Kistik Fibrozisli Bebeklerde Fidgety Hareketlerin Analizi

Abstract

General Movements (GMs) occur as fidgety movements (FMs) between postterm 9 and 20 weeks. It may indicate some neurodevelopmental problems when FMs are absent or abnormal at the required periods. The aim of this study was to evaluate FMs and motor repertoire in infants with cystic fibrosis (CF). Eighteen infants with CF and twenty healthy infants with the age of postterm 3-5 months old were included in the study. Demographic and clinical data of infants were recorded. 5-min videos of infants were recorded to analyze FMs and motor repertoire. FMs were analyzed with observational GMs assessment based on Prechtl method and motor optimality score (MOS) was obtained for each infant. This study was recorded in the Clinical Trials database with NCT03381157 registration number. There were significant differences between CF and healthy infants’ total MOS and it’s FMs subcategory (p<0.05). There was a significant negative correlation between the duration of hospitalization and total MOS in infants with CF (r=-0.378, p=0.036). There was also a significant positive correlation between vitamin A level and total MOS in infants with CF (r=0.665, p=0.026). Based on our results; problems such as increased hospitalization rate, recurrent infections, respiratory and digestive system effects may adversely affect motor repertoire in infants with CF. Therefore, it is recommended that infants with CF should be supported in early developmental physiotherapy in addition to the pulmonary rehabilitation within the rehabilitation programmes.