Postural control at 7 years of age after preterm birth with very low birth weight.
OBJECTIVE
To measure postural control in extremely preterm infants with a birth weight of less than 1,500 g in comparison to full-term infants at 7 years of age and healthy adults.


METHODS
On a Balance Master computerized force plate, static and dynamic postural control was measured in 21 full-term 7-year-old children, 44 extremely preterm 7-year-old children, and 19 healthy adults. The test battery consisted of the modified clinical test of sensory interaction on balance, the rhythmic weight shift, the walk across, and the tandem walk tests.


METHODS
Diagnostic, prospective, single-center cohort study.


RESULTS
Static and dynamic postural control was significantly better in adults than in children at 7 years of age. In most parameters, static and dynamic postural control was not significantly different between full-term and preterm infants with very low birth weight at 7 years of age. Only the ratio of intended to extraneous movement, that is, the left-right directional control, was significantly lower during the left-right rhythmic weight shift for almost all parameters in the study group of preterm infants.


CONCLUSIONS
Postural control still is not fully developed in infants at early school age. At this age, formerly extremely preterm infants without major neurological disorders have almost caught up to the postural control of healthy full-term subjects.
Kluenter
Heinz
H
Department of Otorhinolaryngology, Head and Neck Surgery, Children's Hospital, University of Cologne, Cologne, Germany.
Roedder
Daniela
D
Kribs
Angela
A
Fricke
Oliver
O
Roth
Bernhard
B
Guntinas-Lichius
Orlando
O
D000375:Aging / Q000502:physiology*; D002648:Child; D019988:Children with Disabilities / Q000706:statistics & numerical data; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D009043:Motor Activity / Q000502:physiology; D011187:Posture / Q000502:physiology*; D012016:Reference Values; D012678:Sensation Disorders / Q000209:etiology / Q000503:physiopathology; D016138:Walking / Q000502:physiology