Article

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.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS