Medical University of Gdańsk, Department of Physical Therapy, Dębinki 7, 80-211 Gdansk, Poland; Centre of Early Intervention in Gdańsk, Jagiellońska 11, 80-371 Gdańsk, Poland.
Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Olav Kyrres gt. 11, 7491 Trondheim, Norway; Clinics of Clinical Services, St. Olavs Hospital, Trondheim University Hospital, Olav Kyrres gt. 17, 7006 Trondheim, Norway.
Early Hum Dev. 2020 Dec;151:105197. doi: 10.1016/j.earlhumdev.2020.105197. Epub 2020 Sep 19.
The Prechtl General Movement Assessment (GMA) predicts various neurological and developmental disorders while also documenting therapeutic effects.
To describe the temporal organization of fidgety general movements in infants with mild to moderate postural asymmetries and/or tonus regulation problems, and to analyze to what extent the temporal organization of fidgety movements will change after physiotherapy.
Repeated measure design.
Twelve infants (five females) with mild to moderate postural asymmetries and/or tonus regulation problems were admitted for an early intervention program. The gestational age ranged from 27 to 40 weeks (Median, 36 weeks; nine infants born preterm) with birth weights ranging from 740 g to 3500 g (Median, 2590 g).
Fidgety movements and their temporal organization were measured using the Prechtl GMA at 9 to 19 weeks post term age (Median, 14 weeks) before and after an early motor training procedure. The movements of one of the infants were analysed using a computer-based approach, measuring the mean and standard deviation of quantity of motion, height of motion and width of motion.
Seven infants had sporadic fidgety movements, and five had intermittent fidgety movements. None had continual fidgety movements before the intervention was initiated. After intervention, the temporal organization of fidgety movements increased in all infants. The observations of these movements were supported by computer-based analysis.
The study indicates that early intervention increases the temporal organization of fidgety movements in infants with postural asymmetries and/or tonus regulation problems. The clinical significance of this finding needs to be further evaluated.
普雷希特全面运动评估（GMA）可预测各种神经和发育障碍，同时也记录治疗效果。
描述姿势不对称和/或张力调节问题轻度至中度婴儿烦躁不安的一般性运动的时间组织，并分析物理治疗后烦躁不安运动的时间组织会发生何种变化。
重复测量设计。
12 名（女 5 名）有轻度至中度姿势不对称和/或张力调节问题的婴儿被收入早期干预计划。胎龄范围为 27 至 40 周（中位数，36 周；9 名早产儿），出生体重范围为 740 至 3500 克（中位数，2590 克）。
使用 Prechtl GMA 在婴儿足月后 9 至 19 周（中位数，14 周）测量烦躁不安运动及其时间组织，在早期运动训练程序之前和之后进行。对其中一名婴儿的运动使用基于计算机的方法进行分析，测量运动的数量、运动的高度和运动的宽度的平均值和标准偏差。
7 名婴儿有散发性烦躁不安运动，5 名婴儿有间歇性烦躁不安运动。在干预开始之前，没有婴儿有持续的烦躁不安运动。干预后，所有婴儿的烦躁不安运动的时间组织都增加了。这些运动的观察结果得到了基于计算机的分析的支持。
本研究表明，早期干预增加了姿势不对称和/或张力调节问题婴儿烦躁不安运动的时间组织。这一发现的临床意义需要进一步评估。
