Düşük Doğum Ağırlıklı/Erken Doğmuş Bebeklerin Motor Repertuvarı ile Kranyal Ultrason Değerlendirmesinin Sonuçları Arasındaki Tutarlılık: Kesitsel Bir Çalışma

Öz

Çalışmanın amacı, düşük doğum ağırlıklı ve erken doğmuş bebeklerde Prechtl analizi ve kranyal ultrasonografi sonuçlarının erken uyumunu ve sonuçlarını araştırmaktı. Bu kesitsel retrospektif çalışmada Ocak 2015 ile Haziran 2017 tarihleri arasında erken doğmuş (<37 hafta) ve düşük doğum ağırlıklı (<2500gr) doğan ve takip edilen 64 bebeği inceledik. Hareket kalıplarını belirlemek için Prechtl analizini kullanarak vakaların haftaları boyunca çekilen video görüntülerini analiz ettik. Daha sonra hareket analizi sonuçlarını kranyal ultrasonografi muayene sonuçlarıyla Kappa test istatistiklerini kullanarak karşılaştırarak uyumluluğunu belirledik. Prechtl analizi sonuçlarına göre olguların 57'si (%89,1) 'normal genel hareket', 7'si (%10,9) ise 'anormal genel hareket' olarak değerlendirildi. Bebeklerin 9'unda (%14,1) kraniyal ultrasonografi sonucunda patoloji bulgusu saptanırken, 55 (%85,9) bebekte herhangi bir bulguya rastlanmadı. Genel hareket analiz sonuçları ile kraniyal ultrasonografi sonuçları arasında %85,7 (kappa = 0,857) uyum bulundu. Prematüre ve düşük doğum ağırlıklı riskli bebeklerde genel hareketlerin değerlendirilmesi sonucunda erken rehabilitasyon kararları verilmesi nörogelişimsel bozukluklara bağlı engelliliğin azaltılmasına katkı sağlayabilir.

Anahtar Kelimeler

• Genel hareketler
• Prematüre doğum
• Prechtl analizi

The Consistency Between Motor Repertoire of Low Birth Weight/Preterm Infants and Results of Cranial Ultrasound Evaluation: A Cross-Sectional Study

Öz

The study aimed to investigate the results and early agreement of Prechtl analysis and cranial ultrasonography results in infants. In this cross-sectional retrospective study, we examined 64 babies who were born before 37 weeks gestational age with a birth weight under 2500 grams and were followed up between January 2015 and June 2017. We analyzed video footage taken during the weeks of the cases using Prechtl analysis to determine their movement patterns. We then compared the results of the motion analysis with the cranial ultrasonography examination results using Kappa test statistics to determine their compatibility. With the Prechtl analysis results, 57 (89.1%) of the cases were evaluated as 'normal general movements' and 7 (10.9%) as 'abnormal general movements'. While findings of pathology were detected as a result of cranial ultrasonography in 9 (14.1%) babies, no findings were observed in 55 (85.9%) babies. An 85.7% (kappa = 0.857) agreement was found between general movements results and cranial ultrasonography results. In risky babies with prematurity and low birth weight, early rehabilitation decisions as a result of general movements evaluation may contribute to reducing disability due to neurodevelopmental disorders.

Anahtar Kelimeler

• General movements
• Premature birth
• Prechtl analysis

Kaynakça

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