Neurological examination of healthy term infants at ages 6 and 10 weeks in Tshwane District

South African Journal of Physiotherapy

 
 
Field Value
 
Title Neurological examination of healthy term infants at ages 6 and 10 weeks in Tshwane District
 
Creator Nel, Marna Feucht, Ute Mulol, Helen Eksteen, Carina A.
 
Subject Health Science; Paediatrics; Physiotherapy; Paediatric Neurology; Public Health infants; Hammersmith Neonatal Neurological Examination; neurodevelopment; optimality scores; milestone characteristics; Sustainable Developmental Goals
Description Background: Globally, there is a significant gap in detailed neurodevelopmental data for infants under 3 months, despite 6 weeks being identified a critical milestone for neuro-behavioural development. Normative values and optimal scores for healthy infants at 6 and 10 weeks postnatally are lacking in many settings. In South Africa, the statutory neurodevelopmental assessments at these ages exclude notable characteristics of central nervous system maturation and limit opportunities to collect data of early developmental progress.Objectives: Our study aimed to assess developmental characteristics of healthy term infants aged 6 and 10 weeks using the Hammersmith Neonatal Neurological Examination (HNNE).Method: A prospective longitudinal study was performed on 35 healthy term-born infants from low-risk pregnancies at 6 and 10 weeks’ postnatal age in the Tshwane district. The statuses of infants’ neurodevelopment in six domains were recorded using the HNNE. Optimality scores were derived from the raw scores of 34 items, using the 10th and 5th percentiles as cut-off points.Results: Evidences of neurodevelopmental advancements, particularly in posture, muscle tone and visual behaviour between 6 and 10 weeks were illustrated, and total examination optimality scores of 29.5 in 91% and 31.5 in 94% of infants were recorded at 6 and 10 weeks, respectively.Conclusion: This article provides data on the neurodevelopment characteristics of infants at and between 6- and 10-weeks post term ages.Clinical Implications: The findings support the viewpoint to identify important milestone characteristics during early screening. 
 
Publisher AOSIS
 
Contributor Research Centre for Maternal, Fetal, Newborn and Child Health Care Strategies, University of Pretoria, South Africa Maternal and Infant Health Care Strategies Research Unit, South African Medical Research Unit, Pretoria, South Africa
Date 2024-08-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Prospective longitudinal study
Format text/html application/epub+zip text/xml application/pdf application/pdf
Identifier 10.4102/sajp.v80i1.2072
 
Source South African Journal of Physiotherapy; Vol 80, No 1 (2024); 13 pages 2410-8219 0379-6175
 
Language eng
 
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The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.co.za/index.php/sajp/article/view/2072/3668 https://sajp.co.za/index.php/sajp/article/view/2072/3669 https://sajp.co.za/index.php/sajp/article/view/2072/3670 https://sajp.co.za/index.php/sajp/article/view/2072/3672 https://sajp.co.za/index.php/sajp/article/view/2072/3671
 
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Rights Copyright (c) 2024 Marna Nel, Ute Feucht, Helen Mulol, Carina A. Eksteen https://creativecommons.org/licenses/by/4.0
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