Evaluation of Psychomotor Development in Children Treated with Therapeutic Hypothermia

Abstract

Introduction. Perinatal asphyxia is a common neonatal problem. It remains a leading cause of neonatal morbidity and mortality and plays a major role in motor and intellectual developmental deficits in children. Complications of cerebral hypoxia in asphyxiated newborns can be treated with therapeutic hypothermia. The treatment involves moderate cooling of the newborn to minimize the consequences of hypoxia. Aim. To evaluate psychomotor development and detect impairments and deficits in motor functions, perception, speech, manual functions and social contacts in children treated with therapeutic hypothermia. Material and Methods. The study was carried out on a group of 27 children treated with therapeutic hypothermia. The data involved an analysis of medical records and the results of psychomotor development evaluation using the Munich Functional Development Diagnostics scale. Results. We found no significant delay in the developmental age of the children for walking. The mean developmental age for this area was 30.56 months (SD=8.42 months), for fine motor skills, speaking, independence and social skills were similar. The mean developmental age for understanding speech was 28.76 months (SD=7.92 months). The mean developmental age for cognitive skills was 27.73 months (Me=28 months). The speech development was slightly delayed for their age (x̅=3.2 months, SD=1.09 months). Conclusions. Children aged up to 1 year showed normal psychomotor development. Small deficits in cognitive processes and social skills were identified in children in the second and third years of life. The greatest developmental delays were identified in children in the fourth, fifth and sixth years of life. (JNNN 2024;13(1):9–16)

Keywords

• hypoxia
• newborn
• perinatal asphyxia
• therapeutic hypothermia