Sensory processing disorders in premature infants

Jelena Todorović ,
Jelena Todorović
Mirjana Petrović-Lazić Orcid logo
Mirjana Petrović-Lazić

Published: 01.12.2020.

Volume 50, Issue 1 (2021)

pp. 19-23;

https://doi.org/10.5937/pramed2102019t

Abstract

Introduction. Children born prematurely have an increased risk of immediate medical complications, as well as socioemotional, cognitive, linguistic and sensory processing disorders later in life. Studies have examined the effects of prematurity on developmental outcomes, such as cognition, however, there is a need for a more detailed examination of sensory processing disorders in preterm infants. Not only is prenatal neurosensory development interrupted in utero, but these children may also experience intense stimulation in the neonatal unit, which can further alter the development and function of the sensory system. Objective. The paper presents an overview of research on sensory processing disorders in premature infants, with special emphasis on the impact of the environment of the neonatal unit. Method. Insight into the relevant literature was performed by specialized search engines on the Internet and insight into the electronic database. Results. Sensory processing disorders affect 39% to 52% of newborns born prematurely, with some evidence to suggest that children born before 32 weeks are most at risk. The literature to date has consistently reported difficulties in sensory modulation of preterm infants, within the tactile, vestibular, auditory, oral, and visual domains. Conclusion. Sensory processing disorders in preterm infants appear to occur as a result of their immature neurological and biological system and being in the environment of a neonatal intensive care unit, which is unable to meet the sensory needs of preterm infants. Altered sensory experiences, during periods of neurodevelopmental vulnerability and fragility, can result in sensory processing disorders, which may include enhanced responses or less response to stimuli (hyper or hyposensitivity).

References

1.
Allen MC. Neurodevelopmental outcomes of preterm infants. Vol. 21, Current Opinion in Neurology. 2008. p. 123–8.
2.
Nair M, Gupta G, Jatana S. NICU Environment : Can we be Ignorant? Vol. 59, Medical Journal Armed Forces India. 2003. p. 93–5.
3.
Blackburn S. Environmental impact of the NICU on developmental outcomes. Vol. 13, Journal of Pediatric Nursing. 1998. p. 279–89.
4.
Darcy AE, Hancock LE, Ware EJ. A Descriptive Study of Noise in the Neonatal Intensive Care Unit Ambient Levels and Perceptions of Contributing Factors. Vol. 8, Advances in Neonatal Care. 2008. p. 165–75.
5.
Tucker J, McGuire W. Epidemiology of preterm birth. Vol. 329, BMJ. 2004. p. 675–8.
6.
Moutquin J. Classification and heterogeneity of preterm birth. Vol. 110, BJOG: An International Journal of Obstetrics & Gynaecology. 2003. p. 30–3.
7.
Clark-Gambelunghe MB, Clark DA. Sensory Development. Vol. 62, Pediatric Clinics of North America. 2015. p. 367–84.
8.
Graven SN, Browne JV. Sensory Development in the Fetus, Neonate, and Infant: Introduction and Overview. Vol. 8, Newborn and Infant Nursing Reviews. 2008. p. 169–72.
9.
Miller LJ, Anzalone ME, Lane SJ, Cermak SA, Osten ET. Concept Evolution in Sensory Integration: A Proposed Nosology for Diagnosis. Vol. 61, The American Journal of Occupational Therapy. 2007. p. 135–40.
10.
Mitchell AW, Moore EM, Roberts EJ, Hachtel KW, Brown MS. Sensory Processing Disorder in Children Ages Birth–3 Years Born Prematurely: A Systematic Review. Vol. 69, The American Journal of Occupational Therapy. 2015. p. 6901220030p1–11.
11.
Jernigan TL, Baaré WFC, Stiles J, Madsen KS. Postnatal brain development. Progress in Brain Research. 2011. p. 77–92.
12.
Philpott-Robinson K, Lane SJ, Korostenski L, Lane AE. The impact of the Neonatal Intensive Care Unit on sensory and developmental outcomes in infants born preterm: A scoping review. Vol. 80, British Journal of Occupational Therapy. 2017. p. 459–69.
13.
Wickremasinghe AC, Rogers EE, Johnson BC, Shen A, Barkovich AJ, Marco EJ. Children born prematurely have atypical Sensory Profiles. Vol. 33, Journal of Perinatology. 2013. p. 631–5.
14.
Rahkonen P, Lano A, Pesonen A, Heinonen K, Räikkönen K, Vanhatalo S, et al. Atypical sensory processing is common in extremely low gestational age children. Vol. 104, Acta Paediatrica. 2015. p. 522–8.
15.
Chorna O, Solomon JE, Slaughter JC, Stark AR, Maitre NL. Abnormal sensory reactivity in preterm infants during the first year correlates with adverse neurodevelopmental outcomes at 2 years of age. Vol. 99, Archives of Disease in Childhood - Fetal and Neonatal Edition. 2014. p. F475–9.
16.
Pekçetin S, Akı E, Üstünyurt Z, Kayıhan H. The Efficiency of Sensory Integration Interventions in Preterm Infants. Vol. 123, Perceptual and Motor Skills. 2016. p. 411–23.
17.
Blackburn S. Problems of Preterm Infants After Discharge. Vol. 24, Journal of Obstetric, Gynecologic & Neonatal Nursing. 1995. p. 43–9.
18.
Ryckman J, Hilton C, Rogers C, Pineda R. Sensory processing disorder in preterm infants during early childhood and relationships to early neurobehavior. Vol. 113, Early Human Development. 2017. p. 18–22.
19.
Grunau RE, Holsti L, Peters JWB. Long-term consequences of pain in human neonates. Vol. 11, Seminars in Fetal and Neonatal Medicine. 2006. p. 268–75.
20.
Buxton OM, Ellenbogen JM, Wang W, Carballeira A, O’Connor S, Cooper D, et al. Sleep Disruption due to Hospital Noises. Vol. 157, Annals of Internal Medicine. 2012. p. 170.
21.
Valeri BO, Holsti L, Linhares MBM. Neonatal Pain and Developmental Outcomes in Children Born Preterm. Vol. 31, The Clinical Journal of Pain. 2015. p. 355–62.
22.
Brazelton TB, Tronick E, Adamson L, Als H, Wise S. Early Mother‐Infant Reciprocity. Ciba Foundation Symposium 33 ‐ Parent‐Infant Interaction. 1975. p. 137–54.
23.
Als H, Lawhon G, Brown E, Gibes R, Duffy FH, McAnulty G, et al. Individualized Behavioral and Environmental Care for the Very Low Birth Weight Preterm Infant at High Risk for Bronchopulmonary Dysplasia: Neonatal Intensive Care Unit and Developmental Outcome. Vol. 78, Pediatrics. 1986. p. 1123–32.
24.
Westrup B. Newborn Individualized Developmental Care and Assessment Program (NIDCAP) — Family-centered developmentally supportive care. Vol. 83, Early Human Development. 2007. p. 443–9.
25.
Pineda R, Raney M, Smith J. Supporting and enhancing NICU sensory experiences (SENSE): Defining developmentally-appropriate sensory exposures for high-risk infants. Vol. 133, Early Human Development. 2019. p. 29–35.

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