Turkstra, J. (Jeltina) (2012) De invloed van hyperbilirubinemie en fototherapie op de general movements van pasgeborenen. thesis, Medicine.
Full text available on request.Abstract
Background: Hyperbilirubinemia can damage the brain of infants. The neurological outcome of these children is not clear, there could be some mild motor abnormalities. General movements are a reliable method to assess the neurological function of an infant. Aim: Assessing the quality of general movements of children with hyperbilirubinemia and compare them with the quality of general movements of children without a hyperbilirubinemia. Methods: The quality of the general movements was assessed, using Prechtl’s method. The general movements were assessed three times for the infants in the studygroup and one time for the infants in the control group. The quality of the general movements were related to several factors. Results: There is a trend towards more abnormal general movements in the study group compared to the control group (92% vs 60%, p=0,135), the optimality score was lower in the study group (14,8 vs 12, p<0,05). The postnatal age at which the hyperbilirubinemia was diagnosed, seemed to relate to the optimality score. By follow-up of the infants in the study group, the general movements and the optimality score improved. Conclusions: Infants with a hyperbilirubinemia showed a trend towards more abnormal general movements and had a lower optimality score compared to children without a hyperbilirubinemia. The general movements improved during the treatment. The abnormal general movements shows us that the nervous system is not functioning optimal during hyperbilirubinemia, a prediction about the future neurological situation can not be given.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Vries, N.K.S. de and kinderarts MCL and Medisch Centrum Leeuwarden (MCL), kinderafdeling |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:39 |
| Last Modified: | 25 Jun 2020 10:39 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/51 |
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