Neonatal stroke causes poor midline motor behaviors and poor fine and gross motor skills during early infancy

Early reach to grasp development of infants with asymmetric brain injury on the Grasp and Reach Assessment of Brisbane (GRAB)

“…177,178 In the present study, the asymBI group demonstrated asymmetry between ULs for unimanual contacts for only 20% more of the time than the healthy group. The asymBI group also demonstrated a paucity of bimanual grasps compared to the healthy group at 18 weeks C.A.…”

“…30,34,40,96,157,179,180 ); (ii) the early development of reaching in preterm infants (< 33 weeks gestational age; GA) compared to healthy, term-born infants 109,181 ; and (iii) the early development of UL behaviours in infants with neonatal stroke compared to healthy, term-born infants (< eight months C.A. 83,177 ). Within this body of literature, three recent studies have informed the development of the GRAB.…”

“…109 The group that received UL movement training demonstrated: (i) increased frequency of hand-toy contacts; (ii) increased frequency in consistently reaching for toys; and (iii) increased percentage of time spent "interacting" with the toy. 109 A prospective study identified less bimanual midline toy manipulation in infants with stroke (n=8) compared to healthy, term-born (n=16 177 ). Another prospective study compared asymmetries of the orientation of hand and finger movements in infants with stroke (n=13) and healthy, term-born infants (n=13) by evaluating hand orientation during GMs at fidgety age (12 weeks post-term).…”

“…58,60,175 Early detection of UCP involves identification of asymmetries in UL reaching (both spontaneous and purposeful), grasp ability and grasp strength. 109 To date, UCP has been identified in infants with perinatal or neonatal stroke using: (i) asymmetries of wrist movements during the fidgety period (nine to 20 weeks post-term) of General Movements (GMs) 176 ; (ii) measurement of bimanual midline toy manipulation 177 ; and (iii) measurement of reaching trajectories. 178 More recently, very early detection of UCP in infants with asymBI (including perinatal or neonatal stroke) has been described, using two measures that are 3 Abbreviations: ACPR, Australian Cerebral Palsy Register; AI, Asymmetry Index; asymBI, asymmetric brain injury; C.A., corrected age; CP, Cerebral Palsy; GA, gestational age; GMs, General Movements assessment; GRAB, Grasp and Reach Assessment of Brisbane; HAI, Hand assessment of Infants; IRR, incidence rate ratio; IVH, intraventricular haemorrhage; MD, mean difference; mini-AHA, miniAssisting Hand Assessment; MRI, magnetic resonance imaging; N/A, not applicable; N/A, not calculated; PVL, periventricular leukomalacia; SCPE, Surveillance of Cerebral Palsy in Europe; SD, standard deviation; TP, time phase; TCP, toy colour phase; UCP, Unilateral Cerebral Palsy; UL, upper limb; 95% CI, 95% confidence interval.…”

Interacciones tempranas madre-niño y predicción de desarrollo motor mediante ecuaciones estructurales: Aplicación del modelo en niños con riesgo de daño neurológico perinatal

“…Existen investigaciones que han mostrado el valor predictivo del desarrollo motor en poblaciones con diversos riesgos biológicos (Chen, Lo & Heathcock, 2013;Evensen, Skranes, Brubakk & Vik, 2009;Jackson et al, 2012;Yuge et al, 2011;Zanudin et al, 2013). Asimismo, estudios que han evaluado la calidad de los movimientos observados durante los primeros meses de vida en niños prematuros han reportado que representan un factor predictivo de alteraciones en el de sarrollo en la edad escolar (Bruggink, Van Braeckel, & Bos, 2010;Butcher et al, 2009;Yang et al, 2012).…”