Spontaneous motility in preterm, small-forgestational age infants II. Qualitative aspects

Bos, Arend F.; Loon, A.J. van; Hadders‐Algra, Mijna; Martijn, Albert; Okken, A; Prechtl, H.F.R.

doi:10.1016/s0378-3782(97)00098-4

Cited by 89 publications

(79 citation statements)

References 41 publications

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“…Os resultados do presente estudo estão em discordância com aqueles de outros estudos 14,18,19,[21][22][23][24] , que evidenciaram uma relação entra a qualidade dos MG espontâne-os, particularmente no período pós-termo e na evolução neurológica, embora o período de seguimento tenha sido diferente entre os estudos (em torno de 2 anos de idade). Vários estudos demonstraram uma relação entre a ausên-cia de movimentos irregulares e evolução neurológica anormal nos recém-nascidos pré-termo e a termo 19,24 e em RNPT PIG 25 .…”

Section: Discussionunclassified

“…Bos et al 25 observaram alta concordância entre as qualidades dos MG no período pós-termo em comparação com os períodos pré-termo e a termo e a evolução neurológica aos 2 anos de idade. A relação entre a qualidade dos movimentos irregulares e a evolução neurológica também foi observada em outros estudos 16,19,24,26 .…”

Section: Discussionunclassified

“…Nossos resultados diferem daqueles relatados por Bos et al 20,25 ao estudarem recém-nascidos pré-termos, evidenciando a relação entre a avaliação longitudinal da qualidade dos MG e a evolução neurológica. Por outro lado, não encontramos alta sensibilidade (86%) e VPN (91%) para a trajetória com final normal , no que se refere à evolução neurológica.…”

Section: Discussionunclassified

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The role of spontaneous general movement assessment in the neurological outcome of cerebral lesions in preterm infants

Garcia¹,

Gherpelli²,

Leone³

2004

J Pediatr (Rio J)

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IntroduçãoApesar dos avanços na assistência pré-natal e na terapia intensiva neonatal terem gerado uma redução significante na mortalidade neonatal, os recém-nascidos pré-termo (RNPT) ainda correm risco de disfunções do sistema nervoso relacionadas a lesões cerebrais ocorridas durante os períodos pré-natal e perinatal 1 .Os principais distúrbios neurológicos comumente relacionados à lesão cerebral perinatal no RNPT incluem as formas diplégica e hemiplégica de paralisia cerebral, geralmente acompanhadas de distúrbios cognitivos. As neuropatologias usualmente relacionadas a esses distúr-bios motores são o infarto hemorrágico periventricular considerado uma das complicações da hemorragia periventricular e a leucomalácia periventricuar 2 . ARTIGO ORIGINAL AbstractObjective: To study the relationship among the quality, type, and trajectory of general movements in preterm infants and neonatal cranial ultrasonography findings and neurological outcome.Method: Forty preterm newborn infants, with gestational ages under 35 weeks, had their general movements recorded through video-tape during the preterm, term (37th -42nd postconceptional weeks of age) and post-term (49th 56th postconceptional weeks of age) periods, and were prospectively followed up to one-year conceptional age.Results: Our results showed that the quality of general movements, particularly in the post-term period (p = 0.009), were related with the presence of severe cerebral lesions in the neonatal cranial ultrasonography and the neurological outcome. While the presence of severe ultrasonography lesions was associated with an adverse neurological outcome (p = 0.01), the finding of normal general movements patterns was associated with a normal neurological outcome, with negative predictive values of 100%, for the preterm, and 80%, for both term and post-term periods.Conclusions: When concurrently used, these evaluation methods may increase the specificity and sensitivity in detecting the group of preterm infants at high risk for neurological disturbances in longterm follow-up.J Pediatr (Rio J). 2004;80(4):296-304: Low birth weight infant, intracranial hemorrhages, periventricular leukomalacia, motor activity, neurologic examination, ultrasonography, prognosis. ResumoObjetivo: Estudar a relação entre a qualidade, tipos e trajetória dos movimentos generalizados espontâneos em recém-nascidos pré-termo com os achados da ultra-sonografia de crânio neonatal e com a evolução neurológica.Método: 40 recém-nascidos pré-termo, com idades gestacionais < 35 semanas, tiveram seus movimentos generalizados registrados através de videoteipe durante os períodos pré-termo, a termo (37 a -42 a semana de idade pós-concepcional) e pós-termo (49 a -56 a semana de idade pós-concepcional), e foram seguidos prospectivamente até um ano de idade pós-concepcional.Resultados: Nossos resultados mostraram que a qualidade dos movimentos generalizados, particularmente no período pós-termo (p = 0,009), foram relacionados com a presença de lesões cerebrais detectadas à ultra-sonografia e com ...

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Section: Discussionunclassified

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The role of spontaneous general movement assessment in the neurological outcome of cerebral lesions in preterm infants

Garcia¹,

Gherpelli²,

Leone³

2004

J Pediatr (Rio J)

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“…[71][72][73][74][75][76] Since this test is based solely on visual observation, it has received some criticism because it allows for differences in the results when the same child is observed by different assessors. The training necessary for the practical administration of the test is quite expensive and requires greater efforts from those interested in administering it.…”

Section: Gmmentioning

confidence: 99%

Diagnóstico precoce de anormalidades no desenvolvimento em prematuros: instrumentos de avaliação

Santos

Araujo²,

Porto³

2008

J. Pediatr. (Rio J.)

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Objective: To review the literature regarding screening psychomotor tests for the early identification of developmental problems. Sources:A search on SciELO, PubMed and Google Scholar was performed using the terms "prematurity," "developmental delay," "cerebral palsy," "early diagnosis" and "evaluation tests." Summary of the findings:A total of 455 references were listed, and 174 studies were selected for this review based on title, relevance, and abstract. Only original and electronically available material, from 1985 forward, with information on design, applicability, and psychometric properties of those tests was included. Conclusions:Screening tests are important to speed the beginning of treatment measures in order to allow for better developmental outcome. Among the many tests that can be employed for this purpose, the DENVER II and the Alberta Infant Motor Scale are the most often used in Brazilian studies. The Movement Assessment of Infants is starting to be used in our country. Two other tests are recommended in the literature due to their high sensibility and specificity:the Test of Infant Motor Performance and the General Movements.J Pediatr (Rio J). 2008;84(4):289-299: Prematurity, motor delay, early diagnostic, screening tests.

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“…During term and fi rst post term age, general movements are characterized by slow to moderate amplitude and speed, being elliptical in form and with the impression of a writhing character and therefore are called writhing movements 7 . Th ere are 3 types of general movements in children described during preterm, term and in the fi rst 2 months post term: 1) poor repertoire of general movements -monotonous movements, movements of diff erent body parts do not appear in the complex way as seen in normal general movements 8,9 ; 2) cramped -synchronized general movementsrigid movements with lack of normal smooth and fl uent character, limb and trunk muscles contract and relax almost simultaneously 8,9 ; and 3) chaotic general movements -large amplitude of movements of all limbs, and appear in chaotic order without any fl uency or smoothness 10 .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Psychomotor Development Screening Test and Clinical Assessment of Psychomotor Development

Radmilović¹

2016

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SUMMARY -Numerous adverse factors are acting in the prenatal, perinatal and postnatal period of life and may be the cause of later mild or severe deviations from normal psychomotor development. Th erefore, it is crucial to identify infants with neurological risk factors and infants that already have a delay from orderly development, in order to immediately initiate the rehabilitation process. Th e aim of this study was to determine whether there is diff erence in the assessment of psychomotor development in neurological risk children based on the psychomotor development test (Croatian, Razvoj psihomotorike, RPM test) and clinical evaluation of neuromotor development. RPM test is designed for rough estimate of psychomotor development in children in the fi rst two years of life. Th e study included 15 full term children (8 male and 7 female) with clinical diagnosis of mild paraparesis and mild deviation from normal psychological and social development, and 15 full term children (8 male and 7 female) without neurological risk factors and deviations from normal psychomotor development, all at the age of 12-24 months. Of the 15 children diagnosed with mild paraparesis, none had delayed psychomotor development, 6.7% had suspect development and 93.3% had normal development on RPM test. All children in the control group had normal development on RPM test. According to the results, the RPM test is not sensitive enough to detect mild neurodevelopmental disorders.

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Spontaneous motility in preterm, small-forgestational age infants II. Qualitative aspects

Cited by 89 publications

References 41 publications

The role of spontaneous general movement assessment in the neurological outcome of cerebral lesions in preterm infants

The role of spontaneous general movement assessment in the neurological outcome of cerebral lesions in preterm infants

Diagnóstico precoce de anormalidades no desenvolvimento em prematuros: instrumentos de avaliação

Comparison of Psychomotor Development Screening Test and Clinical Assessment of Psychomotor Development

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