Implementation of the adapted Grifits scale in the Ukrainian pediatric area

Authors

DOI:

https://doi.org/10.15574/PP.2022.89.17

Keywords:

early age children, psychomotor development of preschool children, somatoform disorder, follow-up

Abstract

Despite of the lot of development assessment tools during last three decades long-term adverse effects of premature infants and techniques determining the extent of violations, no study has provided a comprehensive overview of these tools, as well as their strengths and weaknesses.

In the structure of long-term adverse effects of premature birth remains a high frequency of neurological disorders that require further improvement of diagnostic methods and timely correction to improve the prognosis of further development.

Purpose - to improve the long-term effects of preterm birth by using an adapted Griffiths scale in preschool children.Materials and methods. An assessment of the psychomotor development of 105 preschool children was estimated. Assessment of psychomotor development was performed using an adapted Griffiths scale and a well-known method. During the study, this category of children was under the supervision of follow-up doctors to systematically assess their health. Dynamic examination was performed during the first year of life once every 3 months, from the second to the sixth year of life - according to the individual rehabilitation plan. Patients (n=105) were divided into 3 groups depending on the severity of disabling pathology.

Results. According to the results of the survey, it can be reveal that more than 70% of respondents had the equivalent of delayed psychomotor development of various patterns. Тhe analysis of the assessment of psychomotor development showed that the structure of the causes of delayed psychomotor development in preschool children has the same trend for different methods of examination, however, the Griffiths Adapted Assessment demonstrates more accurate patient-specific outcomes, allows for the rapid detection of long-term adverse effects of preterm birth, recommendations for infants and families to develop an individual rehabilitation and habilitation program, and examinations in dynamics.

Conclusions. It has been established that the adapted Griffiths psychomotor development scale is a valid diagnostic tool in the cohort of preschool children in order to determine psychomotor development indicators, calculate the child's intellectual coefficient and form an individual patient profile.The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local ethics committee of the participating institution. The informed consent of the patient was obtained for conducting the studies.No conflict of interests was declared by the authors.

References

Arkhipova MY, Zakharova Syu. (2016). Assessment of the state of health of premature infants. Russian Journal of Perinatology and Pediatrics. 61 (1): 32-36. https://doi.org/10.21508/1027-4065-2016-61-1-32-36

Avilov OV, Kosymov EA, Vanin EYu, Ribakova OV. (2017). Risk factors for disability in children born with extremely low and very low body weight. Pulse Medical and Pharmaceutical Journal. 19 (12): 63-67. https://doi.org/10.26787/nydha-2226-7425-2017-19-12-63-67

Chawanpaiboon S, Vogel JP, Moller AB, Lumbiganon P, Petzold M, Hogan D et al. (2019). Global, regional, and national estimates of levels of preterm birth in 2014: a systematic review and modelling analysis. Lancet Glob Heal. 7: e37-46. https://doi.org/10.1016/S2214-109X(18)30451-0

Cheong J, Anderson P, Burnett A. (2017). Changing neurodevelopment at 8 years of children born extremely preterm since the early 1990's. Pediatrics. 139: 6. https://doi.org/10.1542/peds.2016-4086; PMid:28814550

Cheong J, Burnett AC, Treyvaud K, Spittle AJ. (2020). Early environment and long-term outcomes of preterm infants. Journal of neural transmission (Vienna, Austria: 1996). 127 (1): 1-8. https://doi.org/10.1007/s00702-019-02121-w; PMid:31863172

Dobryanskyy DO, Menshykova AO, Borysuk OP. (2019). Longterm outcomes of bronchopulmonary dysplasia in preterm infants. Modern pediatrics. Ukraine. 4 (100): 43-52. https://doi.org/10.15574/SP.2019.100.43

Gasyuk NI (2015). Assessment of psychomotor development of premature infants in the first year of life. Current issues of modern medicine: Bulletin of the Ukrainian Medical Dental Academy. 15: 51.

Griffiths A, Morgan P, Anderson PJ, Doyle LW, Lee KJ, Spittle AJ. (2017). Predictive value of the Movement Assessment Battery for Children - Second Edition at 4 years, for motor impairment at 8 years in children born preterm. Developmental medicine and child neurology. 59 (5): 490-496. https://doi.org/10.1111/dmcn.13367; PMid:28066897

Griffiths A, Toovey R, Morgan PE, Spittle AJ. (2018). Psychometric properties of gross motor assessment tools for children: a systematic review. BMJ. 8 (10): e021734. https://doi.org/10.1136/bmjopen-2018-021734; PMid:30368446 PMCid:PMC6224743

MOZ Ukrainy. (2008). Pro zatverdzhennia Klinichnoho protokolu medychnoho dohliadu za zdorovoiu dytynoiu vikom do 3 rokiv. Nakaz vid 20.03.2008 r. No. 149. URL: https://zakon.rada.gov.ua/rada/file/v0149282-08.

Pokhyl'ko VI, Traverse HM, Tsvirenko SM, Zhuk LA, Oskomenko MM. (2016). Peredchasno narodzheni dity: suchasnyy pohlyad na postnatal'nu adaptatsiyu ta stan zdorov'ya u rann'omu vitsi. Visnyk problem biolohiyi ta medytsyny. 2 (1): 22-27.

Riga OO, Gordienko IV, Marabyan RV, Khotsenko GO, Bezrukova YuO. (2015). Health status and features of referral of premature babies to rehabilitation programs during the first three years of life. Sovremennaya pediatriya. 4 (68): 33-36. https://doi.org/10.15574/SP.2015.68.33

Riga О, Zbrozhik Е. (2014). The open issues of follow-up of risk group neonates. Neonatology, surgery and perinatal medicine. 4; 3 (13): 55-60. https://doi.org/10.24061/2413-4260.IV.3.13.2014.10

Volyanyuk EV, Safina AI, Khuzieva GM, Potapova MV, Sharipova OV. (2016). Subsequent observation of premature infants in the city follow-up center of Kazan. Practical Medicine. 8: 100.

Yablon OS, Bondarenko TV, Savrun TI, Bykovskaya OA, Moravskaya OA et al. (2018). Experience of the follow-up observation center in Vinnytsia region. Neonatology, surgery and perinatal medicine. 8 (4): 5-9. https://doi.org/10.24061/2413-4260.VIII.4.30.2018.1

Yablon OS, Savrun TI, Nazarchuk NM, Serheta DP, Kholod LP, Dzema IO. (2020). Features of the neonatal period in premature infants with the birth weight less than 1500 g, depending on the placental changes. Neonatology, surgery and perinatal medicine. 10; 2 (36): 37-44. https://doi.org/10.24061/2413-4260.X.2.36.2020.4

Znamenska TK, Vorobiova OV, Dubinina TYu. (2017). Strategic directions for reconstruction of the health system newborns and children of Ukraine. Neonatology, surgery and perinatal medicine. 7 (4): 26. https://doi.org/10.24061/2413-4260.VII.4.26.2017.1

Znamenskaya TK, Nikulina LI, Rudenko NG, Vorobyova OV. (2017). Analysis of the work of perinatal centers in the care of premature babies in Ukraine. neonatology, surgery and perinatal medicine. 7 (2): 5-11. https://doi.org/10.24061/2413-4260.VII.2.24.2017.1

Published

2022-03-29