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General movements fidgety

M Cunha, F Correa, A Cadete, A Oliveira, H Figueiredo, P Valerio, R Barroso, H Carreiro
INTRODUCTION: Fidgety movements assessments is very sensitive predicting long-term outcome or cerebral palsy of preterm, disrupted cerebellar growth has been reported in these patients. AIM: To compare the predictive value of cerebellar ultrasound growth and fidgety movements assessments, for neurodevelopment outcome of very preterm at 18-24 month's corrected age (CA). SUBJECTS AND METHODS: Prospective study of 88 infants cohort (<= 32 weeks' gestation), transverse cerebellar diameter was obtained by ultrasound via mastoid fontanel, in a weekly basis, until 40 weeks CA...
January 16, 2017: Revista de Neurologia
Cathryn Crowle, Claire Galea, Catherine Morgan, Iona Novak, Karen Walker, Nadia Badawi
BACKGROUND: The General Movements Assessment (GMA) is a validated and reliable method of identifying infants at risk of adverse neurodevelopmental outcomes, however there is minimal data available on the use of the GMA with infants following surgery. AIMS: The aim of this study was to investigate the inter-observer agreement for the GMA with this infant population. STUDY DESIGN: Reliability and agreement study. SUBJECTS: This was a prospective cohort study of 190 infants (male n=112) born at term (mean 38weeks, SD 2weeks)...
November 30, 2016: Early Human Development
Lars Adde, Niranjan Thomas, Hima B John, Samuel Oommen, Randi Tynes Vågen, Toril Fjørtoft, Alexander Refsum Jensenius, Ragnhild Støen
BACKGROUND: Most studies on Prechtl's method of assessing General Movements (GMA) in young infants originate in Europe. AIM: To determine if motor behavior at an age of 3 months post term is associated with motor development at 12 months post age in VLBW infants in India. METHODS: 243 VLBW infants (135 boys, 108 girls; median gestational age 31wks, range 26-39wks) were video-recorded at a median age of 11wks post term (range 9-16wks). Certified and experienced observers assessed the videos by the "Assessment of Motor Repertoire - 2-5 Months"...
November 2016: European Journal of Paediatric Neurology: EJPN
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...
December 2016: Developmental Medicine and Child Neurology
Fei-Fei Zang, Hong Yang, Qian Han, Jia-Yan Cao, Iris Tomantschger, Magdalena Krieber, Wei Shi, Dan-Dan Luo, Mo Zhu, Christa Einspieler
BACKGROUND: Studies on motor performance and its early markers are rare in China, especially in very low birth weight (VLBW) infants. OBJECTIVE: Apart from the assessment of the inter-scorer agreement, we aimed to analyze to what extent the motor repertoire at 10 to 18weeks postterm was related to neonatal complications, and gross and fine motor performance at 12months after term. STUDY DESIGN: Exploratory prospective study. SUBJECTS: Seventy-four VLBW infants (58 males; mean gestational age=29weeks; mean birth weight=1252g)...
September 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
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, Robert Peharz, Peter B Marschik
OBJECTIVES: To describe fidgety movements (FMs), i.e., the spontaneous movement pattern that typically occurs at 3-5 months after term age, and discuss its clinical relevance. SOURCES: A comprehensive literature search was performed using the following databases: MEDLINE/PubMed, CINAHL, The Cochrane Library, Science Direct, PsycINFO, and EMBASE. The search strategy included the MeSH terms and search strings ('fidgety movement*') OR [('general movement*') AND ('three month*') OR ('3 month*')], as well as studies published on the General Movements Trust website (www...
May 2016: Jornal de Pediatria
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
Catherine Morgan, Cathryn Crowle, Traci-Anne Goyen, Caroline Hardman, Michelle Jackman, Iona Novak, Nadia Badawi
AIM: The aim of this study was to calculate the sensitivity and specificity of the General Movements Assessment (GMA) for estimating diagnostic accuracy in detecting cerebral palsy (CP) in an Australian context by a newly established NSW rater network. METHODS: A prospective longitudinal cross-sectional study was conducted. The GMA was blind-rated from conventional video by two independent certified raters, blinded to medical history. A third rater resolved disagreements...
January 2016: Journal of Paediatrics and Child Health
Susanne Collier Valle, Ragnhild Støen, Rannei Sæther, Alexander Refsum Jensenius, Lars Adde
BACKGROUND: A computer-based video analysis has recently been presented for quantitative assessment of general movements (GMs). This method's test-retest reliability, however, has not yet been evaluated. AIMS: The aim of the current study was to evaluate the test-retest reliability of computer-based video analysis of GMs, and to explore the association between computer-based video analysis and the temporal organization of fidgety movements (FMs). STUDY DESIGN: Test-retest reliability study...
October 2015: Early Human Development
Kegong Xie, Hong Zheng, Huawei Li, Chi Zhang, Hongbo Li, Hui Jin, Bingxiang Ma
OBJECTIVE: To discuss the value of general movements assessment in predicting the neurological disorders. METHODS: Using PubMed as the search engine, we searched to identify relevant studies in English and Chinese language published up to November 2014 and 19 studies were selected. Standard methods in meta-analyses were used to provide diagnostic accuracy by Meta-DiSc 1.4. RESULTS: For non-cerebral palsy (non-CP) as outcome for writhing period, the results suggested a good sensitivity and a specificity of 0...
January 2016: Clinical Pediatrics
Farin Soleimani, Reza Shervin Badv, Amin Momayezi, Akbar Biglarian, Asghar Marzban
BACKGROUND: At a time of increasing high risk neonates, an assessment method is needed that can reliably predict neurological deficits at an early age. AIMS: The objective of this study was to determine whether the assessment of fidgety movements (FMs) will predict the neurological outcome of infants with hypoxic ischemic encephalopathy (HIE). STUDY DESIGN: This study employed a prospective and descriptive plan. SUBJECTS: The study sample consisted of 15 infants (8 male and 7 female) born at term...
August 2015: Early Human Development
Gunn Kristin Øberg, Bjarne Koster Jacobsen, Lone Jørgensen
BACKGROUND: Early identification of children at high risk of future neurodevelopmental disability is important for the initiation of appropriate therapy. In research settings, the assessment of fidgety movements (FMs) at 3 months supports a general movement assessment (GMA) as a strong predictor for subsequent motor development, but there are few studies from routine clinical settings. OBJECTIVE: The study objective was to examine the relationship between FMs and neurodevelopmental outcome by the age of 2 years in high-risk infants in a routine hospital clinical setting...
November 2015: Physical Therapy
Liang Ma, Ling-Dan Meng, Chun-Hui Zheng, Fang-Qin Zhao, Ai-Hua Cao
OBJECTIVE: To investigate the high-risk factors for the quality of general movements (GMs), which has a predictive value for brain dysfunction in infants. METHODS: A total of 618 infants in the stage of writhing movements and 539 infants in the stage of fidgety movements were selected separately for the evaluation of GMs. The high-risk factors for the quality of GMs in infants were analyzed by ANOVA, chi-square test, and multivariate logistic regression. RESULTS: Multivariate logistic regression analysis showed that the factors significantly associated with the quality of GMs in the stage of writhing movements were gestational age (OR=0...
September 2014: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
Kristine Hermansen Grunewaldt, Toril Fjørtoft, Knut Jørgen Bjuland, Ann-Mari Brubakk, Live Eikenes, Asta K Håberg, Gro C C Løhaugen, Jon Skranes
BACKGROUND: Extremely-low-birth-weight (ELBW) children without severe brain injury or CP are at high risk of developing deficits within cognition, attention, behavior and motor function. Assessing the quality of an infant's spontaneous motor-repertoire included in Prechtl's General-Movement-Assessment (GMA) has been shown to relate to later motor and cognitive functioning in preterm children without CP. AIMS: To investigate functional outcome and cerebral MRI morphometry at 10 years in ELBW children without CP compared to healthy controls and to examine any relationship with the quality of infant-motor-repertoire included in the GMA...
October 2014: Early Human Development
Liang Ma, Bingshang Yang, Lingdan Meng, Baohong Wang, Chunhui Zheng, Aihua Cao
UNLABELLED: This study is to investigate the characteristics of premature infants' general movements (GMs) and the effect of early intervention on their GMs. METHODS: The survey was carried among 285 premature infants. (1) Before intervention, the correlation between the gestational age/ birth weight and the GMs was evaluated. (2) The cases were divided into early intervention group (n=145) and control group (n=140), each group was divided into <32 weeks, 32-34 weeks and >34 weeks group according to gestational age...
April 2015: Brain & Development
Marrit M Hitzert, Annemiek M Roescher, Arend F Bos
BACKGROUND: High-dose dexamethasone (DXM) treatment of preterms at risk of bronchopulmonary dysplasia leads to a deterioration in quality of their general movements (GMs). It is unknown whether low-dose DXM affects GM quality similarly. OBJECTIVES: To assess the effect of low-dose DXM treatment on the quality of GMs and fidgety GMs (FMs). METHODS: A prospective study of preterms admitted to our NICU between 2010 and 2012, and treated with DXM (starting dose 0...
2014: Neonatology
Claudia Brogna, Domenico M Romeo, Chiara Cervesi, Luana Scrofani, Mario G Romeo, Eugenio Mercuri, Andrea Guzzetta
BACKGROUND: The quality of general movements (GMs) and its predictive value have never been evaluated in late-preterm (LP) infants. AIMS: To determine the characteristics of GMs and their predictive value for neurodevelopmental outcome in a cohort of infants born between 34 and 36 weeks' gestation. STUDY DESIGN AND SUBJECTS: 574 LP infants were examined using the standard methodological principles of Prechtl's method for assessing GMs both during writhing and fidgety periods...
December 2013: Early Human Development
Toril Fjørtoft, Kristine Hermansen Grunewaldt, Gro C Christensen Løhaugen, Siv Mørkved, Jon Skranes, Kari Anne I Evensen
BACKGROUND: The general movement assessment has mainly been used to identify children with cerebral palsy (CP). A detailed assessment of quality of infant motor repertoire using parts of the "Assessment of Motor Repertoire - 3 to 5 Months" which is based on Prechtl's general movement assessment can possibly identify later motor and cognitive problems in children without CP. AIMS: This study aims to determine whether analysis of quality of infant motor repertoire has predictive value for motor and cognitive outcomes at age 10 in children at risk for later neurological impairment...
October 2013: Early Human Development
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