Formal training in general movement assessment is required to effectively evaluate infants with perinatal asphyxia in outpatient settings

Abstract

This study demonstrated the reliability of the GMA method in a busy multidisciplinary Danish paediatric outpatient setting, when assessors had been formally trained in the method and used it regularly.

Usability and inter-rater reliability of the NeuroMotion app: A tool in General Movements Assessments

“…There was substantial agreement between consensus decisions but only moderate agreement between all assessors. Our on-site consensus results agree with one study estimating GMA's inter-rater agreement in the fidgety period showing substantial agreement (12). However, another study found only moderate agreement (10) while a third showed almost perfect agreement (11).…”

“…(6)(7)(8) Studies of GMA inter-rater reliability during the fidgety movement period have been done with different methods and with various results. (9)(10)(11)(12) To our knowledge, there are no studies on inter-rater reliability of GMA films of high-risk infants evaluated by blinded assessors and recorded in a home setting by parents using a smartphone app.…”

Cerebral Palsy: Early Markers of Clinical Phenotype and Functional Outcome

“…Second, a few authors [28,29,30] proposed that the high predictive values of the GMA might be only achievable within the expert group closely linked to the GM Trust. In order to reach a generalizability of our findings, we therefore paid special attention to include several study sites outside the centers where GM Trust experts are involved.…”

Temporal and spatial localisation of general movement complexity and variation—Why Gestalt assessment requires experience

“…However, GMs’ assessment (GMA) is often criticised for its subjectivity, as it has not been quantitatively addressed what the criteria are for a reduced motor repertoire and the degree fidgety movements. Reliability of GMA is excellent among very specialised and experienced professionals, but lower reliability has been reported for medical staff after a training course and several years of experience 5,6 . The requirement of ample experience to construct the inner criteria for abnormal movements by individual raters hampers a widespread clinical use of GMA.…”