Assessment of motor development in children with postural asymmetry and the application of neurodevelopmental-based improvement methods
, 1, 2, 3, 1
Abstract
Background: Postural asymmetry (PA) may occur in infancy and is a diagnosis with a wide range of signs.
Material and methods: The motor development of fifty PA children aged 0–18 months was investigated based on the use of the Alberta Infant Motor Scale (AIMS). Additional assessment was made to determine the head shape and sternocleidomastoid muscle (SCM) tone. The children underwent physiotherapy using neurodevelopmental-based improvement methods.
Conclusions: This study aimed to examine the relationship between PA and motor development in children and between the effects of therapy and the time of initiation and duration of rehabilitation. Postural asymmetry affects the course of a child’s motor development. Therefore, early detection of developmental delays in a child is important, especially in terms of enabling early intervention and undertaking therapeutic measures.
Keywords: postural asymmetrytorticollisneurodevelopmental therapysternocleidomastoid muscle
References
- van Vlimmeren LA, Helders PJM, van Adrichem LNA, et al. Diagnostic strategies for the evaluation of asymmetry in infancy-a review. Eur J Pediatr. 2004; 163(4-5): 185–191.
- Michalska A, Szczukocki M, Szwilling Z, et al. Diagnostyka różnicowa asymetrii niemowląt. Developmental Period Medicine. 2016; XX(4): 335–341.
- Nuysink J, van Haastert IC, Takken T, et al. Symptomatic asymmetry in the first six months of life: differential diagnosis. Eur J Pediatr. 2008; 167(6): 613–619.
- Boere-Boonekamp MM, van der Linden-Kuiper LT LT. Positional preference: prevalence in infants and follow-up after two years. Pediatrics. 2001; 107(2): 339–343.
- Bialocerkowski AE, Vladusic SL, Wei Ng C. Prevalence, risk factors, and natural history of positional plagiocephaly: a systematic review. Dev Med Child Neurol. 2008; 50(8): 577–586.
- van Vlimmeren LA, Helders PJM, van Adrichem LNA, et al. Torticollis and plagiocephaly in infancy: therapeutic strategies. Pediatr Rehabil. 2006; 9(1): 40–46.
- Philippi H, Faldum A, Jung T, et al. Patterns of postural asymmetry in infants: a standardized video-based analysis. Eur J Pediatr. 2006; 165(3): 158–164.
- van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, et al. Risk factors for deformational plagiocephaly at birth and at 7 weeks of age: a prospective cohort study. Pediatrics. 2007; 119(2): e408–e418.
- Michalska A, Szmurto M, Pogorzelska J, et al. Wrodzony kręcz szyi - przegląd metod leczniczych. Child Neurology. 2017; 26(52): 69–74.
- Szymańska K. Ocena neurologiczna dzieci urodzonych przedwcześnie w wieku biologicznym 40 tygodni. Część I. Badanie postawy oraz napięcia mięśniowego czynnego i biernego. Neurol Dziec. 2000; 9(17): 25–48.
- Olszewska A, Hagner W. Asymetria ułożenia głowy u niemowląt - wpływ na globalny rozwój ruchowy. Przegląd Pediatryczny. 2009; 39(2): 122–125.
- Bly L. Motor skills acquisition in the first year. Therapy Skill Builders, San Antonio TX 1994.
- Collett BR, Starr JR, Kartin D, et al. Development in toddlers with and without deformational plagiocephaly. Arch Pediatr Adolesc Med. 2011; 165(7): 653–658.
- Kaplan SL, Coulter C, Sargent B. Physical therapy management of congenital muscular torticollis: a 2018 evidence-based clinical practice guideline from the APTA academy of pediatric physical therapy. Pediatr Phys Ther. 2018; 30(4): 240–290.
- Jaroń AM, Werner B. Analiza postępowania leczniczego dziecka z kręczem szyi pochodzenia mięśniowego. Nowa Pediatria. 2013(3): 124–127.
- Matyja M, Czupryna K, Kokosz M, et al. Analiza efektów usprawniania niemowląt z kręczem szyi w oparciu o oryginalną kartę badań. Fizjoterapia Polska. 2001(4): 354–360.
- Ohman A, Nilsson S, Lagerkvist AL, et al. Are infants with torticollis at risk of a delay in early motor milestones compared with a control group of healthy infants? Dev Med Child Neurol. 2009; 51(7): 545–550.
- Schertz M, Zuk L, Zin S, et al. Motor and cognitive development at one-year follow-up in infants with torticollis. Early Hum Dev. 2008; 84(1): 9–14.
