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Arockia
Pramila.
C,
Rajeswari.
M.
A
STUDY
TO
ANALYZE
THE
RELATIONSHIP
BETWEEN
THE
BODY
WEIGHT
AND
MUSCLE
TONE
WITH
AMIEL-TISON
ANGLES
IN
PRETERM
INFANTS
FROM
32
WEEKS
TO
40
WEEKS
OF
CORRECTED
GESTATIONAL
AGE.
Int
J
Physiother Res 2016;4(5):1707-1712. DOI: 10.16965/ijpr.2016.170.
Type of Article: Original Research
DOI: http://dx.doi.org/10.16965/ijpr.2016.170
Page No.: 1707-1712
A STUDY TO ANALYZE THE RELATIONSHIP BETWEEN THE BODY WEIGHT AND MUSCLE TONE WITH AMIEL-TISON ANGLES IN PRETERM
INFANTS FROM 32 WEEKS TO 40 WEEKS OF CORRECTED GESTATIONAL AGE
Arockia Pramila.C
1
,
Rajeswari.M *
2
.
1
Physiotherapist, Sri Ramachandra University, Porur Chennai, Tamilnadu, India.
*2
Assistant professor, Sri Ramachandra University, Porur Chennai,Tamilnadu, India.
Corresponding
Author
:
Rajeswari.
M,
Assistant
Professor,
Faculty
of
Physiotherapy,
Sri
Ramachandra
University,
Porur,
Chennai
600116,
Tamilnadu, India. Phone: +919841417473.
E-Mail:
rajeswarim2001@gmail.com
ABSTRACT
Background:
Periodical
neurological
and
neuro
developmental
assessment
is
necessary
to
identify
the
subtle
deficits
in
preterm
infants
(PTI).
Muscle
tone
assessment
is
an
integral
part
of
the
neurological
evaluation
which
is
widely
assessed
by
Amiel-Tison
angles
(ATA).
Passive
muscle
tone
depends
on
the
passive
extensibility
of
muscles
which
is
influenced
by
size
and
length
of
muscle
fibers
that
contributes
for
body
weight.
This
study
aims
to
analyze
the
relationship
between
body
weight
and
muscle
tone
in
PTI
from
32
to
40
weeks
of corrected gestational age (CGA).
Materials
and
Methods:
This
Cross-sectional
study
was
carried
out
in
22
PTI
with
CGA
of
32
weeks
and
23
fullterm
infants
(FTI)
who
met
the
inclusion
criteria
and
were
recruited
from
the
Neonatal
intensive
care
unit
and
postnatal
wards.
The
PTI
were
assessed
for
body
weight
and
ATA
with
Goniometer
at
32
weeks
±
2days,
34weeks
±2days
and
40
weeks
±2days
of
CGA.
23
Term
infants
were
assessed
within 2 to 4 days of birth for body weight and ATA.
Results:
Pearson’s
correlation
was
used
to
analyze
the
relationship
between
body
weight
and
muscle
tone
in
PTI
from
32
to
40
weeks
of
CGA and in FTI. The results showed a negative correlation between body weight and Muscle tone in PTI with a significant p value <0.05.
Conclusion:
The
study
concludes
that
there
is
an
influence
of
body
weight
on
ATA
in
PTI
which
conveys
that
increased
body
weight
reduces
the
extensibility
of
the
muscles
and
thereby
reducing
the
ATA
and
vice
versa.
The
result
emphasizes
that
clinicians
should
consider
body weight while identifying and interpreting subtle tonal abnormalities and initiating early intervention in the initial period of PTI.
KEY WORDS: Preterm, Passive Extensibility, Amiel Tison angles, Goniometer, Relationship.
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