Risk factors for gross motor dysfunction of lower limbs in children.

The aim of this study was to identify risk factors for neurological development in children aged 1 to 3 years with a mild paraparesis form of motor development of lower extremities. Identification and follow-up of the neurorisk factors is important for early detection of neurodevelopmental deviations as well as for initiating early therapeutic treatments, which can improve the processes of brain plasticity and lead to recovery of the damaged function. Analysis of risk factors in children with paraparesis form of development revealed complicated pregnancy such as maternal diseases, fetal growth retardation or placental immaturity in 48% of these children; 26% of children were born before or after the term, and 34% had complications during delivery such as cesarean section or breech birth. In the present study, 80% of children with motor disabilities of lower extremities had Apgar index 10, 8% Apgar index 9, and only 12% had Apgar index lower than 8. Only 10% of 50 study children had normal ultrasound results, whereas cranial ultrasound abnormalities such as periventricular hemorrhage and intraventricular hemorrhage were recorded in 62% of the children.