婴幼儿早期动作发育异常预测性应用进展

孙泽容; 钱永东

doi:10.11852/zgetbjzz2023-1042

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中国儿童保健杂志 ›› 2024, Vol. 32 ›› Issue (5) : 538-542. DOI: 10.11852/zgetbjzz2023-1042

综述

婴幼儿早期动作发育异常预测性应用进展

孙泽容, 钱永东

作者信息 +

Advances in the predictive application of abnormal early motor development in infants and toddlers

SUN Zerong, QIAN Yongdong

Author information +

文章历史 +

摘要

尽管早产和高危婴幼儿的存活率显著提高,但幸存婴幼儿面临着发展为脑瘫等神经发育障碍的高风险。婴儿的发育呈现动态连续变化趋势,这使得仅凭一次检查很难将儿童的运动发育水平分类为正常或异常。本文就全身运动评估(GMA)和Alberta婴儿运动量表(AIMS)在婴幼儿早期评估和随访中的预测有效性应用进展进行综述,以便及时对具有潜在运动风险的幼儿进行干预。

Abstract

Despite a more significant improvement in survival rates of premature and high-risk infants, surviving infants face a high risk of developing neurodevelopmental disorders such as cerebral palsy.Infant development is characterized by a dynamic continum, which makes it difficult to classify a child′s level of motor development as normal or abnormal on the basis of a single examination.This article provides a review of advances in the application of the predictive validity of General Movement Assessment (GMA) and the Alberta Infant Motor Scale (AIMS) in the early assessment and follow-up of infants and toddlers, in order to intervene in a timely manner with young children at potential motor risk.

导出引用

孙泽容, 钱永东. 婴幼儿早期动作发育异常预测性应用进展[J]. 中国儿童保健杂志. 2024, 32(5): 538-542 https://doi.org/10.11852/zgetbjzz2023-1042

SUN Zerong, QIAN Yongdong. Advances in the predictive application of abnormal early motor development in infants and toddlers[J]. Chinese Journal of Child Health Care. 2024, 32(5): 538-542 https://doi.org/10.11852/zgetbjzz2023-1042

中图分类号： R174

参考文献

[1] Serenius F, Ewald U, Farooqi A, et al.Neurodevelopmental outcomes among extremely preterm infants 6.5 years after active perinatal care in Sweden[J].JAMA Pediatr,2016,170(10):954-963.
[2] Brumbaugh JE, Hansen NI, Bell EF, et al.Outcomes of extremely preterm infants with birth weight less than 400g[J].JAMA Pediatr,2019,173(5):434-445.
[3] 王翠,李一芳,黄真,等.Alberta婴儿运动量表与Peabody粗大运动发育量表在高危儿中的预测能力研究[J].中国康复医学杂志,2019,34(3):293-296.
Wang C, Li YF, Huang Z, et al.Psychometrics study of Alberta Infant Motor Scale and Peabody Developmental Gross Motor Scale in high[J].Chin J Rehabil Med,2019, 34(3):293-296.(in Chinese)
[4] 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.
[5] Einspieler C, Prechtl HF.Prechtl′s assessment of general movements:A diagnostic tool for the functional assessment of the young nervous system[J].Ment Retard Dev Disabil Res Rev,2005,11(1):61-67.
[6] Kl Kwong A, Spittle AJ.Clinimetrics:The prechtl general movements assessment[J].J Physiother,2023,69(3):195.
[7] Piper MC, Darrah J.Motor assessment of the developing infant.Alberta Infant Motor Scale[M].Philadelphia, PA:Saunders,1994:30-33.
[8] Darrah J,Piper M,Watt MJ. Assessment of gross motor skills of at-risk infants:Predictive validity of the Alberta Infant Motor Scale[J]. Dev Med Child Neurol,1998,40(7):485-491.
[9] 张雨平.婴幼儿脑损伤及其早期评估[J].中国儿童保健杂志,2023,31(2):123-125.
Zhang YP.Brain injury and early assessment in infants[J].Chin J Child Health Care, 2023,31(2):123-125.(in Chinese)
[10] Barnes F, Graham L, Loganathan P, et al.General movement assessment predicts neuro-developmental outcome in very low birth weight infants at two years-a five-year observational study[J].Indian J Pediatr,2021,88(1):28-33.
[11] Aker K, Thomas N, Adde L, et al.Prediction of outcome from MRI and general movements assessment after hypoxic-ischaemic encephalopathy in low-income and middle-income countries:Data from a randomised controlled trial[J].Arch Dis Child Fetal Neonatal Ed,2022,107(1):32-38.
[12] Seesahai J, Luther M, Church PT, et al.The assessment of general movements in term and late-preterm infants diagnosed with neonatal encephalopathy, as a predictive tool of cerebral palsy by 2 years of age-a scoping review[J].Syst Rev,2021,10(1):226-239.
[13] Einspieler C, Utsch F, Brasil P, et al.Association of infants exposed to prenatal zika virus infection with their clinical, neurologic, and developmental status evaluated via the general movement assessment tool[J].JAMA Netw Open,2019,2(1):e187235.
[14] Morais R, Le V, Morgan C, et al.Robust and interpretable general movement assessment using fidgety movement detection[J].IEEE J Biomed Health Inform,2023,27(10):5042-5053.
[15] Tsuji T, Nakashima S, Hayashi H, et al.Markerless measurement and evaluation of general movements in infants[J].Sci Rep,2020,10(1):1422.
[16] Groos D, Adde L, Aubert S, et al.Development and validation of a deep learning method to predict cerebral palsyfrom spontaneous movements in infants at high risk[J].JAMA Netw Open,2022,5(7):e2221325.
[17] Hesse N, Pujades S, Black MJ, et al.Learning and tracking the 3D body shape of freely moving infants from RGB-D sequences[J].IEEE Trans Pattern Anal Mach Intell,2020,42(10):2540-2551.
[18] Hadders-Algra M.Early diagnostics and early intervention in neurodevelopmental disorders-age-dependent challenges and opportunities[J].J Clin Med,2021,10(4):861.
[19] Rizzi R, Menici V, Cioni ML, et al.Concurrent and predictive validity of the infant motor profile in infants at risk of neurodevelopmental disorders[J].BMC Pediatr,2021,21(1):68.
[20] Danks M, Flynn EJ, Gray PH, et al.′Low-normal′ motor skills in infants at high risk for poor developmental outcomes:A prevalence and prognostic study[J].Dev Med Child Neuro,2022,64(12):1517-1523.
[21] Fauls JR, Thompson BL, Johnston LM.Validity of the Ages and Stages Questionnaire to identify young children with gross motor difficulties who require physiotherapy assessment[J].Dev Med Child Neurol,2020,62(7):837-844.
[22] Ustad T, Brandal M, Campbell SK, et al.Concurrent and predictive validity of the Alberta Infant Motor Scale and the Peabody Developmental Motor Scales-2 administered to infants born preterm in Norway[J].BMC Pediatr,2023,23(1):591.
[23] 卞珊珊,李海欣,王淮燕.Alberta婴儿运动量表在高危儿随访中的应用研究[J].中国儿童保健杂志,2020,28(12):1309-1312,1316.
Bian SS, Li HX, Wang HY.Study of the application of the Alberta Infant Motor Scale in the follow-up of high-risk infants[J].Chin J Child Health Care, 2020,28(12):1309-1312,1316.(in Chinese)
[24] Eliks M, Anna S, Barbara S, et al.The standardization of the Polish version of the Alberta Infant Motor Scale[J].BMC Pediatr,2023,23(1):236.
[25] Varsi K, Torsvik IK, Huber S, et al.Impaired gross motor development in infants with higher PFAS concentrations[J].Environ Res,2022,204(Pt D):112392.
[26] Ljungblad UW, Tangeraas T, Paulsen H, et al.Lower iron stores were associated with suboptimal gross motor scores in infants at 3-7 months[J].Acta Paediatr,2022,111(10):1941-1949.
[27] Mulkey SB, Arroyave-Wessel M, Peyton C, et al.Neurodevelopmental abnormalities in children with in utero zika virus exposure without congenital zika syndrome[J].JAMA Pediatr,2020,174(3):269-276.