Ankle Movements During Supine Kicking in Infants Born Preterm

作者：Grant Beuttler Marybeth^*; Heriza Carolyn B; Palisano Robert J; Wagner Barbara Reddien; Miller Debra P; Karduna Andrew

来源：Pediatric Physical Therapy, 2016, 28(3): 294-302.

DOI：10.1097/PEP.0000000000000252

• humans
• infants
• kinematics
• motor control
• motor development
• preterm infants
• systems theory

Background: Knowledge of musculoskeletal factors that influence supine kicking of infants born preterm has implications for early intervention. Hypotheses: Differences exist between infants born preterm and full-term in ankle kinematics during supine kicking, which are attributable to passive measures of the gastrocnemius/soleus (g/s) muscle tendon unit (MTU). Subjects: Twenty infants born full-term and 22 born preterm were measured at term, 6 weeks, and 12 weeks of age. Outcome Measures: Ankle kinematics during supine kicking and g/s MTU length. Results: Infants born preterm demonstrated less dorsiflexion, more plantar flexion, and more total ankle range during supine kicking. Gestational age explained 69% to 85% of the variability in MTU length from term to 12 weeks of age. MTU lengths explained 0% to 42% of the variance in ankle kinematics. Conclusions: Passive measures of the g/s MTU may inform clinicians about ankle kinematics in newborns to 12-week infants during supine kicking.

• 出版日期2016