Assessment of general movements and 2.5 year developmental outcomes: Pilot results in a diverse preterm group

Kodrič, Jana; Sustersic, Breda; Paro–Panjan, Darja

doi:10.1016/j.ejpn.2009.04.012

Cited by 35 publications

(43 citation statements)

References 19 publications

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“…A study of 26 preterm infants (23-36 weeks' gestation) reported findings similar to our study when assessing the predictive validity of GM for mild delay. 26 Kodric et al also reported that GM at term had excellent sensitivity for predicting mild delay on the Bayley Scales of Infant Development Mental Developmental Index (MDI; 100%) and Psychomotor Index (PDI; 86%) but even lower rates of specificity than our study. At 3 months, they reported improved specificity for both MDI and PDI; however, it was still relatively low for both (MDI: sensitivity 83%, specificity 55%; PDI: sensitivity 61%, specificity 46%).…”

Section: Discussioncontrasting

confidence: 52%

General Movements in Very Preterm Children and Neurodevelopment at 2 and 4 Years

et al. 2013

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OBJECTIVE: Although ∼50% of very preterm (VP) children have neurodevelopmental impairments, early prediction of infants who will experience problems later in life remains a challenge. This study evaluated the predictive value of general movements (GM; spontaneous and endogenous movements) at 1 and 3 months’ corrected age for neurodevelopment at 2 and 4 years of age in VP children. METHODS: At 1 and 3 months’ corrected age, infants born <30 weeks’ gestation had GM assessed as normal or abnormal. Motor, cognitive, and language development at 2 years was assessed by using the Bayley Scales of Infant and Toddler Development, Third Edition. At 4 years, cognitive and language outcomes were assessed by using the Differential Ability Scale–Second Edition and motor outcomes with the Movement Assessment Battery for Children–Second Edition; a diagnosis of cerebral palsy was documented. RESULTS: Ninety-nine VP infants were recruited, with 97% and 88% of survivors followed up at age 2 and 4 years, respectively. Abnormal GM at 1 month were associated with worse motor outcomes at 2 and 4 years but not language or cognitive outcomes. Abnormal GM at 3 months were associated with worse motor, cognitive, and language outcomes at both 2 and 4 years. Overall, GM at 1 month demonstrated better sensitivity to impairments at 2 and 4 years, whereas GM at 3 months had better specificity and were more accurate overall at distinguishing between children with and without impairment. CONCLUSIONS: Abnormal GM in VP infants, particularly at 3 months postterm, are predictive of worse neurodevelopment at ages 2 and 4 years.

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Section: Discussioncontrasting

confidence: 52%

General Movements in Very Preterm Children and Neurodevelopment at 2 and 4 Years

et al. 2013

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“…In this way, the nest could have an impact on future motor and cognitive development at least up to 2 months of corrected age, as suggested by previous studies [13,[15][16][17][18][19].…”

Section: Nest and Abnormal Movementmentioning

confidence: 55%

Posture and movement in very preterm infants at term age in and outside the nest

et al. 2015

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“…El desarrollo motor temprano como predictor de la condición del niño en etapas posteriores ha sido bien investigado, no sólo como un predictor potente de parálisis cerebral, sino también de otras alteraciones menores en el desarrollo o inclusive de retrasos en la comunicación (Bhat, Galloway & Landa, 2012;Bruggink et al, 2008;de Kieviet, Piek, Aarnoudse-Moens & Oosterlaan, 2009;Kodric, Sustersic & Paro-Panjan, 2010;Sustersic, Sustar & Paro-Panjan, 2012). Los resultados del modelo aplicado al mostrar el valor predictivo de las interacciones madre-hijo en el desarrollo motor de niños con riesgo, tienen implicaciones teó-ricas al considerar que es en los niveles sensoriomotores donde el niño construye sus primeros es quemas cognitivos.…”

Section: Discussionunclassified

Interacciones tempranas madre-niño y predicción de desarrollo motor mediante ecuaciones estructurales: Aplicación del modelo en niños con riesgo de daño neurológico perinatal

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Ramírez

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et al. 2013

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RESUMENLos impactos más importantes de las expresiones tempranas del daño neurológico en los niños, son las dificultades para establecer intercambios con su medio social, afectando en la etapa inicial las primeras interacciones con su ma dre. Niños con riesgo biológico muestran grandes dificultades para iniciar interacciones. Cuando las madres se ajustan en una relación bidireccional se logra un aumento en las iniciaciones del niño; si las madres responden menos, los niños disminuyen las iniciaciones y aumentan la irritabilidad.Los programas de intervención temprana que integran en sus estrategias el manejo de las interac ciones madre-niño se han considerado exitosos por sus implicaciones directas en el desa rrollo del niño. Se requiere mayor soporte empírico sobre la influencia de patrones específicos de in teracciones tempranas madre-hijo y el desa rrollo posterior de niños con daño neurológico perinatal, en términos de prevención de alte raciones o discapacidad. Se realizó un estudio longitudinal y se reporta el efecto de las interacciones de reciprocidad madre-hijo en el desa rrollo motor observado en niños a los 4, 8 y 12 meses de edad, a través del empleo del Modelo de Ecuaciones Estructurales (Curva de Crecimiento Latente). Se concluye que el modelo permitió mostrar que en niños de riesgo perinatal, las interacciones madre-hijo representan un buen predictor del desarrollo motor en el primer año de vida. Estos hallazgos tienen importantes impli-

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Assessment of general movements and 2.5 year developmental outcomes: Pilot results in a diverse preterm group

Cited by 35 publications

References 19 publications

General Movements in Very Preterm Children and Neurodevelopment at 2 and 4 Years

General Movements in Very Preterm Children and Neurodevelopment at 2 and 4 Years

Posture and movement in very preterm infants at term age in and outside the nest

Interacciones tempranas madre-niño y predicción de desarrollo motor mediante ecuaciones estructurales: Aplicación del modelo en niños con riesgo de daño neurológico perinatal

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