Kyoto Prefectural Chutan-Higasi Public Health Office, Maizuru, Japan.
Early Hum Dev. 2011 Mar;87(3):231-7. doi: 10.1016/j.earlhumdev.2010.12.046. Epub 2011 Feb 4.
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.
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.
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).
Clinical, neurological and psychological status at age 5.
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.
Assessing the quality of motor performance at age 3 to 5 months considerably improves our ability to identify infants at risk for maldevelopment.
个体婴儿自发的一般运动（GMs）质量已成为最可靠和有效的预测指标之一，尤其是对严重神经损伤的预测。
在康复诊所中实施更详细的 GMs 以及共存运动和姿势模式的评估，并检查 3 至 5 个月大婴儿的运动和姿势的优化程度与围产期事件和神经发育结果有何关联。
对 41 名婴儿（15 名男孩和 26 名女孩；11 名早产儿）进行前瞻性研究，这些婴儿被收入日本京都圣约瑟夫医院儿科神经病学和康复科。
婴儿 3 至 5 个月时的运动优化程度与新生儿时的优化程度呈正相关（r=0.48，p<0.01），特别是与缺氧事件相关的因素。运动表现不佳（最低得分）可准确预测脑瘫，准确率为 100%。其他不良结局，如发育迟缓、发育协调障碍、广泛性发育障碍或注意缺陷多动障碍，与早期运动表现无关。在 13%的情况下，烦躁运动的缺失被证明是假阳性，但只有在神经发育正常的婴儿中才会发现其正常出现且伴随平稳的共存运动表现。
评估婴儿 3 至 5 个月时的运动表现质量极大地提高了我们识别发育不良风险婴儿的能力。
