Cargando…

Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results

Background: The survival of extremely low birth weight infants (ELBW) has increased worldwide. Even in the absence of major disabilities, ELBW infants show difficulty in simple language functions. It is relevant to assess early abilities, which are the base of early linguistic skills, in order to im...

Descripción completa

Detalles Bibliográficos
Autores principales: Sundas, Laura, Palma, Silvia, Pugliese, Marisa, Roversi, Maria Federica, Apa, Enrico, Berardi, Alberto, Genovese, Elisabetta, Monzani, Daniele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139730/
https://www.ncbi.nlm.nih.gov/pubmed/35626779
http://dx.doi.org/10.3390/children9050602
_version_ 1784714926768521216
author Sundas, Laura
Palma, Silvia
Pugliese, Marisa
Roversi, Maria Federica
Apa, Enrico
Berardi, Alberto
Genovese, Elisabetta
Monzani, Daniele
author_facet Sundas, Laura
Palma, Silvia
Pugliese, Marisa
Roversi, Maria Federica
Apa, Enrico
Berardi, Alberto
Genovese, Elisabetta
Monzani, Daniele
author_sort Sundas, Laura
collection PubMed
description Background: The survival of extremely low birth weight infants (ELBW) has increased worldwide. Even in the absence of major disabilities, ELBW infants show difficulty in simple language functions. It is relevant to assess early abilities, which are the base of early linguistic skills, in order to implement customized intervention programs in ELBW infants. Aims: To evaluate communication precursors of language development in ELBW infants at 12 and 24 months of correct age (C.A). To investigate the correlation of linguistic and communicative prerequisites with mental development outcome at 24 months CA. Method: 52 ELBW neonates (mean gestational age 26.6 weeks, mean birth weight was 775 g) who were admitted to the neonatal intensive care unit of the University Hospital of Modena, were enrolled. Data were collected from archived audio-video recordings of neurodevelopmental follow-up visits. Video analysis of communicative and linguistic developmental was performed at 12 and 24 months CA. Neurodevelopmental outcome was evaluated with Mental Developmental Scales (GMDS-R). Results: The video-analysis showed that infants at 12 months CA used predominantly eye contacts and gestural turns, while vocal turns were scant. At 24 months CA, a significant change in eye contacts, vocal turns, gestural turns, and utterances (p < 0.001) occurred. The total number of utterances (p = 0.036) and eye contacts (p = 0.045) were significantly correlated to the Development Quotient (DQ) of Hearing and Language scale. Moreover, a significant correlation was found with the Personal-Social scale vocal turns (p = 0.009) and the total number of utterances (p = 0,02). Finally, the Global Quotient of the GMDS-R was related to the Vocal Turns (p = 0.034) and the total number of Utterances (p = 0.013). Conclusions: ELBW infants at 12 months CA use predominantly eye contacts and gestural turns to communicate with adults. At 24 months CA, the child’s communicative intention evolves from gestural to verbal communication. The latter is characterized by an increase in both vocal turns and the number of utterances produced during interaction. The video analysis we implement appears to be a sensitive tool for early assessment of communication and language development and to refine early intervention
format Online
Article
Text
id pubmed-9139730
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-91397302022-05-28 Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results Sundas, Laura Palma, Silvia Pugliese, Marisa Roversi, Maria Federica Apa, Enrico Berardi, Alberto Genovese, Elisabetta Monzani, Daniele Children (Basel) Article Background: The survival of extremely low birth weight infants (ELBW) has increased worldwide. Even in the absence of major disabilities, ELBW infants show difficulty in simple language functions. It is relevant to assess early abilities, which are the base of early linguistic skills, in order to implement customized intervention programs in ELBW infants. Aims: To evaluate communication precursors of language development in ELBW infants at 12 and 24 months of correct age (C.A). To investigate the correlation of linguistic and communicative prerequisites with mental development outcome at 24 months CA. Method: 52 ELBW neonates (mean gestational age 26.6 weeks, mean birth weight was 775 g) who were admitted to the neonatal intensive care unit of the University Hospital of Modena, were enrolled. Data were collected from archived audio-video recordings of neurodevelopmental follow-up visits. Video analysis of communicative and linguistic developmental was performed at 12 and 24 months CA. Neurodevelopmental outcome was evaluated with Mental Developmental Scales (GMDS-R). Results: The video-analysis showed that infants at 12 months CA used predominantly eye contacts and gestural turns, while vocal turns were scant. At 24 months CA, a significant change in eye contacts, vocal turns, gestural turns, and utterances (p < 0.001) occurred. The total number of utterances (p = 0.036) and eye contacts (p = 0.045) were significantly correlated to the Development Quotient (DQ) of Hearing and Language scale. Moreover, a significant correlation was found with the Personal-Social scale vocal turns (p = 0.009) and the total number of utterances (p = 0,02). Finally, the Global Quotient of the GMDS-R was related to the Vocal Turns (p = 0.034) and the total number of Utterances (p = 0.013). Conclusions: ELBW infants at 12 months CA use predominantly eye contacts and gestural turns to communicate with adults. At 24 months CA, the child’s communicative intention evolves from gestural to verbal communication. The latter is characterized by an increase in both vocal turns and the number of utterances produced during interaction. The video analysis we implement appears to be a sensitive tool for early assessment of communication and language development and to refine early intervention MDPI 2022-04-23 /pmc/articles/PMC9139730/ /pubmed/35626779 http://dx.doi.org/10.3390/children9050602 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Sundas, Laura
Palma, Silvia
Pugliese, Marisa
Roversi, Maria Federica
Apa, Enrico
Berardi, Alberto
Genovese, Elisabetta
Monzani, Daniele
Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results
title Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results
title_full Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results
title_fullStr Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results
title_full_unstemmed Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results
title_short Monitoring of Communication Precursors in Extremely Low Birth Weight (ELBW) Newborns by Video Analysis Method: Preliminary Results
title_sort monitoring of communication precursors in extremely low birth weight (elbw) newborns by video analysis method: preliminary results
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9139730/
https://www.ncbi.nlm.nih.gov/pubmed/35626779
http://dx.doi.org/10.3390/children9050602
work_keys_str_mv AT sundaslaura monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults
AT palmasilvia monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults
AT pugliesemarisa monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults
AT roversimariafederica monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults
AT apaenrico monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults
AT berardialberto monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults
AT genoveseelisabetta monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults
AT monzanidaniele monitoringofcommunicationprecursorsinextremelylowbirthweightelbwnewbornsbyvideoanalysismethodpreliminaryresults