[article] 
inAmerican Journal of Occupational Therapy > Vol. 70/1 (janvier-février 2016)

Titre :	Head Lag in Infancy : What Is It Telling Us?
Type de document :	texte imprimé
Auteurs :	Roberta Pineda ; Lauren C. REYNOLDS ; Kristin SEEFELDT ; et al.
Année de publication :	2016
Langues :	Anglais (eng)
Mots-clés :	Ergothérapie  Prématurité  Tête  Neurologie
Résumé :	OBJECTIVE. To investigate changes in head lag across postmenstrual age and define associations between head lag and (1) perinatal exposures and (2) neurodevelopment. METHOD. Sixty-four infants born ≤30 wk gestation had head lag assessed before and at term-equivalent age. Neurobehavior was assessed at term age. At 2 yr, neurodevelopmental testing was conducted. RESULTS. Head lag decreased with advancing postmenstrual age, but 58% (n = 37) of infants continued to demonstrate head lag at term. Head lag was associated with longer stay in the neonatal intensive care unit (p = .009), inotrope use (p = .04), sepsis (p = .02), longer endotracheal intubation (p = .01), and cerebral injury (p = .006). Head lag was related to alterations in early neurobehavior (p < .03), but no associations with neurodevelopment were found at 2 yr. CONCLUSION. Head lag was related to medical factors and early neurobehavior, but it may not be a good predictor of outcome when used in isolation.
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[article] Head Lag in Infancy : What Is It Telling Us? [texte imprimé] / Roberta Pineda ; Lauren C. REYNOLDS ; Kristin SEEFELDT ; et al. . - 2016.
Langues : Anglais (eng)
in American Journal of Occupational Therapy > Vol. 70/1 (janvier-février 2016)

Mots-clés :	Ergothérapie  Prématurité  Tête  Neurologie
Résumé :	OBJECTIVE. To investigate changes in head lag across postmenstrual age and define associations between head lag and (1) perinatal exposures and (2) neurodevelopment. METHOD. Sixty-four infants born ≤30 wk gestation had head lag assessed before and at term-equivalent age. Neurobehavior was assessed at term age. At 2 yr, neurodevelopmental testing was conducted. RESULTS. Head lag decreased with advancing postmenstrual age, but 58% (n = 37) of infants continued to demonstrate head lag at term. Head lag was associated with longer stay in the neonatal intensive care unit (p = .009), inotrope use (p = .04), sepsis (p = .02), longer endotracheal intubation (p = .01), and cerebral injury (p = .006). Head lag was related to alterations in early neurobehavior (p < .03), but no associations with neurodevelopment were found at 2 yr. CONCLUSION. Head lag was related to medical factors and early neurobehavior, but it may not be a good predictor of outcome when used in isolation.
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