Uncoordinated sucking patterns in preterm infants are associated with abnormal general movements

Tjitske Nieuwenhuis, Saakje P. da Costa, Ellen Bilderbeek, Wil B Geven, Cees van der Schans, Arend F Bos

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

OBJECTIVE: To examine the association between sucking patterns and the quality of fidgety movements in preterm infants.

STUDY DESIGN: We studied the sucking patterns and fidgety movements of 44 preterm infants (gestational age <35 weeks) longitudinally from 34 weeks' postmenstrual age up to 14 weeks postterm. We used the Neonatal Oral-Motor Assessment Scale during feeding and scored the sucking patterns as normal or abnormal. Abnormal sucking patterns were categorized into arrhythmic sucking and uncoordinated sucking. At 14 weeks postterm, we scored the quality of fidgety movements from videotapes as normal, abnormal, or absent.

RESULTS: The postmenstrual age at which sucking patterns became normal (median, 48 weeks; range, 34 to >50 weeks) was correlated with the quality of fidgety movements (Spearman ρ = -0.33; P = .035). The percentage per infant of normal and uncoordinated sucking patterns was also correlated with the quality of fidgety movements (ρ = 0.31; P = .048 and ρ = -0.33; P = .032, respectively). Infants with uncoordinated sucking patterns had a higher rate of abnormal fidgety movements (OR, 7.5; 95% CI, 1.4-40; P = .019).

CONCLUSION: The development of sucking patterns in preterm infants was related to the quality of fidgety movements. Uncoordinated sucking patterns were associated with abnormal fidgety movements, indicating that uncoordinated sucking, swallowing, and breathing may represent neurologic dysfunction.

Original languageEnglish
Pages (from-to)792-798
JournalJournal of pediatrics
Volume161
Issue number5
DOIs
Publication statusPublished - Nov 2012

Keywords

  • gestational age
  • infants
  • longitudinal studies
  • motor skills
  • pediatrics
  • sucking behavior

Cite this

Nieuwenhuis, Tjitske ; da Costa, Saakje P. ; Bilderbeek, Ellen ; Geven, Wil B ; van der Schans, Cees ; Bos, Arend F. / Uncoordinated sucking patterns in preterm infants are associated with abnormal general movements. In: Journal of pediatrics. 2012 ; Vol. 161, No. 5. pp. 792-798.
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title = "Uncoordinated sucking patterns in preterm infants are associated with abnormal general movements",
abstract = "OBJECTIVE: To examine the association between sucking patterns and the quality of fidgety movements in preterm infants.STUDY DESIGN: We studied the sucking patterns and fidgety movements of 44 preterm infants (gestational age <35 weeks) longitudinally from 34 weeks' postmenstrual age up to 14 weeks postterm. We used the Neonatal Oral-Motor Assessment Scale during feeding and scored the sucking patterns as normal or abnormal. Abnormal sucking patterns were categorized into arrhythmic sucking and uncoordinated sucking. At 14 weeks postterm, we scored the quality of fidgety movements from videotapes as normal, abnormal, or absent.RESULTS: The postmenstrual age at which sucking patterns became normal (median, 48 weeks; range, 34 to >50 weeks) was correlated with the quality of fidgety movements (Spearman ρ = -0.33; P = .035). The percentage per infant of normal and uncoordinated sucking patterns was also correlated with the quality of fidgety movements (ρ = 0.31; P = .048 and ρ = -0.33; P = .032, respectively). Infants with uncoordinated sucking patterns had a higher rate of abnormal fidgety movements (OR, 7.5; 95{\%} CI, 1.4-40; P = .019).CONCLUSION: The development of sucking patterns in preterm infants was related to the quality of fidgety movements. Uncoordinated sucking patterns were associated with abnormal fidgety movements, indicating that uncoordinated sucking, swallowing, and breathing may represent neurologic dysfunction.",
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language = "English",
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Uncoordinated sucking patterns in preterm infants are associated with abnormal general movements. / Nieuwenhuis, Tjitske; da Costa, Saakje P.; Bilderbeek, Ellen; Geven, Wil B; van der Schans, Cees; Bos, Arend F.

In: Journal of pediatrics, Vol. 161, No. 5, 11.2012, p. 792-798.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Uncoordinated sucking patterns in preterm infants are associated with abnormal general movements

AU - Nieuwenhuis, Tjitske

AU - da Costa, Saakje P.

AU - Bilderbeek, Ellen

AU - Geven, Wil B

AU - van der Schans, Cees

AU - Bos, Arend F

N1 - Copyright © 2012 Mosby, Inc. All rights reserved.

PY - 2012/11

Y1 - 2012/11

N2 - OBJECTIVE: To examine the association between sucking patterns and the quality of fidgety movements in preterm infants.STUDY DESIGN: We studied the sucking patterns and fidgety movements of 44 preterm infants (gestational age <35 weeks) longitudinally from 34 weeks' postmenstrual age up to 14 weeks postterm. We used the Neonatal Oral-Motor Assessment Scale during feeding and scored the sucking patterns as normal or abnormal. Abnormal sucking patterns were categorized into arrhythmic sucking and uncoordinated sucking. At 14 weeks postterm, we scored the quality of fidgety movements from videotapes as normal, abnormal, or absent.RESULTS: The postmenstrual age at which sucking patterns became normal (median, 48 weeks; range, 34 to >50 weeks) was correlated with the quality of fidgety movements (Spearman ρ = -0.33; P = .035). The percentage per infant of normal and uncoordinated sucking patterns was also correlated with the quality of fidgety movements (ρ = 0.31; P = .048 and ρ = -0.33; P = .032, respectively). Infants with uncoordinated sucking patterns had a higher rate of abnormal fidgety movements (OR, 7.5; 95% CI, 1.4-40; P = .019).CONCLUSION: The development of sucking patterns in preterm infants was related to the quality of fidgety movements. Uncoordinated sucking patterns were associated with abnormal fidgety movements, indicating that uncoordinated sucking, swallowing, and breathing may represent neurologic dysfunction.

AB - OBJECTIVE: To examine the association between sucking patterns and the quality of fidgety movements in preterm infants.STUDY DESIGN: We studied the sucking patterns and fidgety movements of 44 preterm infants (gestational age <35 weeks) longitudinally from 34 weeks' postmenstrual age up to 14 weeks postterm. We used the Neonatal Oral-Motor Assessment Scale during feeding and scored the sucking patterns as normal or abnormal. Abnormal sucking patterns were categorized into arrhythmic sucking and uncoordinated sucking. At 14 weeks postterm, we scored the quality of fidgety movements from videotapes as normal, abnormal, or absent.RESULTS: The postmenstrual age at which sucking patterns became normal (median, 48 weeks; range, 34 to >50 weeks) was correlated with the quality of fidgety movements (Spearman ρ = -0.33; P = .035). The percentage per infant of normal and uncoordinated sucking patterns was also correlated with the quality of fidgety movements (ρ = 0.31; P = .048 and ρ = -0.33; P = .032, respectively). Infants with uncoordinated sucking patterns had a higher rate of abnormal fidgety movements (OR, 7.5; 95% CI, 1.4-40; P = .019).CONCLUSION: The development of sucking patterns in preterm infants was related to the quality of fidgety movements. Uncoordinated sucking patterns were associated with abnormal fidgety movements, indicating that uncoordinated sucking, swallowing, and breathing may represent neurologic dysfunction.

KW - gestational age

KW - infants

KW - longitudinal studies

KW - motor skills

KW - pediatrics

KW - sucking behavior

KW - kinderen, prematuur

KW - longitudinale studies

KW - motorische vaardigheden

KW - kindergeneeskunde

KW - zuiggedrag

U2 - 10.1016/j.jpeds.2012.04.032

DO - 10.1016/j.jpeds.2012.04.032

M3 - Article

VL - 161

SP - 792

EP - 798

JO - Journal of pediatrics

JF - Journal of pediatrics

SN - 1097-6833

IS - 5

ER -