Head lag in infancy: What is it telling us?

Roberta G. Pineda; Lauren C. Reynolds; Kristin Seefeldt; Claudia L. Hilton; Cynthia E. Rogers; Terrie E. Inder

doi:10.5014/ajot.2016.017558

Head lag in infancy: What is it telling us?

Roberta G. Pineda, Lauren C. Reynolds, Kristin Seefeldt, Claudia L. Hilton, Cynthia E. Rogers, Terrie E. Inder

Occupational Therapy

Research output: Contribution to journal › Review article

Abstract

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.

Original language	English (US)
Journal	American Journal of Occupational Therapy
Volume	70
Issue number	1
DOIs	https://doi.org/10.5014/ajot.2016.017558
State	Published - Jan 1 2016

ASJC Scopus subject areas

Occupational Therapy

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Pineda, R. G., Reynolds, L. C., Seefeldt, K., Hilton, C. L., Rogers, C. E., & Inder, T. E. (2016). Head lag in infancy: What is it telling us? American Journal of Occupational Therapy, 70(1). https://doi.org/10.5014/ajot.2016.017558

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abstract = "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.",

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AU - Seefeldt, Kristin

AU - Hilton, Claudia L.

AU - Rogers, Cynthia E.

AU - Inder, Terrie E.

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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.

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