全身运动质量评估：超早期预测早产儿神经发育结局的可靠工具

doi:10.7499/j.issn.1008-8830.2013.04.019

Abstract
Figure/Table
References(62)
Related Citation (15)
Read Tracking
Download Tracking

Download: PDF (955 KB)
Export: BibTeX | EndNote (RIS) Supporting Info

Abstract Cerebral palsy (CP) is a permanent disorder in the development of movement and posture in the developing infant brain and is one of the major disabilities that result from extremely preterm birth. Early identification of possible neurodevelopmental injury offers the opportunity to deliver intervention at a very early age and thus prevent severe disability. The assessment of general movements (GMs), has emerged as a reliable and valid predictor of severe neurologic deficits in infants. This method is based on a visual Gestalt perception of the quality of GMs in the preterm and term periods, and postterm up to 5 months. The quality of “fidgety movements” is the most valuable marker for predicting neurologic outcomes.

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LI Ning
	JIA Fei-Yong
	DU Lin

Key words： General movement Cerebral palsy Preterm infant

Cite this article:

LI Ning,JIA Fei-Yong,DU Lin. The assessment of general movements: a reliable tool for predicting the neurodevelopment of preterm infants in an very early phase[J]. CJCP, 2013, 15(4): 317-320.

URL:

http://www.zgddek.com/EN/10.7499/j.issn.1008-8830.2013.04.019 OR http://www.zgddek.com/EN/Y2013/V15/I4/317

	［23］Einspieler C, Marschik PB, Milioti S, Nakajima Y, Bos AF, Prechtl HF. Are abnormal fidgety movements an early marker for complex minor neurological dysfunction at puberty?［J］. Early Hum Dev, 2007, 83(8): 521-525.
	［1］O′Callaghan ME, MacLennan AH, Gibson CS, McMichael GL, Haan EA, Broadbent JL, et al. Epidemiologic associations with cerebral palsy［J］. Obstet Gynecol, 2011, 118(3): 576-582.
	［24］Burger M, Louw QA.The predictive validity of general movements—a systematic review［J］. Eur J Paediatr Neurol, 2009, 13(5): 408-420.
	［2］Kostovic I, Judas M.Prolonged coexistence of transient and permanent circuitry elements in the developing cerebral cortex of fetuses and preterm infants［J］. Dev Med Child Neurol， 2006, 48(5): 388-393.
	［25］Sustersic B, Sustar K, Paro-Panjan D.General movements of preterm infants in relation to their motor competence between 5 and 6 years［J/OL］. Eur J Paediatr Neurol, 2012, 16(6): 724-729.
	［3］Stahlmann N, Hartel C, Knopp A, Gehring B, Kiecksee H, Thyen U.Predictive value of neurodevelopmental assessment versus evaluation of general movements for motor outcome in preterm infants with birth weights <1500 g［J］. Neuropediatrics, 2007, 38(2): 91-99.
	［26］Darsaklis V, Snider LM, Majnemer A, Mazer B.Predictive validity of Prechtl's Method on the Qualitative Assessment of General Movements: a systematic review of the evidence［J］. Dev Med Child Neurol, 2011, 53(10): 896-906.
	［4］Einspieler C, Prechtl HF, Ferrari F, Cioni G, Bos AF.The qualitative assessment of general movements in preterm, term and young infants--review of the methodology［J］. Early Hum Dev, 1997, 24, 50(1): 47-60.
	［27］Burger M, Frieg A, Louw QA.General movements as a predictive tool of the neurological outcome in very low and extremely low birth weight infants—a South African perspective［J］. Early Hum Dev, 2011, 87(4): 303-308.
	［28］Hamer EG, Bos AF, Hadders-Algra M.Assessment of specific characteristics of abnormal general movements: does it enhance the prediction of cerebral palsy?［J］. Dev Med Child Neurol, 2011, 53(8): 751-756.
	［5］Ferrari F, Gallo C, Pugliese M, Guidotti I, Gavioli S, Coccolini E, et al. Preterm birth and developmental problems in the preschool age. Part I: minor motor problems［J］. J Matern Fetal Neonatal Med, 2012, Jun 19.
	［29］Einspieler C, Hirota H, Yuge M, Dejima S, Marschik PB. Early behavioural manifestation of Smith-Magenis syndrome (del 17p11.2) in a 4-month-old boy［J/OL］. Dev Neurorehabil, 2012, 15(4): 313-316.
	［6］HaddersAlgra M. Putative neural substrate of normal and abnormal general movements［J］.Neurosci Biobehav Rev, 2007, 31(8): 1181-1190.
	［7］邵肖梅.全身运动质量评估早期预测脑性瘫痪的循证评价［J］.中华围产医学杂志,2010,13（6）:502-504.
	［8］Lüchinger AB, Hadders-Algra M, van Kan CM, de Vries JI. Fetal onset of general movements［J］. Pediatr Res, 2008, 63(2): 191-195.
	［30］Yuge M, Marschik PB, Nakajima Y, Yamori Y, Kanda T, Hirota H, et al. Movements and postures of infants aged 3 to 5 months: to what extent is their optimality related to perinatal events and to the neurological outcome?［J］. Early Hum Dev, 2011, 87(3): 231-237.
	［9］Kostovic I, Jovanov-Milosevic N.The development of cerebral connections during the first 20-45 weeks′gestation［J］. Semin Fetal Neonatal Med, 2006, 11(6): 415-422.
	［31］Guzzetta A, Pizzardi A, Belmonti V, Boldrini A, Carotenuto M, D'Acunto G, et al. Hand movements at 3 months predict later hemiplegia in term infants with neonatal cerebral infarction［J］. Dev Med Child Neurol, 2010, 52(8): 767-772.
	［10］Cioni G, Prechtl HF. Preterm and early postterm motor behaviour in low-risk premature infants［J］. Early Hum Dev, 1990, 23(3): 159-191.
	［32］Bruggink JL, Einspieler C, Butcher PR, Van Braeckel KN, Prechtl HF, Bos AF.The Quality of the Early Motor Repertoire in Preterm Infants Predicts Minor Neurologic Dysfunction at School Age［J］. J Pediatr, 2008, 153(1): 32-39.
	［33］Einspieler C, Kerr AM, Prechtl HF. Is the early development of girls with Rett disorder really normal?［J］. Pediatr Res, 2005, 57(5 Pt 1): 696-700.
	［34］Phagava H, Muratori F, Einspieler C, Maestro S, Apicella F, Guzzetta A, et al.General movements in infants with autism spectrum disorders［J］. Georgian Med News, 2008, (156): 100-105.
	［11］Dibiasi J, Einspieler C.Load perturbation does not influence spontaneous movements in 3-month-old infants［J］. Early Hum Dev, 2004, 77(1-2): 37-46.
	［35］Adde L, Helbostad JL, Jensenius AR, Taraldsen G, Grunewaldt KH, Stoen R.Early prediction of cerebral palsy by computer-based video analysis of general movements: a feasibility study［J］. Dev Med Child Neurol, 2010, 52(8): 773-778.
	［12］Dibiasi J, Einspieler C. Can spontaneous movements be modulated by visual and acoustic stimulation in 3-month-old infants?［J］Early Hum Dev, 2002, 68(1): 27-37.
	［36］Noble Y, Boyd R.Neonatal assessments for the preterm infant up to 4 months corrected age: a systematic review［J］. Dev Med Child Neurol, 2012, 54(2): 129-139.
	［13］Ferrari F, Todeschini A, Guidotti I, Martinez-Biarge M, Roversi MF, Berardi A, et al.General movements in full-term infants with perinatal asphyxia are related to Basal Ganglia and thalamic lesions［J］. J Pediatr, 2011, 158(6): 904-911.
	［37］Spittle AJ, Doyle LW, Boyd RN. A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life［J］. Dev Med Child Neurol, 2008, 50(4): 254-266.
	［14］Spittle AJ, Brown NC, Doyle LW, Boyd RN, Hunt RW, Bear M, et al. Quality of general movements is related to white matter pathology in very preterm infants［J］. Pediatrics, 2008, 121(5): e1184-e1189.
	［38］Mutlu A, Einspieler C, Marschik PB, Livanelioglu A.Intra-individual consistency in the quality of neonatal general movements［J］. Neonatology, 2008, 213-216.
	［39］杨红.全身运动质量评估［J］.中国循证儿科杂志,2007,2（2）:138-143.
	［15］Spittle AJ, Doyle LW, Anderson PJ, Inder TE, Lee KJ, Boyd RN, et al. Reduced cerebellar diameter in very preterm infants with abnormal general movements［J］. Early Hum Dev, 2010, 86(1): 1-5.
	［40］Valentin T, Uhl K, Einspieler C.The effectiveness of training in Prechtl's method on the qualitative assessment of general movements［J］. Early Hum Dev, 2005, 81(7): 623-627.
	［41］Spittle AJ, Boyd RN, Inder TE, Doyle LW.Predicting motor development in very preterm infants at 12 months′ corrected age: the role of qualitative magnetic resonance imaging and general movements assessments［J］. Pediatrics, 2009, 123(2): 512-517.
	［42］Mutlu A, Livanelioglu A, Korkmaz A.Assessment of “general movements” in high-risk infants by Prechtl analysis during early intervention period in the first year of life［J］. Turk J Pediatr, 2010, 52(6):630-637.
	［16］Beccaria E, Martino M, Briatore E, Podestà B, Pomero G, Micciolo R, et al. Poor repertoire General Movements predict some aspects of development outcome at 2 years in very preterm infants［J］. Early Hum Dev, 2012, 88(6): 393-396.
	［17］Zahed-Cheikh M, Brévaut-Malaty V, Busuttil M, Monnier AS, Roussel M, Gire C. Comparative analysis of perinatal and postnatal factors, and general movement in extremely preterm infants［J］. Brain Dev, 2011, 33(8): 656-665.
	［18］de Vries NK, Bos AF.The quality of general movements in the first ten days of life in preterm infants［J］. Early Hum Dev, 2010, 86(4): 225-229.
	［19］Manacero SA, Marschik PB, Nunes ML, Einspieler C.Is it possible to predict the infant′s neurodevelopmental outcome at 14 months of age by means of a single preterm assessment of General Movements?［J］. Early Hum Dev, 2012, 88(1): 39-43.
	［20］De Vries N, Bos A.The motor repertoire of extremely low-birthweight infants at term in relation to their neurological outcome［J］. Dev Med Child Neurol, 2011, 53(10): 933-937.
	［21］Prechtl HF.Generalmovementassessmentas a method of developmental neurology: new paradigms and their consequences. The 1999 Ronnie MacKeith lecture［J］. Dev Med Child Neurol, 2001, 43(12): 836-842.
	［22］Yang H, Einspieler C, Shi W, Marschik PB, Wang Y, Cao Y, et al. Cerebral palsy in children: Movements and postures during early infancy, dependent on preterm vs. full term birth［J］. Early Hum Dev, 2012, 88(10): 837-843.
	［23］Einspieler C, Marschik PB, Milioti S, Nakajima Y, Bos AF, Prechtl HF. Are abnormal fidgety movements an early marker for complex minor neurological dysfunction at puberty?［J］. Early Hum Dev, 2007, 83(8): 521-525.
	［24］Burger M, Louw QA.The predictive validity of general movements—a systematic review［J］. Eur J Paediatr Neurol, 2009, 13(5): 408-420.
	［25］Sustersic B, Sustar K, Paro-Panjan D.General movements of preterm infants in relation to their motor competence between 5 and 6 years［J/OL］. Eur J Paediatr Neurol, 2012, 16(6): 724-729.
	［26］Darsaklis V, Snider LM, Majnemer A, Mazer B.Predictive validity of Prechtl's Method on the Qualitative Assessment of General Movements: a systematic review of the evidence［J］. Dev Med Child Neurol, 2011, 53(10): 896-906.
	［27］Burger M, Frieg A, Louw QA.General movements as a predictive tool of the neurological outcome in very low and extremely low birth weight infants—a South African perspective［J］. Early Hum Dev, 2011, 87(4): 303-308.
	［28］Hamer EG, Bos AF, Hadders-Algra M.Assessment of specific characteristics of abnormal general movements: does it enhance the prediction of cerebral palsy?［J］. Dev Med Child Neurol, 2011, 53(8): 751-756.
	［29］Einspieler C, Hirota H, Yuge M, Dejima S, Marschik PB. Early behavioural manifestation of Smith-Magenis syndrome (del 17p11.2) in a 4-month-old boy［J/OL］. Dev Neurorehabil, 2012, 15(4): 313-316.
	［30］Yuge M, Marschik PB, Nakajima Y, Yamori Y, Kanda T, Hirota H, et al. Movements and postures of infants aged 3 to 5 months: to what extent is their optimality related to perinatal events and to the neurological outcome?［J］. Early Hum Dev, 2011, 87(3): 231-237.
	［31］Guzzetta A, Pizzardi A, Belmonti V, Boldrini A, Carotenuto M, D'Acunto G, et al. Hand movements at 3 months predict later hemiplegia in term infants with neonatal cerebral infarction［J］. Dev Med Child Neurol, 2010, 52(8): 767-772.
	［32］Bruggink JL, Einspieler C, Butcher PR, Van Braeckel KN, Prechtl HF, Bos AF.The Quality of the Early Motor Repertoire in Preterm Infants Predicts Minor Neurologic Dysfunction at School Age［J］. J Pediatr, 2008, 153(1): 32-39.
	［33］Einspieler C, Kerr AM, Prechtl HF. Is the early development of girls with Rett disorder really normal?［J］. Pediatr Res, 2005, 57(5 Pt 1): 696-700.
	［34］Phagava H, Muratori F, Einspieler C, Maestro S, Apicella F, Guzzetta A, et al.General movements in infants with autism spectrum disorders［J］. Georgian Med News, 2008, (156): 100-105.
	［35］Adde L, Helbostad JL, Jensenius AR, Taraldsen G, Grunewaldt KH, Stoen R.Early prediction of cerebral palsy by computer-based video analysis of general movements: a feasibility study［J］. Dev Med Child Neurol, 2010, 52(8): 773-778.
	［36］Noble Y, Boyd R.Neonatal assessments for the preterm infant up to 4 months corrected age: a systematic review［J］. Dev Med Child Neurol, 2012, 54(2): 129-139.
	［37］Spittle AJ, Doyle LW, Boyd RN. A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life［J］. Dev Med Child Neurol, 2008, 50(4): 254-266.
	［38］Mutlu A, Einspieler C, Marschik PB, Livanelioglu A.Intra-individual consistency in the quality of neonatal general movements［J］. Neonatology, 2008, 213-216.
	［39］杨红.全身运动质量评估［J］.中国循证儿科杂志,2007,2（2）:138-143.
	［40］Valentin T, Uhl K, Einspieler C.The effectiveness of training in Prechtl's method on the qualitative assessment of general movements［J］. Early Hum Dev, 2005, 81(7): 623-627.
	［41］Spittle AJ, Boyd RN, Inder TE, Doyle LW.Predicting motor development in very preterm infants at 12 months′ corrected age: the role of qualitative magnetic resonance imaging and general movements assessments［J］. Pediatrics, 2009, 123(2): 512-517.
	［42］Mutlu A, Livanelioglu A, Korkmaz A.Assessment of “general movements” in high-risk infants by Prechtl analysis during early intervention period in the first year of life［J］. Turk J Pediatr, 2010, 52(6):630-637.