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Prevailing head position to one side in early infancy—A population‐based study

AIM: To determine the prevalence of prevailing head position to one side (PHP) in young infants and to evaluate its associations with reaching performance, neurological condition and perinatal and socio‐economic factors. METHODS: Observational study in 500 infants (273 boys) 2‐6 months corrected age...

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Detalles Bibliográficos
Autores principales: Straathof, Elisabeth J. M., Heineman, Kirsten R., Hamer, Elisa G., Hadders‐Algra, Mijna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318227/
https://www.ncbi.nlm.nih.gov/pubmed/31782830
http://dx.doi.org/10.1111/apa.15112
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author Straathof, Elisabeth J. M.
Heineman, Kirsten R.
Hamer, Elisa G.
Hadders‐Algra, Mijna
author_facet Straathof, Elisabeth J. M.
Heineman, Kirsten R.
Hamer, Elisa G.
Hadders‐Algra, Mijna
author_sort Straathof, Elisabeth J. M.
collection PubMed
description AIM: To determine the prevalence of prevailing head position to one side (PHP) in young infants and to evaluate its associations with reaching performance, neurological condition and perinatal and socio‐economic factors. METHODS: Observational study in 500 infants (273 boys) 2‐6 months corrected age, representative of the Dutch population (median gestational age 39.7 weeks (27‐42); birthweight 3438 g (1120‐4950). Prevailing head position to one side and reaching performance were assessed with the Infant Motor Profile; neurological condition with the Standardized Infant NeuroDevelopmental Assessment. Socio‐economic information and perinatal information were obtained by questionnaire and medical records. Associations were analysed with uni‐ and multivariable statistics. RESULTS: Prevailing head position to one side was observed in 100 infants (20%), and its prevalence decreased from 49% at 2 months to 0% at 6 months. Only in infants aged 4‐5 months PHP was significantly associated with worse reaching and an at‐risk neurological score. Prevailing head position to one side was weakly associated with prenatal substance exposure, post‐natal admission to a paediatric ward and paternal native Dutch background. CONCLUSION: Prevailing head position to one side at 2‐3 months is a frequently occurring sign with limited clinical significance. Yet, PHP at 4‐5 months is associated with a worse functional and neurological condition. Therefore, PHP at 4‐5 months could serve as a red flag indicating possible challenges in later development.
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spelling pubmed-73182272020-06-29 Prevailing head position to one side in early infancy—A population‐based study Straathof, Elisabeth J. M. Heineman, Kirsten R. Hamer, Elisa G. Hadders‐Algra, Mijna Acta Paediatr Regular Articles AIM: To determine the prevalence of prevailing head position to one side (PHP) in young infants and to evaluate its associations with reaching performance, neurological condition and perinatal and socio‐economic factors. METHODS: Observational study in 500 infants (273 boys) 2‐6 months corrected age, representative of the Dutch population (median gestational age 39.7 weeks (27‐42); birthweight 3438 g (1120‐4950). Prevailing head position to one side and reaching performance were assessed with the Infant Motor Profile; neurological condition with the Standardized Infant NeuroDevelopmental Assessment. Socio‐economic information and perinatal information were obtained by questionnaire and medical records. Associations were analysed with uni‐ and multivariable statistics. RESULTS: Prevailing head position to one side was observed in 100 infants (20%), and its prevalence decreased from 49% at 2 months to 0% at 6 months. Only in infants aged 4‐5 months PHP was significantly associated with worse reaching and an at‐risk neurological score. Prevailing head position to one side was weakly associated with prenatal substance exposure, post‐natal admission to a paediatric ward and paternal native Dutch background. CONCLUSION: Prevailing head position to one side at 2‐3 months is a frequently occurring sign with limited clinical significance. Yet, PHP at 4‐5 months is associated with a worse functional and neurological condition. Therefore, PHP at 4‐5 months could serve as a red flag indicating possible challenges in later development. John Wiley and Sons Inc. 2019-12-12 2020-07 /pmc/articles/PMC7318227/ /pubmed/31782830 http://dx.doi.org/10.1111/apa.15112 Text en © 2019 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Regular Articles
Straathof, Elisabeth J. M.
Heineman, Kirsten R.
Hamer, Elisa G.
Hadders‐Algra, Mijna
Prevailing head position to one side in early infancy—A population‐based study
title Prevailing head position to one side in early infancy—A population‐based study
title_full Prevailing head position to one side in early infancy—A population‐based study
title_fullStr Prevailing head position to one side in early infancy—A population‐based study
title_full_unstemmed Prevailing head position to one side in early infancy—A population‐based study
title_short Prevailing head position to one side in early infancy—A population‐based study
title_sort prevailing head position to one side in early infancy—a population‐based study
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318227/
https://www.ncbi.nlm.nih.gov/pubmed/31782830
http://dx.doi.org/10.1111/apa.15112
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