Evaluation of the Effectiveness of the Application of Physical Rehabilitation Program for Premature Infants with Motor Disorders of Various Genesis According to the INFANIB Testing Scale

Abstract

Purpose: to analyse and evaluate the effectiveness of application of the algorithm of physical rehabilitation of premature infants with different gestation periods based on the results of the INFANIB (Infant Neurological International Battery) scale testing. Materials: The materials of the work were obtained during the research on the basis of the Children's Branch No. 6 of the Clinical and Diagnostic Centre of the Shevchenkivskyi District of the city of Kyiv. At the stage of preliminary studies, it was carefully elaborated and examined a group of the new born preterm infants of the different stage of prematurity with the congenital pathologies of the locomotor apparatus of various etiology (n = 60): I stage. (n = 23), II stage (n = 18), III stage (n= 10), IV stage (n = 9). Results: The motor functions of a preterm baby were assessed by the INFANIB scale testing. The total score in each age period corresponded to three indicators of testing: the norm, the transient impairments and pathology. The INFANIB scale testing to zero months of the corrected gestational age (CGA) showed that 73.9 % of children with the first stage of prematurity in the performance of 14 tests had a pathology and 26.1 % of infants had a transient impairment. Analysis of the total score among children with the second stage of prematurity by zero months of CGA stated that 83.3 % of children had pathology and 16.7 % of infants had a transient impairment. There were no children with the total score within the norm. In children with the third and the fourth stage of prematurity, 100.0 % had pathological changes. Under the influence of the developed program of physical rehabilitation, there were significant changes in the health condition of premature infants of all groups. Thus, in children with the first stage of prematurity, transient impairments were found in 13.0 %; and the norm - in 87.0 %, with the second stage, relatively, in 38.9 % and in 61.1 %; and with the third stage - 40.0 % and 60.0 %. Transient impairments were found in 88.9% of children with the fourth stage of prematurity, the norm – in 11.1 % of infants. There were no infants with the total score lower than 68 points. Conclusions: The testing made it possible to compare the parameters of the motor function changes in the premature baby at different stages with various lesions of the nervous system and concomitant diseases of other organs and systems expressed in motor impairments.