Graduate Program in Movement Sciences, Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil; Specialized Rehabilitation Center, Association of Parents and Friends of Exceptional Children, Campo Grande, MS, Brazil.
Graduate Program in Movement Sciences, Institute of Health, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.
Early Hum Dev. 2023 Aug;183:105822. doi: 10.1016/j.earlhumdev.2023.105822. Epub 2023 Jul 14.
To characterize the motor repertoire of 3- to 5-month-old infants who were prenatally exposed to the infectious agents of syphilis and toxoplasmosis.
Exploratory observational study that evaluated 15 exposed infants (34.4 ± 3.5 weeks gestation) recruited from a referral center. Age assessment ranged 12-20 (median 12) weeks post-term. General Movement Assessment, including the Motor Optimality Score-Revised (MOS-R), was used to assess the global quality of fidgety movements (FMs) and to quantify and detail coexisting motor patterns. Clinical variables were also collected. Later motor outcomes were obtained from medical reports when possible.
MOS-R ranged 10-26 (median 24). There was a higher proportion of infants with normal (80.0 %) than aberrant FMs, but the proportion of infants with reduced MOS-R (80.0 %) was higher compared to optimal MOS-R. One infant with aberrant FMs was later diagnosed with cerebral palsy. Only 13.3 % of the infants showed smooth and fluent movement character. All observed tongue movements were abnormal.
Infants had predominantly normal FMs, but with reduced MOS-R and abnormalities in the coexisting motor repertoire.
描述曾感染梅毒和弓形虫病原体的 3 至 5 个月大婴儿的运动表现。
本研究为探索性观察性研究，评估了 15 名来自转诊中心的暴露婴儿（妊娠 34.4±3.5 周）。胎龄校正后，年龄评估范围为 12-20 周（中位数为 12 周）。采用全身运动评估，包括运动优化评分修订版（MOS-R），评估不安运动（FM）的整体质量，并量化和详细描述共存的运动模式。还收集了临床变量。如有可能，从医疗报告中获取后期运动结果。
MOS-R 范围为 10-26（中位数 24）。正常 FM 的婴儿比例较高（80.0%），但 MOS-R 降低的婴儿比例（80.0%）高于 MOS-R 正常的婴儿比例。1 名 FM 异常的婴儿后来被诊断为脑瘫。仅有 13.3%的婴儿表现出流畅和流利的运动特征。所有观察到的舌运动均异常。
婴儿的 FM 主要正常，但 MOS-R 降低，共存的运动表现异常。
