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New reference values must be established for the Alberta Infant Motor Scales for accurate identification of infants at risk for motor developmental delay in Flanders

Alexandra De Kegel UGent, Wim Peersman UGent, Katleen Onderbeke UGent, Tina Baetens UGent, Ingeborg Dhooge UGent and Hilde Van Waelvelde UGent (2013) CHILD CARE HEALTH AND DEVELOPMENT. 39(2). p.260-267
abstract
Background: The Alberta Infant Motor Scales (AIMS) is a reliable and valid assessment tool to evaluate the motor performance from birth to independent walking. This study aimed to determine whether the Canadian reference values on the AIMS from 1990 - 1992 are still useful tor Flemish infants, assessed in 2007-2010. Additionally, the association between motor performance and sleep and play positioning will be determined. Methods: 270 Flemish infants between 0 and 18 months, recruited by formal day care services, were assessed with the AIMS by 4 trained physiotherapists. Information about sleep and play positioning was collected by mean of a questionnaire. Results: Flemish infants perform significantly lower on the AIMS compared to the reference values (p<0.001). Especially, infants from the age groups of 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 and of 15 months showed significantly lower scores. From the information collected by parental questionnaires, the lower motor scores seems to be related to the sleep position, the amount of play time in prone, in supine and in a sitting device. Infants who are exposed often to frequently to prone while awake showed a significant higher motor performance than infants who are exposed less to prone (<6m: p=0.002; >6m: p=0.013). Infants who are placed often to frequently in a sitting device in the first 6 months of life (p=0.010) and in supine after 6 months (p=0.001) performed significantly lower than those who are placed less in it. Conclusion: Flemish infants recruited by formal day care services, show significantly lower motor scores than the Canadian norm population. New reference values should be established for the AIMS for accurate identification of infants at risk. Prevention of sudden infant death syndrome by promoting supine sleep position should go together with promotion of tummy time when awake and avoiding to spent too much time in sitting devices when awake.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
early assessment, development, motor performance, play, sleep, SLEEP POSITION, PRETERM INFANTS, RELIABILITY, VALIDITY, ACHIEVEMENT, NEED
journal title
CHILD CARE HEALTH AND DEVELOPMENT
Child Care Health Dev.
volume
39
issue
2
pages
260 - 267
Web of Science type
Article
Web of Science id
000314127800014
JCR category
PEDIATRICS
JCR impact factor
1.832 (2013)
JCR rank
44/118 (2013)
JCR quartile
2 (2013)
ISSN
0305-1862
DOI
10.1111/j.1365-2214.2012.01384.x
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2122870
handle
http://hdl.handle.net/1854/LU-2122870
date created
2012-05-30 17:16:05
date last changed
2013-07-10 16:32:26
@article{2122870,
  abstract     = {Background: The Alberta Infant Motor Scales (AIMS) is a reliable and valid assessment tool to evaluate the motor performance from birth to independent walking. This study aimed to determine whether the Canadian reference values on the AIMS from 1990 - 1992 are still useful tor Flemish infants, assessed in 2007-2010. Additionally, the association between motor performance and sleep and play positioning will be determined.  
Methods: 270 Flemish infants between 0 and 18 months, recruited by formal day care services, were assessed with the AIMS by 4 trained physiotherapists. Information about sleep and play positioning was collected by mean of a questionnaire. 
Results: Flemish infants perform significantly lower on the AIMS compared to the reference values (p{\textlangle}0.001). Especially, infants from the age groups of 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 and of 15 months showed significantly lower scores. From the information collected by parental questionnaires, the lower motor scores seems to be related to the sleep position, the amount of play time in prone, in supine and in a sitting device. Infants who are exposed often to frequently to prone while awake showed a significant higher motor performance than infants who are exposed less to prone ({\textlangle}6m: p=0.002; {\textrangle}6m: p=0.013). Infants who are placed often to frequently in a sitting device in the first 6 months of life (p=0.010) and in supine after 6 months (p=0.001) performed significantly lower than those who are placed less in it.  
Conclusion: Flemish infants recruited by formal day care services, show significantly lower motor scores than the Canadian norm population. New reference values should be established for the AIMS for accurate identification of infants at risk. Prevention of sudden infant death syndrome by promoting supine sleep position should go together with promotion of tummy time when awake and avoiding to spent too much time in sitting devices when awake.},
  author       = {De Kegel, Alexandra and Peersman, Wim and Onderbeke, Katleen and Baetens, Tina and Dhooge, Ingeborg and Van Waelvelde, Hilde},
  issn         = {0305-1862},
  journal      = {CHILD CARE HEALTH AND DEVELOPMENT},
  keyword      = {early assessment,development,motor performance,play,sleep,SLEEP POSITION,PRETERM INFANTS,RELIABILITY,VALIDITY,ACHIEVEMENT,NEED},
  language     = {eng},
  number       = {2},
  pages        = {260--267},
  title        = {New reference values must be established for the Alberta Infant Motor Scales for accurate identification of infants at risk for motor developmental delay in Flanders},
  url          = {http://dx.doi.org/10.1111/j.1365-2214.2012.01384.x},
  volume       = {39},
  year         = {2013},
}

Chicago
De Kegel, Alexandra, Wim Peersman, Katleen Onderbeke, Tina Baetens, Ingeborg Dhooge, and Hilde Van Waelvelde. 2013. “New Reference Values Must Be Established for the Alberta Infant Motor Scales for Accurate Identification of Infants at Risk for Motor Developmental Delay in Flanders.” Child Care Health and Development 39 (2): 260–267.
APA
De Kegel, A., Peersman, W., Onderbeke, K., Baetens, T., Dhooge, I., & Van Waelvelde, H. (2013). New reference values must be established for the Alberta Infant Motor Scales for accurate identification of infants at risk for motor developmental delay in Flanders. CHILD CARE HEALTH AND DEVELOPMENT, 39(2), 260–267.
Vancouver
1.
De Kegel A, Peersman W, Onderbeke K, Baetens T, Dhooge I, Van Waelvelde H. New reference values must be established for the Alberta Infant Motor Scales for accurate identification of infants at risk for motor developmental delay in Flanders. CHILD CARE HEALTH AND DEVELOPMENT. 2013;39(2):260–7.
MLA
De Kegel, Alexandra, Wim Peersman, Katleen Onderbeke, et al. “New Reference Values Must Be Established for the Alberta Infant Motor Scales for Accurate Identification of Infants at Risk for Motor Developmental Delay in Flanders.” CHILD CARE HEALTH AND DEVELOPMENT 39.2 (2013): 260–267. Print.