Does general movements quality in term infants predict cerebral palsy and milder forms of limited mobility at 6 years?
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 gene...
| Publicado en: | Developmental Medicine & Child Neurology Vol. 58; no. 12; pp. 1310 - 1317 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Dec2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119456829&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 119456829 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00121622 1VN jtl: Developmental Medicine & Child Neurology issn: 00121622 maglogo: Y pubinfo: dt: Dec2016 vid: 58 iid: 12 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 119456829 119456829 NLM27521054 119456829 10.1111/dmcn.13228 NLM27521054 119456829 ppf: 1310 ppct: 7 formats: tig: atl: Does general movements quality in term infants predict cerebral palsy and milder forms of limited mobility at 6 years? aug: au: Iersel, Patricia A M Bakker, Saskia C M Jonker, Arnold J H Hadders‐Algra, Mijna affil: Department of Physical Therapy, Gelre Hospital, Apeldoorn the Netherlands sug: subj: Cerebral Palsy Diagnosis Motor Activity Physiology Infant Behavior Symptoms Severity of Illness Indices Female Child Prognosis Infant, Newborn Sensitivity and Specificity Prospective Studies Infant Male Clinical Assessment Tools Human Child: 6-12 years Infant, Newborn: birth-1 month Infant: 1-23 months Female Male ab: 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.Results: Definitely abnormal general movements at writhing age were not associated with CP, whereas definitely abnormal general movements at fidgety age were (sensitivity 60%; specificity 91%; positive predictive value 19%, negative predictive value 98%). In children without CP, general movements quality was not associated with limited mobility, but it was associated to a minor extent with MND.Interpretation: In term infants, definitely abnormal general movements at fidgety age do predict CP, but with lower accuracy than in preterm infants. General movements quality does not predict limited mobility in children without CP. The study supports suggestions that predictive value of general movements assessment in term infants is lower than that in preterm infants. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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