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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 7
First page : ( 1188) Last page : ( 1192)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.01746.7

Neurodevelopmental Screening—A guide for Early Intervention in at-Riskinfants

Meena N.*

Lecturer in Physiotherapy, Department of Physical Medicine & Rehabilitation, RMMCH, Annamalai University, Annamalainagar, Tamilnadu, India

*Corresponding Author: N. Meena, Lecturer in Physiotherapy, Department of Physical Medicine & Rehabilitation, RMMCH, Annamalai University, Annamalainagar, Tamilnadu, India, Email: roshmena@gmail.com

Online published on 19 August, 2019.

Abstract

Background

Survival of at-risk infants increased but has not associated with a similar improvement in neurodevelopmental outcomes. The neurodevelopmental status of at-risk infants is used to indicate the functional integrity of the central nervous system.

Objective

To screen the Neurodevelopment of at-risk infants and identifies infants those who are in need of early intervention would be referred for early intervention.

Method

The study included 50 at-risk infants from the pediatric ward and pediatric well-baby clinic of Rajah Muthiah Medical College and Hospital (RMMCH) and was assessed using the Denver Developmental Screening Test (DDST) and the neurological examination was assessed using AmielTison. The DDST has four categories of domains; namely, gross motor, fine motor adaptive, language and personal social. Each domain was scored. When a child fails to perform the items, the child manifests a significant developmental deviation. The neurodevelopment of the babies have been assessed and the results were obtained. The infants deviated from normal development were intervened and compared to their normal age peer group in their level of achievement in developmental domains using DDST.

Results

From the study 26% of at-risk infants were abnormal and 74% of infants were normal. Among 26% of abnormal at-risk infants, prematurity infants deviate major from normal development when compare to other at-risk infants. A combination of certain at-risk infants among was: low birth weight and prematurity (33.3%); low birth weight, prematurity and respiratory distress syndrome (40%). Low birth weight, prematurity, and respiratory distress syndrome infants deviate major from normal development. The level of achievement in the four developmental domains taken individually shows an increasing trend in the case of intervention infants as the period of intervention increases when compared to normal infants.

Conclusion

The study was valuable in the identification of at-riskinfants prone to neurodevelopmental disabilities and also provides a tool for evaluating early interventional protocols.

 

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Keywords

At-risk infants, Neurodevelopmental assessment, Denver Developmental Screening Test.

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