normal type of movements, and of 40 children with convulsively synchronized and chaotic movements, in 5 (1.6%) tetra paresis was diagnosed, which does not exclude the subsequent realization in these children Cerebral palsy.
Conclusions. The clinical features of the motor system of premature newborns study determined a possible developmental prognosis, which facilitated an optimized program of non-drug rehabilitation of children born with a burdened perinatal anamnesis. A clinical evaluation of premature babies on the basis of the results of developing care showed that in PKV 33 weeks, 70% of the children who were on probing, on average, after 6 days switched to feeding with a cup and 40% of children already fed from a cup – 5-6 day began to suck the mother's breast. All children had a stable weight gain. 80% of children had a deeper and more restful sleep. When carrying out painful manipulations, all children had a lower pain threshold. Stabilization of behavior was observed. At 35 weeks of PKV, 70% of the children switched from breastfeeding to feeding, the rest of the children were breastfeeding. All the children were transferred to nursing in a crib. All infants had a positive emotional tone. Against basal stimulation, visual concentration improved. Tactile stimulation of the palms and palms allowed to form a correct thumb installation in the cam and improved their psychomotor development.

CITATION

Chuvakova T, Tortaуeva G, Sagandykova E. Analysis of motor activity of premature newborns. Journal of Clinical Medicine of Kazakhstan. 2017;3(45 special issue):39-43. https://doi.org/10.23950/1812-2892-JCMK-00513

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