Valentin Thomas, Uhl Karin, Einspieler Christa
Developmental Neurology and Developmental Physiology, Institute of Physiology, Center for Physiological Medicine, Medical University of Graz, Harrachgasse 21, 8010 Graz, Austria.
Early Hum Dev. 2005 Jul;81(7):623-7. doi: 10.1016/j.earlhumdev.2005.04.003.
Prechtl's method on the qualitative assessment of general movements (GMs) is a highly sensitive and specific diagnostic tool for the assessment of the integrity of the young nervous system.
To find out whether the ability to assess GMs correctly could be gained after receiving a few days' standardised training.
We evaluated 700 scoring sheets (containing a total of 8019 assessments) from the final tests of 18 training courses held between 1997 and 2002.
Eighty-three per cent of the assessments were correct after completing a 4- to 5-day training course. The correct discrimination between normal and abnormal GMs was 92%. It proved more difficult to assess infants correctly if they had been recorded around term age.
Standardised training courses enable professionals in the field of infant and child neurology to apply Prechtl's method of GM assessment accurately.
普雷茨尔的一般运动(GMs)定性评估方法是评估幼儿神经系统完整性的一种高度敏感且特异的诊断工具。
探究接受几天标准化培训后是否能够获得正确评估GMs的能力。
我们评估了1997年至2002年期间举办的18期培训课程最终测试的700份评分表(共包含8019次评估)。
完成4至5天的培训课程后,83%的评估是正确的。正常和异常GMs之间的正确区分率为92%。事实证明,如果婴儿是在足月左右记录的,正确评估他们会更加困难。
标准化培训课程使婴幼儿神经学领域的专业人员能够准确应用普雷茨尔的GMs评估方法。