Preterm and term‐equivalent age general movements and 1‐year neurodevelopmental outcomes for infants born before 30 weeks' gestation

Olsen, Joy E.; Allinson, Leesa G; Doyle, Lex W.; Brown, Nisha C.; Lee, Katherine J.; Eeles, Abbey L; Cheong, Jeanie L.Y.; Spittle, Alicia J

doi:10.1111/dmcn.13558

Cited by 28 publications

(29 citation statements)

References 26 publications

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“…Thanks to the Prechtl Method it is possible to predict normal neurodevelopmental outcome with high probability by using observation and detection of SMA normal patterns in newborns and infants. Also, by observing and detecting pathological patterns of movement, it is possible to recognize specific neurological symptoms in prenatal period (US diagnostics), or after birth in preterm and term neonates, which are excellent indicators of later development of CP (11,12,13,14). Early detection of MND and CP symptoms has enormous clinical significance since it enables timely inclusion of children into neurodevelopmental treatment, thus contributing to the improvement of motor functional status at a later age, taking into account a biological phenomenon known as "brain plasticity".…”

Section: Resultsmentioning

confidence: 99%

The Importance of the Prechtl Method for Ultra-Early Prediction of Neurological Abnormalities in Newborns and Infants

Zlatanović¹,

Čolović²,

Živković³

et al. 2019

amm

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Early detection of cerebral palsy and minimal neurological deficit symptoms in newborns and infants is of crucial importance since it enables timely inclusion of children in neurodevelopmental treatment which contributes to the improvement of motor functional status at a later age, taking into account a biological phenomenon known as "brain plasticity". Conventional methods of neurological assessment of newborns and infants include neurological examination, quantitative assessment of motor functions using scales and tests, and utilization of additional diagnostic neuroimaging procedures as well. All the aforementioned methods are absolutely necessary for wider use in clinical practice as well. They enable fast diagnosis of neurological disorders and fast detection of central nervous system impairments, but they also share a common defect-inability of making adequate prognosis of neurological deficits. Thanks to Prechtl's Method based on qualitative assessment of spontaneous motor activity, specific neurological patterns that are excellent predictors of a child's neurological development can be defined even in the prenatal stage, as well as after birth in preterm and term newborns. The aim of the paper is to review literature data on the possibilities and importance of Prechtl's method in comparison to other conventional methods for ultra-early identification of newborns and infants at risk of the development of permanent neurological deficit-cerebral palsy and/or minimal neurological dysfunction. Prechtl's method is the most sensitive and specific clinical diagnostic procedure for the assessment of future neurological outcomes in high-risk newborns and infants.

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Section: Resultsmentioning

confidence: 99%

The Importance of the Prechtl Method for Ultra-Early Prediction of Neurological Abnormalities in Newborns and Infants

Zlatanović¹,

Čolović²,

Živković³

et al. 2019

amm

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“…Neurodevelopmental assessments of preterm infants during NICU hospitalization are currently performed to predict long-term neurodevelopmental outcomes and plan early interventions (17,18). A systematic review con rmed that infants' general movements and infant motor assessments done before term corrected age [CA] are the most signi cant predictors of long-term neurodevelopment (18).…”

Section: Rationalementioning

confidence: 99%

Effectiveness of Interventions on Early Neurodevelopment of Preterm Infants: A Systematic Review and Meta-Analysis

Aita

Clifford-Faugère

Lavallée

et al. 2020

Preprint

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Abstract Background and ObjectiveAs preterm infants’ neurodevelopment is shaped by NICU-related factors during their hospitalization, it is essential to evaluate which interventions are more beneficial for their neurodevelopment at this specific time. The objective of this systematic review and meta-analysis was to evaluate the effectiveness of interventions initiated during NICU hospitalization on preterm infants’ early neurodevelopment during their hospitalization and up to two weeks corrected age (CA).MethodsThis systematic review referred to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses [PRISMA] guidelines and was registered in PROSPERO (CRD42017047072). We searched CINAHL, MEDLINE, PubMed, EMBASE (OVID), Cochrane Systematic Reviews, CENTRAL, and Web of Science from 2002 to February 2020 and included randomized controlled/clinical trials conducted with preterm infants born between 24 and 366/7 weeks of gestation. All types of interventions instigated during NICU hospitalization were included. Two independent reviewers performed the study selection, data extraction, assessment of risks of bias and quality of evidence.ResultsFindings of 12 studies involving 901 preterm infants were synthesized. We combined three studies in a meta-analysis showing that compared to standard care, the NIDCAP intervention is effective in improving preterm infants’ neurobehavioral and neurological development at two weeks CA. We also combined two other studies in a meta-analysis indicating that parental participation did not significantly improve preterm infants’ neurobehavioral development during NICU hospitalization. For all other interventions (i.e., developmental care, sensory stimulation, music and physical therapy), the synthesis of results shows that compared to standard care or other types of comparators, the effectiveness was either controversial or partially effective.Conclusions and Implications:The overall quality of evidence was rated low to very low. Future studies are needed to identify interventions that are the most effective in promoting preterm infants’ early neurodevelopment during NICU hospitalization or close to term age. Interventions should be appropriately designed to allow comparison with previous studies and a combination of different instruments could provide a more global assessment of preterm infants’ neurodevelopment and thus allow for comparisons across studies.Systematic Review Protocol Registration:Prospero CRD42017047072

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“…Neurodevelopmental assessments of preterm infants during NICU hospitalization are currently performed to predict long-term neurodevelopmental outcomes and plan early interventions (17)(18)(19). A systematic review con rmed that neurobehavioral assessments of infants' general movements (GMs) referring to the most common and complex spontaneous movements patterns (20) and infants' posture and movements with the Test of Infant motor Performance (TIMP) (21) done before term corrected age [CA] are the most signi cant predictors of long-term neurodevelopment (18).…”

Section: Systematic Review Protocol Registration: Prospero Crd4201704mentioning

confidence: 99%

Effectiveness of Interventions on Early Neurodevelopment of Preterm Infants: A Systematic Review and Meta-Analysis

Aita

Clifford-Faugère

Lavallée

et al. 2020

Preprint

View full text Add to dashboard Cite

Background : As preterm infants’ neurodevelopment is shaped by NICU-related factors during their hospitalization, it is essential to evaluate which interventions are more beneficial for their neurodevelopment at this specific time. The primary objective of this systematic review and meta-analysis was to evaluate the effectiveness of interventions initiated during NICU hospitalization on preterm infants’ early neurodevelopment during their hospitalization and up to two weeks corrected age (CA). Methods: This systematic review referred to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses [PRISMA] guidelines and was registered in PROSPERO (CRD42017047072). We searched CINAHL, MEDLINE, PubMed, EMBASE (OVID), Cochrane Systematic Reviews, CENTRAL, and Web of Science from 2002 to February 2020. Two independent reviewers performed the study selection, data extraction, assessment of risks of bias and quality of evidence. Results: Findings of 12 studies involving 901 preterm infants were synthesized. We combined three studies in a meta-analysis showing that compared to standard care, NIDCAP intervention is effective in improving preterm infants’ neurobehavioral and neurological development at two weeks CA. We also combined two other studies in a meta-analysis indicating that parental participation did not significantly improve preterm infants’ neurobehavioral development during NICU hospitalization. For all other interventions (i.e., developmental care, sensory stimulation, music and physical therapy), the synthesis of results shows that compared to standard care or other types of comparators, the effectiveness was either controversial or partially effective. Conclusions: The overall quality of evidence was rated low to very low. Future studies are needed to identify interventions that are the most effective in promoting preterm infants’ neurodevelopment during NICU hospitalization or close to term age. Interventions should be appropriately designed to allow comparison with previous studies and a combination of different instruments could provide a more global assessment of preterm infants’ neurodevelopment and thus allow for comparisons across studies. Systematic Review Protocol Registration: Prospero CRD42017047072

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Preterm and term‐equivalent age general movements and 1‐year neurodevelopmental outcomes for infants born before 30 weeks' gestation

Cited by 28 publications

References 26 publications

The Importance of the Prechtl Method for Ultra-Early Prediction of Neurological Abnormalities in Newborns and Infants

The Importance of the Prechtl Method for Ultra-Early Prediction of Neurological Abnormalities in Newborns and Infants

Effectiveness of Interventions on Early Neurodevelopment of Preterm Infants: A Systematic Review and Meta-Analysis

Effectiveness of Interventions on Early Neurodevelopment of Preterm Infants: A Systematic Review and Meta-Analysis

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