Predictive value of qualitative assessment of general movements for motor developmental outcome (cerebral palsy) in full-term infants with cerebral damage.

SU Yun-peng; YANG Hong; SHI Wei; CHEN Ming; LI Hui; ZHU Mo; LIAO Yuan-gui; SHAO Xiao-mei

doi:10.11852/zgetbjzz2014-22-07-04

PDF(642 KB)

Chinese Journal of Child Health Care ›› 2014, Vol. 22 ›› Issue (7) : 680-682. DOI: 10.11852/zgetbjzz2014-22-07-04

Predictive value of qualitative assessment of general movements for motor developmental outcome (cerebral palsy) in full-term infants with cerebral damage.

SU Yun-peng¹, YANG Hong², SHI Wei², CHEN Ming², LI Hui², ZHU Mo², LIAO Yuan-gui², SHAO Xiao-mei³

Author information +

History +

Abstract

Objective To study the predictive value of qualitative assessment of general movements (GMs) for motor developmental outcome (cerebral palsy) in full-term infants with cerebral damage. Methods A total of 55 full-term infants with brain damage were retrospectively included in the Rehabilitation Department of Children's Hospital of Fudan University.All of them received GM assessments at least once during fidgety-movement period and their motor development outcome were determined after 1-year-old by their neurological examination and results of Peabody Developmental Motor Scale-2.Sensitivity, specificity, positive predictive value and negative predictive value of GMs assessment for cerebral palsy were calculated. Results Among the 55 infants with brain damage, 20 infants didn't show fidgety movements while 35 did.After 1-year-old, 19 children were diagnosed with cerebral palsy while 36 children were not.The predictive values of GMs assessment for cerebral palsy were as following: sensitivity 89%, specificity 92%, positive predictive value 85%, negative predictive value 94%. Conclusions The qualitative assessment of GMs has a good predictive value for long-term motor developmental outcome (cerebral palsy) in full-term infants with brain damage.As a new method of non-invasive, non-intrusive neurological assessment, the assessment of general movements is suitable for wide application in follow-ups among full-term infants with brain damage.

Key words

qualitative assessment of general movements / full-term infants with brain damage / cerebral palsy / motor developmental outcome / predictive value

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

SU Yun-peng, YANG Hong, SHI Wei, CHEN Ming, LI Hui, ZHU Mo, LIAO Yuan-gui, SHAO Xiao-mei. Predictive value of qualitative assessment of general movements for motor developmental outcome (cerebral palsy) in full-term infants with cerebral damage.[J]. Chinese Journal of Child Health Care. 2014, 22(7): 680-682 https://doi.org/10.11852/zgetbjzz2014-22-07-04

References

[1] Prechtl HFR, Einspieler C, Cioni G, et al.An early marker for neurological deficits after perinatal brain lesions[J].Lancet, 1997, 349(5):1361-1363.
[2] Einspieler C, Prechtl HFR.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.
[3] 史明靖, 温晓红, 黄金华, 等.全身运动质量评估对高危儿神经发育结局的预测效度研究[J].中国妇幼保健, 2011, 26(36):5714-5717.
[4] 龚春丹, 杨红.国内脑性瘫痪早期预测工具综述[J].中国康复理论与实践, 2011, 17(4):340-343.
[5] 杨忠秀, 朱萍, 王雨晴, 等.全身运动质量评估在高危儿随访中的临床应用价值[J].中国儿童保健杂志, 2012, 20(9):847-849.
[6] 徐玲, 杨亚丽, 王纪文, 等.小儿脑性瘫痪的流行病学研究进展[J].中华物理医学与康复杂志, 2013, 35(3):227-228.
[7] 陈鸣, 杨红, 侯方华, 等.全身运动评估对极低出生体重早产儿运动发育结局的预测价值[J].中国儿童保健杂志, 2012, 20(12):1067-1073.
[8] 王素娟, 李惠, 杨红, 等.Peabody运动发育量表[J].中国康复理论与实践, 2006, 12(2):181-182.
[9] Rosenbaum P, Paneth N, Leviton A, et al.A report:the definition and classification of cerebral palsy April 2006[J].Dev Med Child Neurol Suppl, 2007, 109(49):8-11.
[10] 史惟, 王素娟, 杨红, 等.中文版脑瘫患儿粗大运动功能分级系统的信度和效度研究[J].中国循证儿科杂志, 2006, 1(2):122-129.
[11] 邵肖梅, 桂永浩.胎儿和新生儿脑损伤[M].上海:上海科技教育出版社, 2008:1, 443.
[12] 金岚, 吴德, 张功纯, 等.早产儿和足月儿脑性瘫痪的临床特征[J].实用儿科杂志, 2008, 23(22):1768-1769.
[13] 熊裕娟, 刘娟, 周洪涛, 等.早产儿和足月儿脑性瘫痪类型及共患病比较[J].中国康复理论与实践, 2012, 18(10): 910-912.
[14] 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(5):172-180.
[15] 曹燕华, 曹玉红.神经系统三种评估方法对高危儿脑损伤的评价比较[J].中国优生与遗传杂志, 2013, 21(2):1-10.
[16] Suzuki J, Miyajima T, Fujii T.Epidemiological study of cerebral palsy in Shiga Prefecture, Japan, during 1977-2000.Part 3:clinical features of cerebral palsy at six years of age[J].No To Hattatsu, 2009, 41(4):289-293.
[17] Hadders-Algra M, Mavinkurve-Groothuis AM, Groen SE, et al.Quality of general movements and the development of minor neurological dysfunction at toddler and school age[J].Clin Rehabil, 2004, 18(3):287-299.
[18] Yang H, Einspieler C, Shi W, et al.Cerebral palsy in children:Movements and postures during early infancy, dependent on preterm vs.full term birth[J].Early Hum Dev, 2012, 88(10):837-843.