全身运动评估的临床应用研究进展

沈修姝; 汪军

doi:10.11852/zgetbjzz2022-0242

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中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (2) : 167-170. DOI: 10.11852/zgetbjzz2022-0242

综述

全身运动评估的临床应用研究进展

沈修姝, 汪军

作者信息 +

Research progress in clinical application of general movement assessment

SHEN Xiu-shu, WANG Jun

Author information +

文章历史 +

摘要

早产、脑损伤等小婴儿是神经系统发育异常的高危人群,目前评估神经系统功能的方法有很多,其中已有大量研究证实全身运动评估技术是超早期预测脑瘫等神经发育障碍可靠、有效的评估工具。全身运动评估包括整体评估和细化评估两大类。整体评估是一种定性评估,细化评估则是根据最优性评分将运动模式进行量化,既有利于观察婴儿运动发育轨迹的细小变化,评价早期干预效果,又有利于更加全面、精准地预测不同的神经发育结局。

Abstract

Infants with premature, brain injury are at a high risk of neurodevelopmental disorders. There are many options to evaluate the neurologic and developmental disability, among which a large number of studies have proved that general movement assessment is a reliable and effective assessment tool for the ultra-early prediction of neurodevelopmental disorders such as cerebral palsy. General movement assessment includes global general movement assessment and detailed general movement assessment. Global general movement assessment is a qualitative evaluation. Detailed general movement assessment quantifies the motion patterns according to general movement optimality score and motor optimality score, which is not only helpful to observe the changes in the developmental trajectory of the movements in infants and evaluate the effects of early intervention, but also beneficial to predict different neurodevelopmental outcomes more comprehensively and accurately.

导出引用

沈修姝, 汪军. 全身运动评估的临床应用研究进展[J]. 中国儿童保健杂志. 2023, 31(2): 167-170 https://doi.org/10.11852/zgetbjzz2022-0242

SHEN Xiu-shu, WANG Jun. Research progress in clinical application of general movement assessment[J]. Chinese Journal of Child Health Care. 2023, 31(2): 167-170 https://doi.org/10.11852/zgetbjzz2022-0242

中图分类号： R174

参考文献

[1] Larroque B, Ancel PY, Marret S, et al. Neurodevelopmental disabilities and special care of 5-year-old children born before 33 weeks of gestation (the EPIPAGE study): A longitudinal cohort study[J]. Lancet, 2008, 371(9615): 813-820.
[2] Prechtl HF, Einspieler C, Cioni G, et al. An early marker for neurological deficits after perinatal brain lesions[J]. Lancet, 1997, 349(9062):1361-1363.
[3] Ferrari F,Prechtl HF, Cioni G, et al. Posture, spontaneous movements, and behavioural state organisation in infants affected by brain malformations[J]. Early Hum Dev, 1997, 50(1):87-113.
[4] 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.
[5] Einspieler C, Bos AF, Krieber-Tomantschger M, et al. Cerebral palsy: Early markers of clinical phenotype and functional outcome[J]. J Clin Med, 2019, 8(10):1616.
[6] Morgan C, Fetters L, Adde L, et al. Early intervention for children aged 0 to 2 years with or at high risk of cerebral palsy: International clinical practice guideline based on systematic reviews[J]. JAMA Pediatr, 2021, 175(8): 846-858.
[7] 黄真, 杨红, 陈翔, 等. 中国脑性瘫痪康复指南(2015):第二部分[J]. 中国康复医学杂志, 2015, 30(8): 858-866.
Huang Z, Yang H, Chen X, et al. Chinese Guidelines for rehabilitation of cerebral palsy (2015): Part Ⅱ[J]. Chin J of Rehabil Med, 2015, 30(8): 858-866.
[8] Novak I, Morgan C, Adde L, et al. Early, accurate diagnosis and early intervention in cerebral palsy: Advances in diagnosis and treatment[J]. JAMA Pediatr, 2017, 171(9): 897-907.
[9] 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.
[10] Barbosa VM, Einspieler C, Smith E, et al. Clinical implications of the general movement optimality score: Beyond the classes of rasch analysis[J]. J Clin Med, 2021, 10(5):1069.
[11] Ortqvist M, Einspieler C, Marschik PB, et al. Movements and posture in infants born extremely preterm in comparison to term-born controls[J]. Early Hum Dev, 2021, 154:105304.
[12] Salavati S, Einspieler C, Vagelli G, et al. The association between the early motor repertoire and language development in term children born after normal pregnancy[J]. Early Hum Dev, 2017,111: 30-35.
[13] Nakajima Y, Einspieler C, Marschik PB, et al. Does a detailed assessment of poor repertoire general movements help to identify those infants who will develop normally?[J]. Early Hum Dev, 2006, 82(1): 53-59.
[14] Fjortoft T, Einspieler C, Adde L, et al. Inter-observer reliability of the "assessment of motor repertoire--3 to 5 months" based on video recordings of infants[J]. Early Hum Dev, 2009, 85(5): 297-302.
[15] Zang FF, Yang H, Han Q, et al. Very low birth weight infants in China: The predictive value of the motor repertoire at 3 to 5months for the motor performance at 12 months[J]. Early Hum Dev, 2016, 100: 27-32.
[16] Wang Y, Zhu P, Yang Z, et al. Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements[J]. J Int Med Res, 2020, 48(4): 1220702131.
[17] Salavati S, Den Heijer AE, Coenen MA, et al. The early motor repertoire in preterm infancy and cognition in young adulthood: Preliminary findings[J]. J Int Neuropsychol Soc, 2022, 3:1-12.
[18] Salavati S, Bos AF, Doyle LW, et al. Very preterm early motor repertoire and neurodevelopmental outcomes at 8 years[J]. Pediatrics, 2021, 148(3): e2020049572.
[19] Fjortoft T, Grunewaldt KH, Lohaugen GC, et al. Assessment of motor behaviour in high-risk-infants at 3 months predicts motor and cognitive outcomes in 10 years old children[J]. Early Hum Dev, 2013, 89(10): 787-793.
[20] Hitzert MM, Roze E, Van Braeckel KN, et al. Motor development in 3-month-old healthy term-born infants is associated with cognitive and behavioural outcomes at early school age[J]. Dev Med Child Neurol, 2014, 56 (9): 869-876.
[21] Herrero D, Einspieler C, Panvequio AC, et al. The motor repertoire in 3-to 5-month old infants with Down syndrome[J]. Res Dev Disabil, 2017, 67: 1-8.
[22] 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.
[23] Einspieler C, Hirota H, Yuge M, et al. Early behavioural manifestation of Smith-Magenis syndrome (del 17p11.2) in a 4-month-old boy[J]. Dev Neurorehabil, 2012, 15(4): 313-316.
[24] Robinson H, Hart D, Vollmer B. Predictive validity of a qualitative and quantitative Prechtl′s general movements assessment at term age: Comparison between preterm infants and term infants with HIE[J]. Early Hum Dev, 2021, 161: 105449.
[25] Salavati S, Berghuis SA, Bosch T, et al. A comparison of the early motor repertoire of very preterm infants and term infants[J]. Eur J Paediatr Neurol, 2021, 32: 73-79.
[26] Fjortoft T, Brandal M, Brubakk AM, et al. Maternal alcohol and drug use during pregnancy affects the motor behaviour and general movements of infants aged 3-4 months[J]. Early Hum Dev, 2020, 151: 105171.
[27] Berghuis SA, Soechitram SD, Hitzert MM, et al. Prenatal exposure to polychlorinated biphenyls and their hydroxylated metabolites is associated with motor development of three-month-old infants[J]. Neurotoxicology, 2013, 38: 124-130.
[28] Tekerlek H, Mutlu A, Inal-Ince D, et al. Motor repertoire is age-inadequate in infants with cystic fibrosis[J]. Pediatr Res, 2021, 89(5): 1291-1296.
[29] Rodijk LH, Bos AF, Verkade HJ, et al. Early motor repertoire in infants with biliary atresia: A nationwide prospective cohort study[J]. J Pediatr Gastroenterol Nutr, 2021, 72(4): 592-596.