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Effects on Motor Development of Kicking and Stepping Exercise in Preterm Infants with Periventricular Brain Injury: A Pilot Study

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Title: Effects on Motor Development of Kicking and Stepping Exercise in Preterm Infants with Periventricular Brain Injury: A Pilot Study
Author(s): Campbell, Suzann; Gaebler-Spira, Deborah; Zawacki, Laura; Clark, April; Boynewicz, Kara; deRegnier, Raye- Ann; Kuroda, Maxine M.; Bhat, Rama; Yu, Jinsheng; Campise-Luther, Rose; Kale, Dipti
Subject(s): infant motor development preterm infants periventricular brain injury exercise intervention
Abstract: Background: Preterm infants with periventricular brain injury (PBI) have a high incidence of atypical development and leg movements. Objective: Determine whether kicking and treadmill stepping intervention beginning at 2 months corrected age (CA) in children with PBI improves motor function at 12 months CA when compared with control subjects. Method: In a multi-center pilot study for a controlled clinical trial sixteen infants with PBI were randomly assigned to home exercise consisting of kicking and treadmill stepping or a notraining control condition. Development was assessed at 2, 4, 6, 10, and 12 months CA with the Alberta Infant Motor Scale (AIMS). At 12 months children were classified as normal, delayed, or with cerebral palsy (CP). Results: At 12 months CA 3 of 7 (43%) of the exercise group children walked alone or with one hand held versus 1 of 9 (11%) in the control group (p=.262), but no significant differences in AIMS scores were found at any age. Half of the subjects had CP or delay; the outcomes of these infants was not improved by exercise. Compliance with the home program was lower than requested and may have affected results. Conclusion: Although not statistically significant with a small sample size, self-produced kicking and treadmill exercise may lower age at walking in infants with normal development following PBI, but improvements of the protocol to increase and document compliance are needed before a larger study is implemented.
Issue Date: 2012-01
Publisher: IOS Press
Citation Info: Campbell, S. K., Gaebler-Spira, D., Zawacki, L., Clark, A., Boynewicz, K., Deregnier, R. A., Kuroda, M. M., Bhat, R., Yu, J., Campise-Luther, R., Kale, D., Bulanda, M., & Zhou, X. J. 2012. Effects on motor development of kicking and stepping exercise in preterm infants with periventricular brain injury: A pilot study. Journal of Pediatric Rehabilitation Medicine, 5(1): 15-27. DOI: 10.3233/PRM-2011-0185
Type: Article
Description: © 2012 by IOS Press, Journal of Pediatric Rehabilitation Medicine DOI: 10.3233/PRM-2011-0185
ISSN: 1874-5393DOI: 10.3233/PRM-2011-0185
Sponsor: This project was supported by the University of Illinois at Chicago Center for Clinical and Translational Science, Award Number UL1RR029879 from the National Center for Research Resources (NCRR)
Date Available in INDIGO: 2012-06-27

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