Graduate Program in Rehabilitation Sciences and Physical and Functional Performance, Universidade Federal de Juiz de Fora (UFJF), Hospital Regional Dr. João Penido/FHEMIG, Juiz de Fora, MG, Brazil.
Graduate Program in Rehabilitation Sciences and Physical and Functional Performance, Universidade Federal de Juiz de Fora (UFJF), Santa Casa de Misericordia de Juiz de Fora, Juiz de Fora, MG, Brazil.
J Perinatol. 2021 Oct;41(10):2442-2448. doi: 10.1038/s41372-021-01064-z. Epub 2021 May 13.
Preterm infants who do not have fidgety movements at 3 months of corrected age have up to ten times greater risk of developing cerebral palsy or other alterations in motor development, compared to infants who exhibit such movements. The General Movements Assessment (GMA) is a validated tool that may predict the fidgety movement period.
This study aimed to describe the trajectory of the General Movements Assessment (GMA) during the preterm and writhing movements periods in preterm infants and determine the best time point to predict the fidgety movements period.
Fifty-two preterm newborns were evaluated by the GMA method.
GMA assessment at the age of 5 weeks post term was found the most predictive of neuromotor development disorders in at-risk newborns, with a sensitivity and specificity of 86% and 58%, respectively, and a high negative predictive value (92%) and increased hit ratio (69% accuracy).
Preterm infants with ≤34 weeks of gestational age have a high prevalence of poor repertoire classifications on the GMA and one single assessment with GMA near the time of NICU discharge seems to be the best time to determine infants who need to be followed more carefully, but the best time point to predict the fidgety movements period was 5 weeks post term.
与有不安运动的早产儿相比，校正年龄 3 个月时没有不安运动的早产儿发展为脑瘫或其他运动发育改变的风险高 10 倍。全身运动评估（GMA）是一种经过验证的工具，可预测不安运动期。
本研究旨在描述早产儿和扭动运动期的全身运动评估（GMA）轨迹，并确定预测不安运动期的最佳时间点。
对 52 名早产儿进行 GMA 方法评估。
发现校正年龄 5 周时的 GMA 评估最能预测高危新生儿的神经运动发育障碍，其敏感性和特异性分别为 86%和 58%，且具有较高的阴性预测值（92%）和增加的命中率（69%的准确率）。
胎龄≤34 周的早产儿 GMA 表现不佳的发生率较高，在新生儿重症监护病房出院时进行单次 GMA 评估似乎是确定需要更密切随访的婴儿的最佳时间，但预测不安运动期的最佳时间点是校正年龄 5 周时。
