Arq Neuropsiquiat r 2004;62(4) 1115
There is no consensus w het her t he neuromot or
development in pret erm inf ant s w it h low risk f or
neu-rological sequelae is similar, delayed or accelerat ed,
w hen compared w it h t erm inf ant s.
The purposes of t his survey are: t o st udy t he gross
mot or development (GM D) in pret erm inf ant s (PT),
w it h low -risk f or neurological problems during t he
f irst six mont hs of correct ed age, using t he scores and
t he analysis of 4 post ures (prone, supine, sit t ing,
st anding) f rom t he assessment t ool of t he Albert a
Inf ant M ot or Scale (AIM S), according t o
chronolog-ical and correct ed age f or t he degree of premat
uri-t y; and uri-t o verif y uri-t he need of eiuri-t her correcuri-t ing or nouri-t
t he chronological age in PT, during t his period.
This observat ional and cohort st udy assessed 43
PT born in t he Nursery Annexed t o t he M at ernit y, in
Cl i n i cs Ho sp i t al M ed i ci n e Sch o o l o f São Pau l o
Universit y, mont hly, f rom t heir f irst ret urn af t er
hos-pit al discharge t o 6 mont hs of correct ed age, t hrough
video-t aped assessment s of t he 4 post ures, during t he
maximum period of 50 minut es. The result s of mean
scores, considering correct ed and chronological age
w ere comparat ively analyzed w it h AIM S, by adjust
-ing non-linear regression models and by calculat -ing
the 95% confidence interval (CI) in each period. If there
is no overlapping of CI, t he level of signif icance w as
considered st at ist ically signif icant (p=0.05).
The result s suggest t hat by using t he
chronolog-ical age w it h PT, regardless of t he degree of
prema-t uriprema-t y, prema-t heir GM D is considered prema-t o be delayed in
com-parison with AIMS. However, by correcting the
chrono-logical age, t he GM D has become equivalent t o AIM S.
The great er is t he degree of premat urit y, t he more
under-est imat ed is t he chronological-aged scores. The
prone w as t he post ure w hich more it ems had been
delayed in comparison w it h AIM S; t he st anding, more
advanced it ems; and supine and sit t ing, w it h more
variability, as far as the period of acquisition compared
w it h AIM S is concerned.
Concluding, t he result s suggest t hat , even t hough
the pre-terms’ GMD is not delayed in comparisons with
t he t erm inf ant s’, w hen t he correct ed age is
consid-ered, t heir development has show n a dist inct t
empo-ral, mot or and st rat egical variabilit y f rom t he t erm
inf ant s’.
KEY WORDS: new born, premat ure inf ant , mot or
act ivit y, cohort st udy.
THE M OTOR DEVELOPM ENT IN PRETERM INFANTS DURING THE FIRST SIX M ONTHS OF CORRECTED
AGE ACCORDING TO ALBERTA INFANT M OTOR SCALE: A COHORT STUDY (ABSTRACT)* .
DISSER-TATION. SÃO PAULO, 2004.
ANA PAULA RESTIFFE* *
* O desenvolviment o mot or dos recém-nascidos pré-t ermos nos primeiros seis meses de idade corrigida segundo Albert a Inf ant M ot or Scale: um est udo de coort e (Resumo). Dissert ação de M est rado, Universidade de São Paulo. Orient ador: José Luiz Dias Gherpelli.
* * Address: Rua Lourenço de Almeida 772 / 51, 04508-001 São Paulo SP, Brasil. E-mail: aprest if f [email protected]
* Est udo do uso de membrana biológica em rat os na prevenção de f ibrose após laminect omia (Resumo). Tese de Dout orado, Universidade Federal de São Paulo – Escola Paulist a de M edicina (Área Neurocirurgia). Orient ador: Osw aldo Inácio de Tella Jr. Co-orient adores: M irt o Nelso Prandini; M aria Teresa de Seixas Alves.
* * Address: Rua Escolást ica de Toledo Pont e 51 Jardim M aria Luiza, 13209-290 Jundiaí SP, Brasil.
