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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

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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.
Keywords
development, early assessment, motor performance, play, sleep, SLEEP POSITION, PRETERM INFANTS, RELIABILITY, VALIDITY, ACHIEVEMENT, NEED

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Citation

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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.
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.
Chicago author-date
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.
Chicago author-date (all authors)
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.
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.
IEEE
[1]
A. De Kegel, W. Peersman, K. Onderbeke, T. Baetens, I. Dhooge, and H. Van Waelvelde, “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, vol. 39, no. 2, pp. 260–267, 2013.
@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<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.}},
  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}},
  keywords     = {{development,early assessment,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}},
}

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