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General movements preterm

Akwugo A Eziefule, Solafa Elshatanoufy, Mili Thakur, Frederico G Rocha
Background Propofol is a widely known, commonly used drug. Complications can occur with the use of this drug, including propofol-related infusion syndrome (PRIS). PRIS, in the obstetric population, has not been documented; however, we report a case of a patient who developed PRIS after an emergent cesarean delivery of a preterm infant. Case Study A 35-year-old multigravida woman presented complaining of leakage of fluid and decreased fetal movement. Her pregnancy was complicated by methadone maintenance therapy due to a history of opioid abuse...
October 2016: American Journal of Perinatology Reports
A J Spittle, J Olsen, A Kwong, L W Doyle, P B Marschik, C Einspieler, Jly Cheong
INTRODUCTION: Infants born extremely preterm (EP; <28 weeks' gestation) and/or with extremely low birth weight (ELBW; <1000 g birth weight) are at increased risk for adverse neurodevelopmental outcomes. However, it is challenging to predict those EP/ELBW infants destined to have long-term neurodevelopmental impairments in order to target early intervention to those in most need. The General Movements Assessment (GMA) in early infancy has high predictive validity for neurodevelopmental outcomes in preterm infants...
October 3, 2016: BMJ Open
Patricia A M van Iersel, Saskia C M Bakker, Arnold J H Jonker, Mijna Hadders-Algra
AIM: To evaluate in term infants associations between quality of general movements and developmental outcome in term infants at 6 years with either cerebral palsy (CP) or limited mobility without CP. METHOD: Participants of this prospective study were 145 term infants (86 male, 59 female). Their general movements quality was assessed at 'writhing' and 'fidgety' general movements age (3wks and 13wks post term). The assessment at 6 years consisted of a neurological examination, including assessment of minor neurological dysfunction (MND), evaluation of mobility with the Movement Assessment Battery for Children, and of behaviour and learning problems with questionnaires...
August 13, 2016: Developmental Medicine and Child Neurology
Saori Miyagishima, Tadayoshi Asaka, Kaori Kamatsuka, Naoki Kozuka, Masaki Kobayashi, Risa Igarashi, Tsukasa Hori, Yuko Yoto, Hiroyuki Tsutsumi
AIMS: We investigated whether spontaneous antigravity limbs movements in very low birth weight preterm infants were insufficient compared to those in term infants. The relationship between the quality of general movements (GMs) and antigravity limbs movements was also examined. METHODS: Preterm infants with very low birth weight without central nervous system disorders nor severe respiration disorders, and healthy term infants were recruited. The infants were set in a supine position...
August 2016: Infant Behavior & Development
Joy E Olsen, Nisha C Brown, Abbey L Eeles, Christa Einspieler, Katherine J Lee, Deanne K Thompson, Peter J Anderson, Jeanie L Y Cheong, Lex W Doyle, Alicia J Spittle
BACKGROUND: Neurodevelopmental assessments and brain magnetic resonance imaging (MRI) at term-equivalent age (TEA) predict developmental outcomes in preterm infants. However, the relationship between neurodevelopment prior to term and cerebral structure is currently unknown. AIMS: To examine the relationships between General Movements (GMs) assessed from birth to TEA and brain MRI at TEA in infants born <30weeks' gestation. STUDY DESIGN: Prospective cohort study...
October 2016: Early Human Development
Tomoki Maeda, Masanori Inoue, Kazuhito Sekiguchi, Kenji Ihara
AIM: This study investigated the effect of aminophylline on behaviour and autonomic function in the preterm period. METHOD: Subjects were preterm infants cared for in the Oita University hospital from August 2012 to October 2014. The group that was administered aminophylline (Am+) and the group that received no aminophylline (Am-) included 11 cases that exhibited a mean gestational age of 28weeks 5days and a mean birth weight of 1109g and 8 cases that exhibited a mean gestational age of 30weeks 5days and a mean birth weight of 1223g, respectively...
August 2016: Early Human Development
Rebecca Caesar, Roslyn N Boyd, Paul Colditz, Giovani Cioni, Robert S Ware, Kaye Salthouse, Julie Doherty, Maxine Jackson, Leanne Matthews, Tom Hurley, Anthony Morosini, Clare Thomas, Laxmi Camadoo, Erica Baer
INTRODUCTION: Over 80% of very preterm (<32 weeks) and very low birthweight (<1500 g) infants will have either typical development (TD) or mild developmental delay (MDD) in multiple domains. As differentiation between TD and MDD can be difficult, infants with MDD often miss opportunities for intervention. For many clinicians, the ongoing challenge is early detection of MDD without over servicing the population. This study aims to: (1) identify early clinical biomarkers for use in this population to predict and differentiate between TD and MDD at 24 months corrected age...
2016: BMJ Open
Lidija Dimitrijević, Bojko Bjelaković, Hristina Čolović, Aleksandra Mikov, Vesna Živković, Mirjana Kocić, Stevo Lukić
BACKGROUND: Adverse neurologic outcome in preterm infants could be associated with abnormal heart rate (HR) characteristics as well as with abnormal general movements (GMs) in the 1st month of life. AIMS: To demonstrate to what extent GMs assessment can predict neurological outcome in preterm infants in our clinical setting; and to assess the clinical usefulness of time-domain indices of heart rate variability (HRV) in improving predictive value of poor repertoire (PR) GMs in writhing period...
August 2016: Early Human Development
Oana Craciunoiu, Liisa Holsti
AIMS: For high-risk newborns, early assessment of neurobehavior that accurately predicts neurodevelopmental outcome is the first step towards determining early intervention needs. This study reviews systematically the validity of neurobehavioral assessments administered to premature newborns before term-equivalent age to predict long-term neurodevelopmental outcome. METHODS: A systematic literature search of CINAHL, EMBASE, MEDLINE, PubMed, Web of Science, PsychInfo, Cochrane Library databases was conducted...
June 17, 2016: Physical & Occupational Therapy in Pediatrics
Kuo-Kuang Yeh, Wen-Yu Liu, Alice May-Kuen Wong, Chia-Ying Chung, Reyin Lien, Yu-Fen Chuang
[Purpose] The aim of this study was to examine the intra-observer reliability for Prechtl's General Movements Assessment in Taiwanese infants. This includes the global General Movements Assessment, the Optimality List for Preterm General Movements and Writhing Movements, and the Assessment of Motor Repertoire-3 to 5 Months. [Subjects and Methods] Fifty-nine videos of 37 infants were observed and rated by one physical therapist twice. [Results] The intra-observer reliability ranged from good to very good for the global General Movements Assessment...
May 2016: Journal of Physical Therapy Science
Rannei Sæther, Ragnhild Støen, Torstein Vik, Toril Fjørtoft, Randi Tynes Vågen, Inger Elisabeth Silberg, Marianne Loennecken, Unn Inger Møinichen, Stian Lydersen, Lars Adde
AIM: General movement assessment (GMA) at 9-20 weeks post-term, can effectively predict cerebral palsy. Our aim was to evaluate intra-individual variability of the temporal organization of fidgety movements (FMs) in high risk infants. MATERIAL AND METHODS: 104 High risk infants (66 males) with at least two video recordings from the FMs period participated. 45 of the infants had GA <28 weeks and/or BW ≤800 g. Mean post-term age at first and second assessments was 11...
July 2016: European Journal of Paediatric Neurology: EJPN
Christa Einspieler, Arend F Bos, Melissa E Libertus, Peter B Marschik
Apart from motor and behavioral dysfunctions, deficits in cognitive skills are among the well-documented sequelae of preterm birth. However, early identification of infants at risk for poor cognition is still a challenge, as no clear association between pathological findings based on neuroimaging scans and cognitive functions have been detected as yet. The Prechtl General Movement Assessment (GMA) has shown its merits for the evaluation of the integrity of the young nervous system. It is a reliable tool for identifying infants at risk for neuromotor deficits...
2016: Frontiers in Psychology
Alicia J Spittle, Jennifer Walsh, Joy E Olsen, Emma McInnes, Abbey L Eeles, Nisha C Brown, Peter J Anderson, Lex W Doyle, Jeanie L Y Cheong
AIMS: The objective of this study was to generate reference values for infants born moderate preterm (MPT), late preterm (LPT) and full term (FT) for three newborn neurobehavioural/neurological examinations in the first weeks after birth. STUDY DESIGN: Prospective cohort study to examine the expected range of values for MPT (born 32(+0) to 33(+6)), LPT (34(+0) to 36(+6)) and FT (born 37 to 42weeks' gestation) infants' performance on the Hammersmith Neonatal Neurological Examination (HNNE), the Neonatal Intensive Care Unit Network Neurobehavioural Scale (NNNS) and Prechtl's General Movements Assessment (GMA) in the first weeks after birth...
May 2016: Early Human Development
Jozien C Tanis, Danique M Schmitz, Maaike R Boelen, Lucia Casarella, Paul P van den Berg, Caterina M Bilardo, Arend F Bos
AIM: To investigate whether in fetal growth restriction (FGR) Doppler PI measurements of the fetal circulation are associated with neonatal general movements (GMs). METHOD: FGR diagnosis was based on abdominal circumference or estimated fetal weight <P10 or deflecting fetal growth. Fetal Doppler parameters of the umbilical artery (UA), middle cerebral artery (MCA), and ductus venosus (DV) were measured maximally 1 week prior to delivery. Cerebroplacental ratio (CPR) was calculated as MCA divided by UA PI...
March 2, 2016: Ultrasound in Obstetrics & Gynecology
Colleen Peyton, Edward Yang, Masha Kocherginsky, Lars Adde, Toril Fjørtoft, Ragnhild Støen, Arend F Bos, Christa Einspieler, Michael D Schreiber, Michael E Msall
BACKGROUND: Cerebral Magnetic Resonance Imaging, the General Movement Assessment, and the Test of Infant Motor Performance are all tools that can predict neurodevelopmental outcome in preterm infants. However, how these tests relate to each other is unclear. AIMS: To examine the relationship between cerebral Magnetic Resonance Imaging measured at term age, and the General Movement Assessment and Test of Infant Motor Performance measured at 10-15 weeks post-term age...
April 2016: Early Human Development
Ling Yu, Hongwei Sun, Lan Yao, Yi Feng
STUDY OBJECTIVE: To determine whether depth of anesthesia correlates with central pupils in outpatient infants undergoing fundus examination during general anesthesia. DESIGN: Prospective, clinical comparison study. SETTING: Outpatient operating room of a university-affiliated hospital. PATIENTS: Premature infants with corrected gestational ages of 44 - 64weeks, who met the criteria for screening for eye examination for retinopathy...
March 2016: Journal of Clinical Anesthesia
Toril Fjørtoft, Kari Anne I Evensen, Gunn Kristin Øberg, Nils Thomas Songstad, Cathrine Labori, Inger Elisabeth Silberg, Marianne Loennecken, Unn Inger Møinichen, Randi Vågen, Ragnhild Støen, Lars Adde
AIMS: To compare early motor repertoire between extremely preterm and term-born infants. An association between the motor repertoire and gestational age and birth weight was explored in extremely preterm infants without severe ultrasound abnormalities. METHODS: In a multicentre study, the early motor repertoire of 82 infants born extremely preterm (ELGAN:<28 weeks) and/or with extremely low birth weight (ELBW:<1000 g) and 87 term-born infants were assessed by the "Assessment of Motor Repertoire - 2 to 5 Months" (AMR) which is part of Prechtl's "General Movement Assessment", at 12 weeks post-term age...
March 2016: European Journal of Paediatric Neurology: EJPN
Joy E Olsen, Nisha C Brown, Abbey L Eeles, Katherine J Lee, Peter J Anderson, Jeanie L Y Cheong, Lex W Doyle, Alicia J Spittle
BACKGROUND: General movements (GMs) is an assessment with good predictive validity for neurodevelopmental outcomes in preterm infants. However, there is limited information describing the early GMs of very preterm infants, particularly prior to term. AIMS: To describe the early GMs trajectory of very preterm infants (born <30weeks' gestation) from birth to term-equivalent age, and to assess the influence of known perinatal risk factors on GMs. STUDY DESIGN: Prospective cohort study...
December 2015: Early Human Development
M Zahed, J Berbis, V Brevaut-Malaty, M Busuttil, B Tosello, C Gire
OBJECTIVE: The objective of this study is to evaluate the use of nests on general movements (GM) and posture in very preterm infants at term age. METHOD: Seventeen high-risk preterm infants-less than 30 weeks of gestation (GA)-underwent a video recording, lying in supine position, with or without nest. Posture, GM quality, and movements made around the child's midline, as well as abrupt movements and frozen postures-in extension or flexion of the four limbs-were analyzed...
December 2015: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Joanne M George, Roslyn N Boyd, Paul B Colditz, Stephen E Rose, Kerstin Pannek, Jurgen Fripp, Barbara E Lingwood, Melissa M Lai, Annice H T Kong, Robert S Ware, Alan Coulthard, Christine M Finn, Sasaka E Bandaranayake
BACKGROUND: More than 50 percent of all infants born very preterm will experience significant motor and cognitive impairment. Provision of early intervention is dependent upon accurate, early identification of infants at risk of adverse outcomes. Magnetic resonance imaging at term equivalent age combined with General Movements assessment at 12 weeks corrected age is currently the most accurate method for early prediction of cerebral palsy at 12 months corrected age. To date no studies have compared the use of earlier magnetic resonance imaging combined with neuromotor and neurobehavioural assessments (at 30 weeks postmenstrual age) to predict later motor and neurodevelopmental outcomes including cerebral palsy (at 12-24 months corrected age)...
2015: BMC Pediatrics
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