Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional study

Abstract Background Preterm infants have an increased risk of neurodevelopmental delays, with consequences that may persist in later life. Thus, monitoring their development is needed for early detection and targeted intervention. This study aimed to assess the correlation between neurological funct...

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Main Authors: Wendy Gabrielle Franca de Sousa, Ana Luiza Righetto Greco, Maja de Medeiros, Alicia Jane Spittle, Cibelle Kayenne Roberto Formiga
Format: Article
Language:English
Published: BMC 2025-08-01
Series:BMC Pediatrics
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Online Access:https://doi.org/10.1186/s12887-025-05942-9
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author Wendy Gabrielle Franca de Sousa
Ana Luiza Righetto Greco
Maja de Medeiros
Alicia Jane Spittle
Cibelle Kayenne Roberto Formiga
author_facet Wendy Gabrielle Franca de Sousa
Ana Luiza Righetto Greco
Maja de Medeiros
Alicia Jane Spittle
Cibelle Kayenne Roberto Formiga
author_sort Wendy Gabrielle Franca de Sousa
collection DOAJ
description Abstract Background Preterm infants have an increased risk of neurodevelopmental delays, with consequences that may persist in later life. Thus, monitoring their development is needed for early detection and targeted intervention. This study aimed to assess the correlation between neurological function and motor skills in preterm infants from 2 to 6 months of corrected age after hospital discharge in an outpatient follow-up program. Methods This cross-sectional study involved 50 preterm infants with a mean gestational age of 32.0 (± 2.8) weeks and a mean birth weight of 1645.2 (± 576.5) grams. Neurological function and motor development were assessed once between two to six months of corrected age by using the Hammersmith Infant Neurological Examination (HINE) and Alberta Infant Motor Scale (AIMS), respectively. Data on pregnancy, type of delivery, and birth were obtained using interviews with family and medical records. The Spearman correlation coefficient assessed the association between HINE and AIMS scores. Results A significant correlation was found between HINE categories and AIMS subscales: cranial nerve function versus prone (r = 0.55; p < 0.001); posture versus prone (r = 0.69; p < 0.001); posture versus sitting (r = 0.67; p < 0.001); posture versus standing (r = 0.63; p < 0.001); tone versus sitting (r = 0.51; p < 0.001); tone versus standing (r = 0.49; p < 0.001); and total HINE versus total AIMS (r = 0.77; p < 0.001). Conclusions The present study found strong correlation between neurological function and motor skills in preterm infants during the first months of life. Whilst the HINE and AIMS can complete each other, where there are limited resources the HINE may be appropriate to administer as a single assessment.
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spelling doaj-art-b5a96bb41f1e4a7cb0a40a89f7bc07b52025-08-20T03:07:25ZengBMCBMC Pediatrics1471-24312025-08-012511810.1186/s12887-025-05942-9Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional studyWendy Gabrielle Franca de Sousa0Ana Luiza Righetto Greco1Maja de Medeiros2Alicia Jane Spittle3Cibelle Kayenne Roberto Formiga4Department of Physical Therapy, Universidade Estadual de GoiásDepartment of Physical Therapy, Universidade Estadual de GoiásClinics Hospital, Universidade Federal de GoiásDepartment of Physiotherapy, Faculty of Medicine, Dentistry, and Health Sciences, University of MelbourneDepartment of Physical Therapy, Universidade Estadual de GoiásAbstract Background Preterm infants have an increased risk of neurodevelopmental delays, with consequences that may persist in later life. Thus, monitoring their development is needed for early detection and targeted intervention. This study aimed to assess the correlation between neurological function and motor skills in preterm infants from 2 to 6 months of corrected age after hospital discharge in an outpatient follow-up program. Methods This cross-sectional study involved 50 preterm infants with a mean gestational age of 32.0 (± 2.8) weeks and a mean birth weight of 1645.2 (± 576.5) grams. Neurological function and motor development were assessed once between two to six months of corrected age by using the Hammersmith Infant Neurological Examination (HINE) and Alberta Infant Motor Scale (AIMS), respectively. Data on pregnancy, type of delivery, and birth were obtained using interviews with family and medical records. The Spearman correlation coefficient assessed the association between HINE and AIMS scores. Results A significant correlation was found between HINE categories and AIMS subscales: cranial nerve function versus prone (r = 0.55; p < 0.001); posture versus prone (r = 0.69; p < 0.001); posture versus sitting (r = 0.67; p < 0.001); posture versus standing (r = 0.63; p < 0.001); tone versus sitting (r = 0.51; p < 0.001); tone versus standing (r = 0.49; p < 0.001); and total HINE versus total AIMS (r = 0.77; p < 0.001). Conclusions The present study found strong correlation between neurological function and motor skills in preterm infants during the first months of life. Whilst the HINE and AIMS can complete each other, where there are limited resources the HINE may be appropriate to administer as a single assessment.https://doi.org/10.1186/s12887-025-05942-9Neurodevelopmental disorderNeurological assessmentMotor skillsPrematurityPreterm infant
spellingShingle Wendy Gabrielle Franca de Sousa
Ana Luiza Righetto Greco
Maja de Medeiros
Alicia Jane Spittle
Cibelle Kayenne Roberto Formiga
Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional study
BMC Pediatrics
Neurodevelopmental disorder
Neurological assessment
Motor skills
Prematurity
Preterm infant
title Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional study
title_full Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional study
title_fullStr Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional study
title_full_unstemmed Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional study
title_short Relationship between early neurological function and motor skills in Brazilian preterm infants: a cross-sectional study
title_sort relationship between early neurological function and motor skills in brazilian preterm infants a cross sectional study
topic Neurodevelopmental disorder
Neurological assessment
Motor skills
Prematurity
Preterm infant
url https://doi.org/10.1186/s12887-025-05942-9
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