TY - JOUR
T1 - Head lag in infancy
T2 - What is it telling us?
AU - Pineda, Roberta G.
AU - Reynolds, Lauren C.
AU - Seefeldt, Kristin
AU - Hilton, Claudia L.
AU - Rogers, Cynthia E.
AU - Inder, Terrie E.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Objective. To investigate changes in head lag across postmenstrual age and define associations between head lag and (1) perinatal exposures and (2) neurodevelopment. METHOD. Sixty-four infants born ≤30 wk gestation had head lag assessed before and at term-equivalent age. Neurobehavior was assessed at term age. At 2 yr, neurodevelopmental testing was conducted. RESULTS. Head lag decreased with advancing postmenstrual age, but 58% (n = 37) of infants continued to demonstrate head lag at term. Head lag was associated with longer stay in the neonatal intensive care unit (p =.009), inotrope use (p =.04), sepsis (p =.02), longer endotracheal intubation (p =.01), and cerebral injury (p =.006). Head lag was related to alterations in early neurobehavior (p <.03), but no associations with neurodevelopment were found at 2 yr. CONCLUSION. Head lag was related to medical factors and early neurobehavior, but it may not be a good predictor of outcome when used in isolation.
AB - Objective. To investigate changes in head lag across postmenstrual age and define associations between head lag and (1) perinatal exposures and (2) neurodevelopment. METHOD. Sixty-four infants born ≤30 wk gestation had head lag assessed before and at term-equivalent age. Neurobehavior was assessed at term age. At 2 yr, neurodevelopmental testing was conducted. RESULTS. Head lag decreased with advancing postmenstrual age, but 58% (n = 37) of infants continued to demonstrate head lag at term. Head lag was associated with longer stay in the neonatal intensive care unit (p =.009), inotrope use (p =.04), sepsis (p =.02), longer endotracheal intubation (p =.01), and cerebral injury (p =.006). Head lag was related to alterations in early neurobehavior (p <.03), but no associations with neurodevelopment were found at 2 yr. CONCLUSION. Head lag was related to medical factors and early neurobehavior, but it may not be a good predictor of outcome when used in isolation.
UR - http://www.scopus.com/inward/record.url?scp=84957895445&partnerID=8YFLogxK
U2 - 10.5014/ajot.2016.017558
DO - 10.5014/ajot.2016.017558
M3 - Review article
C2 - 26709421
AN - SCOPUS:84957895445
SN - 0272-9490
VL - 70
JO - American Journal of Occupational Therapy
JF - American Journal of Occupational Therapy
IS - 1
ER -