Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Yuge, M; Marschik, PB; Nakajima, Y; Yamori, Y; Kanda, T; Hirota, H; Yoshida, N; Einspieler, C.
Movements and postures of infants aged 3 to 5months: To what extent is their optimality related to perinatal events and to the neurological outcome?
Early Hum Dev. 2011; 87(3): 231-237.
Doi: 10.1016/j.earlhumdev.2010.12.046
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Einspieler Christa
- Co-Autor*innen der Med Uni Graz
- Marschik Peter
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- Abstract:
- Background: The quality of spontaneous general movements (GMs), assessed in the individual infant, has emerged as one of the most reliable and valid predictors especially of severe neurological impairments. Aims: To implement a more detailed assessment of GMs and co-existing movements and postural patterns in a rehabilitation clinic, and to examine to what extend is the optimality of movements and postures of infants aged 3 to 5 months related to perinatal events and the neurological outcome. Study design: Prospective study of 41 infants (15 boys and 26 girls; 11 infants born preterm) admitted to the Department of Paediatric Neurology and Rehabilitation of the St. Joseph's Hospital in Kyoto (Japan). Outcome measures: Clinical, neurological and psychological status at age 5. Results: Motor optimality at age 3 to 5 months correlated positively with neonatal optimality (r = 0.48, p < 0.01). especially regarding factors associated with hypoxic events. A non-optimal motor performance (lowest possible scores) predicted cerebral palsy with 100% accuracy. Other adverse outcomes such as developmental delays, developmental coordination disorders, pervasive developmental disorder or attention deficit hyperactivity disorder turned out not to be associated with early motor performance. In 13% of cases absence of fidgety movements proved to be false positives, but their normal appearance along with a smooth concurrent motor performance was solely found in infants with a normal neurological development. Conclusion: Assessing the quality of motor performance at age 3 to 5 months considerably improves our ability to identify infants at risk for maldevelopment. (C) 2011 Elsevier Ireland Ltd. All rights reserved.
- Find related publications in this database (using NLM MeSH Indexing)
- Child Development - physiology
- Developmental Disabilities - physiopathology
- Female -
- Humans -
- Infant -
- Male -
- Motor Activity - physiology
- Neurologic Examination -
- Posture - physiology
- Predictive Value of Tests -
- Prospective Studies -
- Statistics, Nonparametric -
- Find related publications in this database (Keywords)
- Fidgety movements
- General movements
- Optimality concept
- Spontaneous movements
- Video analysis