DOI: https://doi.org/10.22263/2312-4156.2025.3.89
A.V. Simchenko1, E.G. Asiryan2, A.I. Bogdanovich3
Paradigm shift in the assessment of neurodevelopment in premature infants: modern approaches to diagnosis, interpretation and intervention
1Republican Scientific and Practical Center «Mother and Child», Minsk, Republic of Belarus
2Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
3Brest regional Center of Medical Rehabilitation for Children with Psychoneurological Diseases “Tone”, Brest, Republic of Belarus
Vestnik VGMU. 2025;24(3):89-94.
Abstract.
This article examines modern approaches to the diagnosis, interpretation, and support of children with neurodevelopmental disorders, with a particular focus on premature infants. Special attention is given to the paradigm shift from an acute somatic approach to a biopsychosocial model focused on functional assessment. The authors highlight the specific course and high clinical variability of developmental disorders in premature children, including the increased risk of cognitive, speech, motor, and behavioral impairments. The necessity of using validated early assessment tools, as well as approaches based on the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY), is substantiated. The importance of interdisciplinary collaboration and individualized intervention within Early Intervention Centres is emphasized. A growing trend in the number of children with unstructured or unspecified developmental disorders is noted, underscoring the need for a flexible system of developmental monitoring and support. The article argues for the relevance of a trajectory-based approach to developmental assessment and the implementation of modern neurointerventions. According to current data, developmental disorders account for 51.2% of all initial visits by families to Early Intervention Centres.
Keywords: neurodevelopment, developmental disorders, developmental delays, neurointerventions, early intervention.
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Submitted 05.05.2025
Accepted 13.06.2025
Information about authors:
Anna V. Simchenko – Candidate of Medical Sciences, associate professor, Head of the Monitoring Information and Methodological Department of Child Health, Republican Scientific and Practical Center «Mother and Child», e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.;
E.G. Asiryan – Doctor of Medical Sciences, associate professor, Vice-rector for Research, professor of the Chair of Pediatrics No. 1, Vitebsk State Order of Peoples’ Friendship Medical University.
A.I. Bogdanovich – Candidate of Medical Sciences, Chief physician of Brest regional Centre of Medical Rehabilitation for Children with Psychoneurological Diseases “Tonus”.
