【Objective】 To study the predictive value of qualitative assessment of general movements (GMs) for very low birth weight (VLBW) premature infants' motor developmental outcome. 【Methods】 Neurological outcomes were determined at least after 12-month-old of age, according to clinical diagnoses and Peabody Developmental Motor Scale-2 (PDMS-2).Sensitivity, specificity,positive predictive value and negative predictive value were calculated. 【Results】 The predictive value of GMs assessment for abnormal motor developmental outcome was as following: sensitivity 100%,specificity 98.3%,positive predictive value 87.5%,and negative predictive value 100%;The predictive value of GMs assessment for cerebral palsy was as following: sensitivity 100%,specificity 92.1%,positive predictive value 37.5%,and negative predictive value 100%. 【Conlusions】 The qualitative assessment of GMs has a very good predictive value for VLBW infants in detecting later neurological outcomes.As a new method of neurological assessment,the qualitative assessment of GMs stands an important ground for follow-ups,and needs further application and generalization in China.
Key words
general movements /
motor development outcome /
cerebral palsy /
predictive validity /
very low birth weight
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] Vohr BR,Wright LL,Poole WK,et al.Neurodevelopmental outcomes of extremely low birth weight infants <32 weeks' gestation between 1993 and 1998[J].Pediatrics,2005,116:635-643.
[2] Prechtl HF.General movement assessment as a method of developmental neurology:new paradigms and their consequences[J].Dev Med Child Neurol,2001,43(8):836-842.
[3] 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.
[4] 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,2007,109:8-11.
[5] 周青蕊,白亚卿,马晓玲.285例小儿脑性瘫痪的高危因素和临床特征[J].中国康复,2007,22(6):423-424.
[6] 曹云,Saigal S.极低和超低出生体重早产儿远期预后[J].中国循证儿科杂志,2007,2(5):321-326.
[7] 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.
[8] Burger M,Louw QA.The predictive validity of general movements-a systematic review[J].Eur J Paediatr Neurol,2009,13(5):408-420.
[9] 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的预测效度和信度研究[J].中国循证儿科杂志,2007,2(3):172-180.
[10] 侯方华,杨红,王艺,等.单次不安运动质量评估对高危儿运动发育的预测价值[J].中国儿童保健杂志,2010,11(18):846-848.
[11] Prechtl HF,Ferrari F,Cioni G.Predictive value of general movements in as phyxiated fullterm infants[J].Early Hum Dev,1993,35(2):91-120.
[12] 杨红,邵肖梅,王艺,等.全身运动质量评估的直接法和录像法的信度研究[J].中国儿童保健杂志,2008,16(3):260-261.
[13] 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].中国儿童保健杂志,2011(26),5714-5717.
[14] 邵肖梅.胎儿和新生儿脑损伤[M].上海:上海科技教育出版社,2008:401-405.
[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 Hum Dev,2012,88(10):837-843.