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Journal Articles Frontiers in Pediatrics Year : 2023

Stimulating the motor development of very premature infants: effects of early crawling training on a mini-skateboard

Marie-Victorine Dumuids-Vernet
  • Function : Author
Vincent Forma
  • Function : Author
Joëlle Provasi
David Ian Anderson
  • Function : Author
Elodie Hinnekens
  • Function : Author
Evelyne Soyez
  • Function : Author
Mathilde Strassel
  • Function : Author
Léa Guéret
  • Function : Author
Charlotte Hym
  • Function : Author
Viviane Huet
  • Function : Author
Lionel Granjon
  • Function : Author
Lucie Calamy
  • Function : Author
Gilles Dassieu
  • Function : Author
Laurence Boujenah
  • Function : Author
Camille Dollat
  • Function : Author
Valérie Biran
  • Function : Author
Marianne Barbu-Roth
  • Function : Author
  • PersonId : 1115472

Abstract

Aim To examine the effects of an early home-based 8-week crawling intervention performed by trained therapists on the motor and general development of very premature infants during the first year of life. Methods At term-equivalent age, immediately following discharge from the Neonatal Intensive Care Unit (NICU), we randomly allocated 44 premature infants born before 32 weeks' gestation without major brain damage to one of three conditions in our intervention study: crawling on a mini-skateboard, the Crawliskate (Crawli), prone positioning control (Mattress), or standard care (Control). The Crawli and Mattress groups received 5 min daily at-home training administered by trained therapists for 8 consecutive weeks upon discharge from the NICU. The outcomes of greatest interest included gross motor development (Bayley-III) at 2, 6, 9, and 12 months (primary outcome) corrected age (CA), mature crawling at 9 months CA and general development at 9 and 12 months CA [Ages and Stages Questionnaires-3 (ASQ-3)]. The study was registered at www.clinicaltrials.gov ; registration number: NCT05278286. Results A 3 (Condition) × 4 (Age) repeated measures ANOVA revealed that Crawli group infants had significantly higher Bayley-III gross motor development scores than Mattress and Control group infants. Crawli group infants also scored significantly higher on groups of Bayley-III items related to specific motor skills than infants in the other groups, including crawling at 9 months CA. We found significant differences in favor of the Crawli group in separate one-way ANOVAs at each of the ages we examined. A 3 (Condition) × 2 (Age) repeated measures ANOVA revealed that the Crawli group scored significantly higher than the Control group for the ASQ-3 total score and communication score and significantly higher for the fine motor score than the Control and Mattress groups. We found additional significant differences in favor of the Crawli group for other dimensions of the ASQ-3 in separate one-way ANOVAs at 9 and 12 months CA. Interpretation Early crawling training on a Crawliskate provides an effective way to promote motor and general development in very premature infants. The findings also provide clear evidence for a link between newborn crawling and more mature crawling later in development.
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Dates and versions

hal-04133214 , version 1 (19-06-2023)

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Marie-Victorine Dumuids-Vernet, Vincent Forma, Joëlle Provasi, David Ian Anderson, Elodie Hinnekens, et al.. Stimulating the motor development of very premature infants: effects of early crawling training on a mini-skateboard. Frontiers in Pediatrics, 2023, Original research, 11, ⟨10.3389/fped.2023.1198016⟩. ⟨hal-04133214⟩
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