Reliability of detailed assessment of general movements for motor development in high risk infants

YIN Huan-huan; YANG Hong; CAO Jia-yan; ZANG Fei-fei; SHI Wei; ZHU Xiao-yun

doi:10.11852/zgetbjzz2017-25-03-06

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Chinese Journal of Child Health Care ›› 2017, Vol. 25 ›› Issue (3) : 234-236. DOI: 10.11852/zgetbjzz2017-25-03-06

Reliability of detailed assessment of general movements for motor development in high risk infants

YIN Huan-huan,YANG Hong,CAO Jia-yan,ZANG Fei-fei,SHI Wei,ZHU Xiao-yun

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Abstract

Objective To study the reliability of the detailed assessment of general movements,and establish a corresponding basis for its application in high risk infants follow-up clinical work for motor development. Methods The analysis was based on 90 video recordings of 87 infants who had been videoed from 34 to 58 weeks postmenstrual age.The motor optimality score was assessed according to the detailed assessment of "Preterm and Term General Movement" and "Assessment of Motor Repertoire-3 to 5 Months".The intraclass correlation coefficient (ICC) of inter-raters and test-retest reliability were investigated. Results The inter-raters ICC values of the total score of the detailed assessment in writhing movements was 0.941,while the inter-raters ICC values were 0.881 to 0.933 of the subgroups;The test-retest ICC values of the total score was 0.983 and 0.879,while the test-retest ICC values were 0.876 to 0.943 of the subgroups.The inter-raters ICC values of the total score of the detailed assessment in fidgety movements was 0.976,while the inter-raters ICC values were 0.819 to 0.909 of the subgroups;The test-retest ICC values of the total score was 0.955 and 0.959,while the test-retest ICC values were 0.588 to 0.905 of the subgroups. Conclusion The detailed assessment of general movements is reliable in inter-raters and test-retest as applied in high risk infants,and can be used for its follow-up clinical work for motor development.

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general movements / detailed assessment / high risk infants / reliability / video assessment

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YIN Huan-huan,YANG Hong,CAO Jia-yan,ZANG Fei-fei,SHI Wei,ZHU Xiao-yun. Reliability of detailed assessment of general movements for motor development in high risk infants[J]. Chinese Journal of Child Health Care. 2017, 25(3): 234-236 https://doi.org/10.11852/zgetbjzz2017-25-03-06

References

[1] Prechtl HF,Einspieler C,Cioni G,et al.An early marker for neurological deficits after perinatal brain lesions[J].Lancet,1997,9062(349):1361-1363.
[2] 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.
[3] 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.
[4] 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 Human Development,2006,82(1):53-59.
[5] Fjrtoft 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 Human Development,2009,85(5):297-302.
[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] Prechtl HF.The optimality concept[J].Early Hum Dev,1980,4(3):201-205.
[8] 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.
[9] 史惟,杨红,施炳培,等.国内外脑性瘫痪定义、临床分型及功能分级新进展[J].中国康复理论与实践,2009,15(9):801-803.
[10] Colver A,Fairhurst C,Pharoah POD.Cerebral palsy[J].Lancet,2014(383):1240-1249.
[11] Einspieler C,Marschik PB,Prechtl HFR.Human motor behavior[J].Zeitschrift für Psychologie / Journal of Psychology,2008,216(3):147-153.
[12] 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.
[13] Hadders-Algra M.General movements:a window for early identification of children at high risk for developmental disorders[J].The Journal of Pediatrics,2004,145(Suppl 2):12-18.
[14] 李云,龚春丹,张莺,等.全身运动质量评估技术在高危儿随访中的应用研究[J].中国儿童保健杂志,2011,19(5):485-486.
[15] 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 Human Development,2012,88(10):837-843.
[16] 臧菲菲,杨红,曹佳燕,等.扭动运动全身运动评估在极低出生体重早产儿运动发育随访中的应用研究[J].中国儿童保健杂志,2015,23(5):530-533.
[17] 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].Developmental Medicine & Child Neurology,2016,58(4):361-368.
[18] Yuge M,Marschik PB,Nakajima Y,et al.Movements and postures of infantsaged 3 to 5 months[J].Early Human Development,2011,87:231-237.