Are sporadic fidgety movements as clinically relevant as is their absence?

Einspieler, Christa; Yang, Hong; Bartl-Pokorny, Katrin D.; Chi, Xia; Zang, Fei Fei; Marschik, Peter B.; Guzzetta, Andrea; Ferrari, Fabrizio; Bos, Arend F.; Cioni, Giovanni

doi:10.1016/j.earlhumdev.2015.02.003

Cited by 60 publications

(52 citation statements)

References 31 publications

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“…Infants with abnormal FMs may develop normally, 6,18,24,25 but could also develop CP. 6,15 Some studies documented an association between abnormal FMs and coordination difficulties and/or fine manipulative disabilities. 17,18,25 Recently, an exceedingly high rate of abnormal FMs was described in infants who were later diagnosed with autism spectrum disorder.…”

Section: Normal Fmsmentioning

confidence: 99%

“…When infants focus on the environment, their FMs are mainly displayed in the hips and ankles, not so much in the shoulders and wrists. 14,15 Intermittent FMs (score: +) Intermittent FMs occur in all body parts, though with longer pauses (up to 10 s), which creates the impression that FMs are only present during half of the observation time. 14,15 Sporadic FMs (score: +−) Isolated fidgety bursts of 1 s to 3 s are interspersed with long pauses of up to 1 min.…”

Section: Normal Fmsmentioning

confidence: 99%

“…Sporadic FMs are age-adequate between 6 and 8 weeks post term age and during the 5th month when FMs fade out. 14,15 After Prechtl had described FMs as an age-specific, distinct form of GMs, he speculated about the potential biological function of this transient movement pattern. One ontogenetic adaptive function of these tiny movements might be the postnatal calibration of the proprioceptive system.…”

Section: Normal Fmsmentioning

confidence: 99%

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Fidgety movements – tiny in appearance, but huge in impact

Einspieler

Peharz

Marschik

2016

Jornal de Pediatria

Self Cite

127

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Abnormal, absent, or sporadic FMs indicate an increased risk for later neurological dysfunction, whereas normal FMs are highly predictive of normal development, especially if they co-occur with other smooth and fluent movements. Early recognition of neurological signs facilitates early intervention. It is important to re-assure parents of infants with clinical risk factors that the neurological outcome will be adequate if FMs develop normally.

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Section: Normal Fmsmentioning

confidence: 99%

Section: Normal Fmsmentioning

confidence: 99%

Section: Normal Fmsmentioning

confidence: 99%

See 1 more Smart Citation

Fidgety movements – tiny in appearance, but huge in impact

Einspieler

Peharz

Marschik

2016

Jornal de Pediatria

Self Cite

127

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“…Furthermore, a recent study of infants with cerebral palsy found that motor abilities did not differ between infants with sporadic or absent FM. 24 Studies of longterm outcomes are needed to appreciate the neurodevelopmental implications of sporadic-versus-absent FM, because their underlying mechanisms of injury may be different. Future research directions will require detailed motor assessment and correlation with long-term gross, fine, and oral motor control and language, and adaptive competencies.…”

Section: Discussionmentioning

confidence: 99%

White Matter Injury and General Movements in High-Risk Preterm Infants

Peyton¹,

Yang

Msall

et al. 2016

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Very preterm infants (birth weight, Ͻ1500 g) are at increased risk of cognitive and motor impairment, including cerebral palsy. These adverse neurodevelopmental outcomes are associated with white matter abnormalities on MR imaging at term-equivalent age. Cerebral palsy has been predicted by analysis of spontaneous movements in the infant termed "General Movement Assessment." The goal of this study was to determine the utility of General Movement Assessment in predicting adverse cognitive, language, and motor outcomes in very preterm infants and to identify brain imaging markers associated with both adverse outcomes and aberrant general movements.

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“…Studies evaluating whether there are differences in GMs between different ethnic or cultural groups are, to the best of our knowledge, not available. Most studies have been performed in Europe, although more studies are now coming also from Brazil, China, Iran and South Africa (9,(16)(17)(18) . It has further been claimed that GMA studies have a risk for bias because study samples are selected retrospectively, based on available video recordings rather than well-defined high-risk cohorts.…”

Section: (8)mentioning

confidence: 99%

Early motor repertoire in very low birth weight infants in India is associated with motor development at one year

Adde

Thomas

John

et al. 2016

European Journal of Paediatric Neurology

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BackgroundMost studies on Prechtl's method of assessing General Movements (GMA) in young infants originate in Europe. Aim To determine if motor behavior at an age of 3 months post term is associated with motor development at 12 months post age in VLBW infants in India. Methods 243 VLBW infants (135 boys, 108 girls; median gestational age 31wks, range 26-39wks) were video-recorded at a median age of 11wks post term (range 9-16wks). Certified and experienced observers assessed the videos by the "Assessment of Motor Repertoire -2 to 5 Months". Fidgety movements (FMs) were classified as abnormal if absent, sporadic or exaggerated, and as normal if intermittently or continually present. The motor behaviour was evaluated by repertoire of coexistent other movements (age-adequacy) and concurrent motor repertoire. In addition, videos of 215 infants were analyzed by computer and the variability of the spatial center of motion (C SD ) was calculated. The Peabody Developmental Motor Scales was used to assess motor development at 12 months. Results Abnormal FMs, reduced age adequacy, and an abnormal concurrent motor repertoire were significantly associated with lower Gross Motor and Total Motor Quotient (GMQ, TMQ) scores (p<0.05). The C SD was higher in children with TMQ scores <90 (-1SD) than in children with higher TMQ scores (p=0.002). Conclusion Normal FMs (assessed by Gestalt perception) and a low variability of the spatial center of motion (assessed by computer-based video analysis) predicted higher Peabody scores in 12-month-old infants born in India with a very low birth weight.

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Are sporadic fidgety movements as clinically relevant as is their absence?

Abstract: There is no evidence that the occurrence of occasional isolated fidgety bursts indicates a milder type of CP.

Cited by 60 publications

References 31 publications

Fidgety movements – tiny in appearance, but huge in impact

Fidgety movements – tiny in appearance, but huge in impact

White Matter Injury and General Movements in High-Risk Preterm Infants

Early motor repertoire in very low birth weight infants in India is associated with motor development at one year

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