Factors affecting rehabilitation of infants with Central Coordination Disorders during a three-month-long observation

Malgorzata Andrzejewska; Katarzyna Hap; Karolina Biernat; Edyta Sutkowska; Iwona Demczyszak; Dominik Marciniak; Natalia Kuciel

doi:10.1186/s12887-021-03066-4

Factors affecting rehabilitation of infants with Central Coordination Disorders during a three-month-long observation

BMC Pediatr. 2021 Dec 18;21(1):579. doi: 10.1186/s12887-021-03066-4.

Authors

Malgorzata Andrzejewska¹, Katarzyna Hap², Karolina Biernat³, Edyta Sutkowska³, Iwona Demczyszak³, Dominik Marciniak⁴, Natalia Kuciel³

Affiliations

¹ Non-public Specialist Healthcare Institution Medi-Reh, Kalisz, Poland.
² Department and Division of Medical Rehabilitation, Wroclaw Medical University, Borowska Street 213, 50-556, Wroclaw, Poland. katarzyna.hap@umed.wroc.pl.
³ Department and Division of Medical Rehabilitation, Wroclaw Medical University, Borowska Street 213, 50-556, Wroclaw, Poland.
⁴ Department of Drugs Form Technology, Wroclaw Medical University, Wroclaw, Poland.

Abstract

Background: Central coordination disorders (CCD) encompass various abnormalities observed in infants but early therapy may have an impact on their condition. The aim was to seek factors that may affect the early results of therapy of infants with CCD.

Methods: We analyzed the outcomes of a three-month period of rehabilitation of infants living with CCD. Children were treated at Non-public Specialist Healthcare Institution Medi-Reh in Kalisz in the period from 1 Jan 2014 to 31 Nov 2019. In our retrospective study results of three-month therapy of infants, aged 1 to 6 months, with CCD were analysed regards to the effectiveness and the potential impact of different factors. Therapy and assessment of children were conducted with the use of the Vojta method, which was performed during the first visit (WW) and the follow-up visit (after 3 months- 1WK). The analysis of the influence of various factors on the effect of therapy included: mother's age at the time of delivery, duration of breastfeeding, child APGAR, gestational age in which the child was born, sex of the child, birth weight, age of the child at WW, type of delivery, craniosacral therapy as an additive treatment.

Results: Based on the examination results from 66 medical records it was demonstrated that after active period of the therapy, improvement was observed in 54 (81.81%) (p=0.48) children (condition during WW versus 1WK among the group). The sole factor impacting improvement after 3 months was the age of the child at WW, when the child started therapy. This factor significantly (p=0.002) increased the chance of achieving improvement - by 3.2 times (OR= 3,2; CI= 95). No statistically significant differences were shown for the other studied factors.

Conclusions: Prompt implementation of rehabilitation in children with CCD provides a better chance of improving their motor function. The rehabilitation should be started as soon as possible after the diagnosis is constituted.

Keywords: central coordination disorders; factors; rehabilitation.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Ataxia*
Birth Weight
Breast Feeding*
Child
Female
Gestational Age
Humans
Infant
Retrospective Studies