全身运动质量评估研究进展

马良, 冉霓, 冯雪英, 单延春, 衣明纪

中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (5) : 547-550.

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中国儿童保健杂志 ›› 2020, Vol. 28 ›› Issue (5) : 547-550. DOI: 10.11852/zgetbjzz2019-0860
综述

全身运动质量评估研究进展

  • 马良, 冉霓, 冯雪英, 单延春, 衣明纪
作者信息 +

Research progress of general movements assessment

  • MA Liang, RAN Ni, FENG Xue-ying, SHAN Yan-chun, YI Ming-ji
Author information +
文章历史 +

摘要

全身运动(GMs)是婴儿最常见和最复杂的自发性运动模式,基于全身运动质量评估(GMA)能对婴儿后期的神经发育结局尤其是运动结局进行很好的预测。GMA预测的敏感性和特异性比较高。根据最优化概念,在整体评估的基础上又提出了细化评估方式,细化评估是对整体评估的补充和解释,特别是对于整体评估结果处于边缘状态,结果判断困难时,细化评估更利于对运动预后的判断。本文就有关GMA整体评估以及细化评估的研究进展进行综述。

Abstract

General movements (GMs) are the most common and complex spontaneous movement patterns in infants. Based on general movements assesment(GMA),the neurodevelopmental outcomes,especially the motor outcomes,can be well predicted in the later stages of infants. GMA prediction has high sensitivity and specificity. According to the concept of optimization,a detailed assessment method is put forward. The detailed assessment is a supplement and explanation to the global assessment. Especially when the global assessment results are marginal and difficult to judge,the detailed assessment is more conducive to the judgment of prognosis. This article reviews the research progress on the global and detailed evaluation of the quality of general movements.

关键词

全身运动质量 / 整体评估 / 细化评估 / 发育障碍

Key words

general movements assesment / global assessment / detailed assessment / developmental disorders

引用本文

导出引用
马良, 冉霓, 冯雪英, 单延春, 衣明纪. 全身运动质量评估研究进展[J]. 中国儿童保健杂志. 2020, 28(5): 547-550 https://doi.org/10.11852/zgetbjzz2019-0860
MA Liang, RAN Ni, FENG Xue-ying, SHAN Yan-chun, YI Ming-ji. Research progress of general movements assessment[J]. Chinese Journal of Child Health Care. 2020, 28(5): 547-550 https://doi.org/10.11852/zgetbjzz2019-0860
中图分类号: R174   

参考文献

[1] 鲍秀兰.重视高危儿的发育风险和早期科学干预对策[J].中国儿童保健杂志,2011,19(5):393-394,397.
[2] O'Shea TM,Allred EN,Kuban KC,et al.Intraventricular he morrhage and developmental outcomes at 24 months of age in extremely preterm infants[J].J Child Neurol,2012,27(1):22-29.
[3] Hilderman CG,Harris SR.Early intervention post-hospital di scharge for infants born preterm[J].Phys Ther,2014,94(9):1211-1219.
[4] Einspieler C,Prechtl HF,Ferrari F,et al.The qualitative assessment of general movements in preterm,term and young infants--review of the methodology[J].Early Hum Dev,1997,50(1):47-60.
[5] 黄金华,温晓红,王水云,等.全身运动质量评估和52项神经运动检查对高危儿脑瘫的预测效度对比分析[J].中华物理医学与康复杂志,2011,33(10):755-758.
[6] 杨红,邵肖梅.全身运动质量评估[J].中国循证儿科杂志,2007,2(2):138-143.
[7] 杨红,史惟,邵肖梅,等.全身运动质量评估对高危新生儿神经学发育结局信度和预测效度的研究[J].中国循证儿科杂志,2007,2(3):172-180.
[8] Crowle C,Galea C,Walker K,et al.Prediction of neurodevelopment at one year of age using the General Movements assessment in the neonatal surgical population[J].Early Hum Dev,2018,118:42-47.
[9] 陈楠,温晓红,黄金华,等.全身运动质量评估对窒息新生儿24月龄时不良结局的预测价值[J].中国当代儿科杂志,2015,17(12):1322-1326.
[10] van Iersel PA,Bakker SC,Jonker AJ,et al.Does general mo vements quality in term infants predict cerebral palsy and milder forms of limited mobility at 6 years?[J].Dev Med Child Neurol,2016,58(12):1310-1316.
[11] 刁颖颖,岳保珠,陈建贵,等.全身运动质量评估指导高危儿早期干预的研究[J].中国儿童保健杂志,2019,27(4):388-391.
[12] Kepenek-Varol B,Caliskan M,Ince Z,et al.The comparison of general movements assessment and neurological examination during early infancy[J].Turk J Pediatr,2016,58(1):54-62.
[13] Olsen JE,Allinson LG,Doyle LW,et al.Preterm and term-equivalent age general movements and 1-year neurodevelopmental outcomes for infants born before 30 weeks' gestation[J].Dev Med Child Neurol,2018,60(1):47-53.
[14] Soares-Marangoni DA,Tedesco NM,Nascimento AL,et al.General movements and motor outcomes in two infants exposed to Zika virus:brief report[J].Dev Neurorehabil,2019,22(1):71-74.
[15] Dostanic T,Sustersic B,Paro-Panjan D.Developmental outcome in a group of twins:Relation to perinatal factors and general movements[J].Eur J Paediatr Neurol,2018,22(4):682-689.
[16] Peyton C,Yang E,Msall ME,et al.White matter injury and general movements in high-risk preterm infants[J].AJNR Am J Neuroradiol,2017,38(1):162-169.
[17] 周雪,李欣欣,李可蒙,等.不安运动阶段影响婴儿全身运动质量的影响因素分析[J].中国儿童保健杂志,2019,27(4):436-439.
[18] Spittle AJ,Olsen J,Kwong A,et al.The baby moves prospective cohort study protocol:using a smartphone application with the general movements assessment to predict neurodevelopmental outcomes at age 2 years for extremely preterm or extremely low birthweight infants[J].BMJ Open,2016,6(10):e13446.
[19] Kwong AK,Eeles AL,Olsen JE,et al.The baby moves smartphone app for general movements assessment:engagement amongst extremely preterm and term-born infants in a state-wide geographical study[J].J Paediatr Child Health,2019,55(5):548-554.
[20] Stahlmann N,Hartel C,Knopp A,et al.Predictive value of neurodevelopmental assessment versus evaluation of general movements for motor outcome in preterm infants with birth weights 1500g[J].Neuropediatrics,2007,38(2):91-99.
[21] Philippi H,Karch D,Kang KS,et al.Computer-based analysis of general movements reveals stereotypies predicting cerebral palsy[J].Dev Med Child Neurol,2014,56(10):960-967.
[22] Adde L,Helbostad JL,Jensenius AR,et al.Using computer-based video analysis in the study of fidgety movements[J].Early Hum Dev,2009,85(9):541-547.
[23] Adde L,Helbostad J,Jensenius AR,et al.Identification of fidgety movements and prediction of CP by the use of computer-based video analysis is more accurate when based on two video recordings[J].Physiother Theory Pract,2013,29(6):469-475.
[24] Hadders-Algra M.General movements:a window for early identification of children at high risk for developmental disorders[J].J Pediatr,2004,145(Suppl 2):12-18.
[25] Kwong A,Fitzgerald TL,Doyle LW,et al.Predictive validity of spontaneous early infant movement for later cerebral palsy:a systematic review[J].Dev Med Child Neurol,2018,60(5):480-489.
[26] Crowle C,Galea C,Morgan C,et al.Inter-observer agreement of the General Movements Assessment with infants following surgery[J].Early Hum Dev,2017,104:17-21.
[27] Adde L,Helbostad JL,Jensenius AR,et al.Early prediction of cerebral palsy by computer-based video analysis of general movements:a feasibility study[J].Dev Med Child Neurol,2010,52(8):773-778.
[28] Valle SC,Stoen R,Saether R,et al.Test-retest reliability of computer-based video analysis of general movements in healthy term-born infants[J].Early Hum Dev,2015,91(10):555-558.
[29] 冯军坛,阮毅燕,陈艳,等.全身运动质量评估和脑电图预测高危新生儿神经发育结局的价值[J].广西医学,2015,44(2):186-188.
[30] Maeda T,Iwata H,Sekiguchi K,et al.The association between brain morphological development and the quality of general movements[J].Brain Dev,2019,41(6):490-500.
[31] Prechtl HF.The optimality concept[J].Early Hum Dev,1980,4(3):201-205.
[32] Yuge M,Marschik PB,Nakajima Y,et al.Movements and postures of infants aged 3 to 5 months:to what extent is their optimality related to perinatal events and to the neurological outcome?[J].Early Hum Dev,2011,87(3):231-237.
[33] Einspieler C,Marschik PB,Pansy J,et al.The general movement optimality score:a detailed assessment of general movements during preterm and term age[J].Dev Med Child Neurol,2016,58(4):361-368.
[34] 王雨晴,朱萍,杨忠秀,等.全身运动细化评估的脑瘫预警评分的建立[J].中国儿童保健杂志,2019,27(4):385-387,391.
[35] Mazzone L,Mugno D,Mazzone D.The general movements in children with Down syndrome[J].Early Hum Dev,2004,79(2):119-130.
[36] Roescher AM,Timmer A,Hitzert MM,et al.Placental pathology and neurological morbidity in preterm infants during the first two weeks after birth[J].Early Hum Dev,2014,90(1):21-25.
[37] Ploegstra WM,Bos AF,de Vries NK.General movements in healthy full term infants during the first week after birth[J].Early Hum Dev,2014,90(1):55-60.
[38] de Vries NK,van der Veere CN,Reijneveld SA,et al.Early neurological outcome of young infants exposed to selective serotonin reuptake inhibitors during pregnancy:results from the observational SMOK study[J].PLoS One,2013,8(5):e64654.
[39] Raith W,Marschik PB,Sommer C,et al.General movements in preterm infants undergoing craniosacral therapy:a randomised controlled pilot-trial[J].BMC Complement Altern Med,2016,16:12.
[40] Hitzert MM,Benders MJ,Roescher AM,et al.Hydrocortisone vs.dexamethasone treatment for bronchopulmonary dysplasia and their effects on general movements in preterm infants[J].Pediatr Res,2012,71(1):100-106.
[41] 尹欢欢,杨红,曹佳燕,等.全身运动细化评估在高危儿运动发育中的信度研究[J].中国儿童保健杂志,2017,25(3):234-236,241.
[42] Maeda T,Iwata H,Sekiguchi K,et al.The association between brain morphological development and the quality of general movements[J].Brain Dev,2019,41(6):490-500.
[43] 马良.扭动运动阶段全身运动细化评估信度效度研究以及在高危儿随访中的应用[D].济南:山东大学,2018.

基金

青岛大学附属医院青年基金(2019-3059)

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