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General movements prechtl

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
Stephanie So, Catherine Patterson, Anna Gold, Alaine Rogers, Christina Kosar, Nicole de Silva, Karolina Maria Burghardt, Yaron Avitzur, Paul W Wales
BACKGROUND: The survival rate of infants and children with intestinal failure is increasing, necessitating a greater focus on their developmental trajectory. AIMS: To evaluate neurodevelopmental outcomes in children with intestinal failure at 0-15months corrected age. STUDY DESIGN: Analysis of clinical, demographic and developmental assessment results of 33 children followed in an intestinal rehabilitation program between 2011 and 2014. Outcome measures included: Prechtl's Assessment of General Movements, Movement Assessment of Infants, Alberta Infant Motor Scale and Mullen Scales of Early Learning...
October 2016: Early Human Development
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
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
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
Katrin Mehler, Lisa Ulbrich, Sarah Börner, Alexander Joachim, Ingrid Becker, Bernhard Roth, Christoph Hünseler
BACKGROUND: Very early life pain exposure and stress induces alterations in the developing brain and leads to altered pain sensitivity. In premature infants with a history of numerous early postnatal adverse events, behavioral responsiveness and hypothalamic-pituitary-adrenal (HPA) axis reactivity may show alterations as well. AIMS: We compared a multidimensional response to a painful situation (vaccination) in three month old infants. The study involved very preterm, moderate to late preterm infants and full-term infants with varying exposure to pain and stress within the first weeks of life...
March 2015: Early Human Development
Katrin Mehler, Annika Mainusch, Eva Hucklenbruch-Rother, Moritz Hahn, Christoph Hünseler, Angela Kribs
BACKGROUND: Moderately and late preterm infants represent a considerable and increasing proportion of infants cared for in neonatal departments worldwide. Parents of preterm infants are at risk of postpartal depression (PPD) and posttraumatic stress disorder (PTSD), and preterm infants are at risk of developmental impairment. AIM: This study aimed to assess (1) the incidence of parental PPD and PTSD in moderate to late preterm infants in comparison to full-term infants and (2) the influence of infants' motor repertoire assessed by Prechtl's general movements and illness severity on parental PPD and PTSD...
December 2014: Early Human Development
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
Wieteke M Ploegstra, Arend F Bos, Nathalie K S de Vries
BACKGROUND: The quality of general movements (GMs) is a widely used criterion to assess neurological dysfunction in young infants. It is unknown, however, whether the birth process influences the motor repertoire of healthy full term infants during the first week after birth. AIMS: To assess the quality of GMs and to determine the motor optimality score (OS) in healthy full term infants during the first week after birth and to evaluate the influence of the mode of delivery on GM quality...
January 2014: Early Human Development
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
Nathalie K S de Vries, Christine N van der Veere, Sijmen A Reijneveld, Arend F Bos
BACKGROUND: Use of selective serotonin reuptake inhibitors (SSRI) during pregnancy is common while the effect on the infant's neurological outcome is unknown. Our objective was to determine the effects of prenatal SSRI-exposure on the infants' neurological functioning, adjusted for maternal mental health. METHODS: A prospective observational study from May 2007 to April 2010. The study groups comprised 63 SSRI-exposed infants (SSRI group) and 44 non-exposed infants (non-SSRI group)...
2013: PloS One
Luba Zuk
The challenge of identifying infants who are at risk for developmental delay and possible adverse neurodevelopmental outcome demands methods of evaluation that will lead to early intervention to minimize developmental disability and to maximize the infant's potential. A qualitative assessment of spontaneous general movements (GMs) in the preterm, term, and young infant at risk is a valid and reliable tool for evaluation (Prechtl [1990] Early Hum. Dev. 23:151-158). The aim of this review is to describe the theoretical and clinical bases for the assessment of GMs and its relationship to developmental delay and brain dysfunction...
2011: Developmental Disabilities Research Reviews
Lars Adde, Jorunn Helbostad, Alexander R Jensenius, Mette Langaas, Ragnhild Støen
This study evaluates the role of postterm age at assessment and the use of one or two video recordings for the detection of fidgety movements (FMs) and prediction of cerebral palsy (CP) using computer vision software. Recordings between 9 and 17 weeks postterm age from 52 preterm and term infants (24 boys, 28 girls; 26 born preterm) were used. Recordings were analyzed using computer vision software. Movement variables, derived from differences between subsequent video frames, were used for quantitative analysis...
August 2013: Physiotherapy Theory and Practice
Breda Sustersic, Katja Sustar, Darja Paro-Panjan
BACKGROUND: The criteria for identification of children with high risk of cerebral palsy are well documented, but the early identification of children at highest risk of minor motor deficits remains less clear. AIM: To analyze the correlation between the quality of general movements (GMs) from term to twenty weeks postterm age and the motor competence between 5 and 6 years of age. METHODS: In the group of 45 preterm infants, the quality of GMs was assessed using Prechtl's method...
November 2012: European Journal of Paediatric Neurology: EJPN
Fabrizio Ferrari, Claudio Gallo, Marisa Pugliese, Isotta Guidotti, Sara Gavioli, Elena Coccolini, Paola Zagni, Elisa Della Casa, Cecilia Rossi, Licia Lugli, Alessandra Todeschini, Luca Ori, Natascia Bertoncelli
Nearly half of very preterm (VP) and extremely preterm (EP) infants suffers from minor disabilities. The paper overviews the literature dealing with motor problems other than cerebral palsy (CP) during infancy and preschool age. The term "minor motor problems" indicates a wide spectrum of motor disorders other than CP; "minor" does not mean "minimal", as a relevant proportion of the preterm infants will develop academic and behavioural problems at school age. Early onset disorders consist of abnormal general movements (GMs), transient dystonia and postural instability; these conditions usually fade during the first months...
November 2012: Journal of Maternal-fetal & Neonatal Medicine
Yolande Noble, Roslyn Boyd
AIM: The aim of this study was to systematically review the clinimetric properties of longitudinal neonatal neurobehavioural and neuromotor assessments for preterm infants. METHOD: Twenty-seven assessment measures were identified. The following eight measures met the study inclusion criteria: Assessment of Preterm Infants' Behaviour (APIB), Neonatal Intensive Care Unit Network Neurobehavioural Scale (NNNS), Test of Infant Motor Performance (TIMP), Prechtl's Assessment of General Movements (GMs), Neurobehavioural Assessment of the Preterm Infant (NAPI), Dubowitz Neurological Assessment of the Preterm and Full-term Infant (Dubowitz), Neuromotor Behavioural Assessment (NMBA), and the Brazelton Neonatal Behavioural Assessment Scale (NBAS)...
February 2012: Developmental Medicine and Child Neurology
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