As your premature infant develops, there are several keys to keep in mind. You must understand your preemie’s developmental age, keep track of his or her developmental progression and recognize the value of strengthening postural control muscles.

“Baby Builders is an excellent home-based tool for parents of premature infants to be proactive in their preemies motor and cognitive skill development.”
Terrance J. Zuerlein, M.D.
Medical Director Intensive Care Nursery
St. Vincent’s Doctor’s Hospital
Little Rock, Ar.

Premature Infants and Developmental Age

It is important to consider preemie development in terms of their developmental age rather than chronological age. If your child is 6 months old but was 2 months early, expect him or her to be at a developmental age of a 4 month old. Essentially, the developmental age is how old your baby is from his due date. The development of a premature infant should generally progress in the same manner of a full-term baby:

  1. first learning to hold their head up
  2. then sit up
  3. crawl
  4. and then walk.

Please remember all babies, including preemies, develop at different rates. The important thing is that they are consistently progressing in their development.

Risk of Delayed Development

No matter how early, all premature infants are at some risk for delayed development due to weakness in their postural control muscles. Postural control muscles are muscles in the neck and trunk which stabilize the trunk for coordinated movement of the legs, arms, hands, and even the jaw and mouth. 

A weakness in these muscles may or may not be evident during the first year. Significant weakness can cause abnormal movement patterns such as tilting the head back, arching the spine, shrugging the shoulders and/or squeezing the knees together during movement as well as a delay in motor development.

Children with milder weakness may appear normal at 12 months but by 3, 4, or even 5, have difficulty with higher level gross motor skills (standing on 1 leg, hopping, skipping, riding a bike, etc) or with fine motor skills (hand/eye coordination, writing, catching a ball, etc).

The Importance of an Exercise Program

In order to prevent or minimize these problems, it is important that preemies be involved in an exercise program that works to strengthen and stabilize the head and neck, shoulder girdle, abdominals and hips. The best time to strengthen these muscles is during the first year as the baby is developing his or her lower level gross motor skills.

The Baby Builders video and book contain exercises that work to strengthen these postural control muscles, improving balance and coordination. The Baby Builders book contains additional information for working with premature infants including understanding and identifying stress signs, and calming techniques.

Research: Premature Infants Need Exercise

“A wide variety of activities should be encouraged at an early age in all children born prematurely, to support the development of skills and compensate for possible deficiencies in coordination.”
Helge Hebestreit and Oded Bar-Or.”Exercise and the Child born prematurely.” Sports Medicine, 2001.

Baby Builders helps Amy be a proactive mom

“Having a preemie means being hyper-aware of every milestone. When my daughter was born 11 weeks early, I wanted do everything in my power to ensure that her development was progressing normally. Baby Builders helped me feel like a proactive mom instead of a helpless one, and it was fun, too. I only wish I had found this tool earlier!”

Lisa: Baby Builders exercises are beneficial and easy

“The video . . . was a wonderful guide for both beneficial activities and developmental milestones. We were concerned about the developmental ramifications of a premature infant, but the exercises were easy to do, even with our son’s monitoring equipment. It was also reassuring to us as parents that we were taking proactive steps to assist in his development.”

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