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Long term effects of preterm births: associations between upper-limb kinematics, brain volumes and cognitive functions
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Social Sciences, Department of Psychology.
Umeå University, Faculty of Medicine, Umeå Centre for Functional Brain Imaging (UFBI). Umeå University, Faculty of Medicine, Department of Radiation Sciences.
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2014 (English)In: Congress Programme. 1st Clinical Movement Analysis Word Conference, 2014, 310-310 p.Conference paper, Oral presentation with published abstract (Refereed)
Abstract [en]

INTRODUCTION and AIM

Studies of long-term outcomes linked to a preterm birth have generally found increasing amount of neurodevelopmental and cognitive disabilities and delays. Still, few have addressed the upper-limb performance by means of kinematic outcomes in associations with cognitive functions and brain volumes. Thus, the main aim of this study was to investigate such possible relationships within school age preterm born children and in relation to their gestational age (GA) at birth.

PATIENTS/MATERIALS and METHODS

The present study is part of a longitudinal, ongoing multidisciplinary project with the goal to discover possible long-term effects of a preterm birth. In this sub-study 7-9-years-old children born preterm (PT) without early sign of neuropathology (N= 24, Mean GW=32, range 22-35) in comparison to age matched term born children (N=31) was included. Kinematics was measured by ProReflex, 3D-registration during task specific, bi- and uni-manual upper-limb movement performance. Additionally, functional brain volumes were investigated by 3-Tesla (T) magnetic resonance imaging (MRI) and cognitive functions by the Wechsler Intelligence Scale for Children, 4th edition (WISC-IV).

RESULTS

Our preliminary results show significant poorer upper-limb kinematics with more segmented and longer movement paths in the PT-born children in comparison to the term born, this was particular evident for thus children born very- and extremely PT (<32 GA). In agreement with this finding, a decreased total brain volume and regional gray matter reduction were significantly correlated with more segmented arm and head movement trajectories, and with poorer general IQ outcomes, as well as with lower gestational ages.

DISCUSSION and CONCLUSIONS

The findings from the present study show that a preterm birth, and especially a very- and extremely preterm birth, may cause long-term effects on the development of neurophysiology mechanism involved in the goal-directed upper-limb movements. Additionally, it shows that the development of the neuro-motor mechanisms also are associated with both cognitive functions and the general brain development. Thus, indicating that a very preterm birth seemingly still give neuro-developmental related problems when at school age.

Place, publisher, year, edition, pages
2014. 310-310 p.
National Category
Psychology Pediatrics Radiology, Nuclear Medicine and Medical Imaging
Research subject
Psychology
Identifiers
URN: urn:nbn:se:umu:diva-95205OAI: oai:DiVA.org:umu-95205DiVA: diva2:757925
Conference
1st Clinical Movement Analysis Word Conference Rome, Italy, 29th September - 4th Octorber 2014
Funder
Swedish Research Council, 2011-179
Available from: 2014-10-23 Created: 2014-10-23 Last updated: 2015-07-01

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Rönnqvist, LouiseDomellöf, ErikJohansson, Anna-MariaRiklund, Katrine

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Rönnqvist, LouiseDomellöf, ErikJohansson, Anna-MariaRiklund, KatrineLindqvist, ThomasBirgander, Richard
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Department of PsychologyUmeå Centre for Functional Brain Imaging (UFBI)Department of Radiation SciencesDiagnostic Radiology
PsychologyPediatricsRadiology, Nuclear Medicine and Medical Imaging

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