Postural Complexity Influences Development in Infants Born Preterm With Brain Injury: Relating Perception-Action Theory to 3 Cases.

Background and Purpose. Perception-action theory suggests a cyclical relationship between movement and perceptual information. In this case series, changes in postural complexity were used to quantify an infant’s action and perception during the development of early motor behaviors. Case Description...

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Publicado en:Physical Therapy Vol. 94; no. 10; pp. 1508 - 1517
Autores principales: Dusing, Stacey C., Izzo, Theresa, Thacker, Leroy R., Cole Galloway, James
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2014
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Oxford University Press / USA
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        atl: Postural Complexity Influences Development in Infants Born Preterm With Brain Injury: Relating Perception-Action Theory to 3 Cases.
      aug:
        au:
          Dusing, Stacey C.
          Izzo, Theresa
          Thacker, Leroy R.
          Cole Galloway, James
        affil: Physical Therapy Department, Virginia Commonwealth University, PO Box 980224, 1200 E Broad St, Richmond, VA 23298 (USA)
      sug:
        subj:
          Infant Development
          Infant, Premature
          Balance, Postural In Infancy and Childhood
          Brain Injuries In Infancy and Childhood
          Psychological Theory
          Pediatric Physical Therapy
          Human
          Virginia
          Intensive Care Units, Neonatal
          Case Studies
          Clinical Assessment Tools
          Brain Injuries Rehabilitation
          Female
          Male
          Infant, Newborn
          Conceptual Framework
          Developmental Disabilities Risk Factors
          Brain Injuries Diagnosis
          Early Diagnosis
          Funding Source
          Infant, Newborn: birth-1 month
          Female
          Male
      ab: Background and Purpose. Perception-action theory suggests a cyclical relationship between movement and perceptual information. In this case series, changes in postural complexity were used to quantify an infant’s action and perception during the development of early motor behaviors. Case Description. Three infants born preterm with periventricular white matter injury were included. Outcomes. Longitudinal changes in postural complexity (approximate entropy of the center of pressure), head control, reaching, and global development, measured with the Test of Infant Motor Performance and the Bayley Scales of Infant and Toddler Development, were assessed every 0.5 to 3 months during the first year of life. All 3 infants demonstrated altered postural complexity and developmental delays. However, the timing of the altered postural complexity and the type of delays varied among the infants. For infant 1, reduced postural complexity or limited action while learning to control her head in the midline position may have contributed to her motor delay. However, her ability to adapt her postural complexity eventually may have supported her ability to learn from her environment, as reflected in her relative cognitive strength. For infant 2, limited early postural complexity may have negatively affected his learning through action, resulting in cognitive delay. For infant 3, an increase in postural complexity above typical levels was associated with declining neurological status. Discussion. Postural complexity is proposed as a measure of perception and action in the postural control system during the development of early behaviors. An optimal, intermediate level of postural complexity supports the use of a variety of postural control strategies and enhances the perception-action cycle. Either excessive or reduced postural complexity may contribute to developmental delays in infants born preterm with white matter injury.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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