Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review

Kwong, Amanda K L; FitzGerald, Tara L; Doyle, Lex W.; Cheong, Jeanie L.Y.; Spittle, Alicia J

doi:10.1111/dmcn.13697

Cited by 163 publications

(161 citation statements)

References 89 publications

(330 reference statements)

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“…It may be that using tools which are more predictive of cerebral palsy at an earlier stage, may help with this. Tools such as the Prechtl's General Movements assessment (Kwong, Fitzgerald, Doyle, Cheong, & Spittle, ), the Hammersmith Infant Neurological Exam (Mercuri et al, ) or more specific and sensitive developmental assessment measures (Wong, Santhakumaran, Cowan, & Modi, ) may be helpful in providing this prediction and should possibly be considered for use more routinely within services to support clinical predictions and enable families and children to be channelled appropriately from an earlier stage.…”

Section: Discussionmentioning

confidence: 99%

A journey through follow‐up for neurodevelopmentally at‐risk infants—A qualitative study on views of parents and professionals in Liverpool

Komoriyama

Paize

Littlefair

et al. 2019

Child

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BackgroundWith improving neonatal intensive care, more preterm babies or those with hypoxic‐ischaemic encephalopathy are surviving the newborn period. These babies are at high risk of neurodevelopmental delay. No studies to date have looked at the views of parents and professionals in relation to the processes of follow‐up for these infants.MethodsWe conducted a qualitative study in order to understand the views of parents of preterm babies or those with hypoxic‐ischaemic encephalopathy as well as the views of professionals who manage and support these families. Parents were recruited through general neonatal follow‐up clinics, neonatal nurse liaison services and community child health clinics and professionals through the neonatal unit and neurodevelopmental paediatrics services. We conducted in‐depth interviews using an open‐ended topic guide, which were audio recorded, transcribed and coded. We conducted a thematic content analysis where themes were inductively highlighted and grouped by consensus in order to conclude on major themes and subthemes.ResultsThree major themes were identified for parents and professionals. These were the following: (a) What is the future, (b) What is the journey and (c) Who can help me? Parents wanted better information earlier about the prognosis and diagnoses through face to face, honest consultations with follow‐up information available on the Internet. The most important requirements for follow‐up clinics were honesty, reassurance, consistent pathways of follow‐up and the need for a lead professional in the process. Alongside the follow‐up process, there was a need for support groups and psychological supportConclusionsThis study highlights the desire by parents for early information on the likely long‐term outlook for their babies but the need to ensure that the information and support, which is given, is provided appropriately and with consideration in order to provide the best care of the whole family.

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Section: Discussionmentioning

confidence: 99%

A journey through follow‐up for neurodevelopmentally at‐risk infants—A qualitative study on views of parents and professionals in Liverpool

Komoriyama

Paize

Littlefair

et al. 2019

Child

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“…1 Smartphone apps for health data capturing are being rapidly developed but rarely tested. 2 The General Movements Assessment has good predictive validity for cerebral palsy when assessed by clinicians.…”

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confidence: 99%

“…One key assessment that can harness modern technology is the General Movements Assessment (GMA), where spontaneous infant movements are captured on video and scored by trained assessors, traditionally in a clinic and/or research setting . Fidgety general movements (GMs) observed at 9–20 weeks' corrected age are spontaneous, small‐amplitude, variable movements in all four limbs and the body of an awake infant and have good predictive validity for later cerebral palsy (CP) . Our team designed a smartphone application (app), called Baby Moves , to enable parents to record videos of their infants' movements after being discharged from hospital with the aim of improving access to skilled clinicians for remote GMA and to ensure the timeliness of assessment during the fidgety period.…”

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confidence: 99%

The Baby Moves smartphone app for General Movements Assessment: Engagement amongst extremely preterm and term‐born infants in a state‐wide geographical study

Kwong

Eeles

Olsen

et al. 2018

J Paediatrics Child Health

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Aim The Baby Moves smartphone application is designed for parents to video their infants' spontaneous movement for remote General Movements Assessment (GMA). We aimed to assess the engagement with Baby Moves amongst high‐ and low‐risk infants' families and the socio‐demographic variables related to engagement. Methods Families of extremely preterm (EP; <28 weeks' gestational age) or extremely low‐birthweight (ELBW; <1000 g) infants and term‐born controls from a state‐wide geographical cohort study were asked to download Baby Moves. Baby Moves provided reminders and instructions to capture videos of their infants' general movements. Parents were surveyed about Baby Moves' usability. Results The parents of 451 infants (226 EP/ELBW; 225 control) were recruited; 416 (204 EP/ELBW; 212 control) downloaded Baby Moves, and 346 (158 EP/ELBW; 188 control) returned at least one scorable video for remote GMA. Fewer EP/ELBW families submitted a scorable video than controls (70 vs. 83%, respectively; odds ratio (OR) 0.48, 95% confidence interval (CI) 0.3–0.79, P = 0.003), but the difference diminished when adjusted for socio‐demographic variables (OR 1.09, 95% CI 0.59–2.0, P = 0.79). Families who received government financial support (OR 0.28, 95% CI 0.1–0.78, P = 0.015), who spoke limited English at home (OR 0.39, 95% CI 0.22–0.69, P = 0.001) or with lower maternal education (OR 0.38, 95% CI 0.21–0.68, P = 0.001) were less likely to return a scorable video. Surveyed parents responded mostly positively to Baby Moves' usability. Conclusions Most parents in this study successfully used Baby Moves to capture infant movements for remote GMA. Families of lower socio‐demographic status used Baby Moves less.

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“…Around the age of approximately 4 months, voluntary movements start to prevail. The absence of general movements or the presence of abnormal fidgety movements has been linked to impaired motor development, for example in children with cerebral palsy . On the other hand, when motor development is delayed, general movements can occur later and then might be confused with chorea or ballism.…”

Section: A Phenomenology‐based Approachmentioning

confidence: 99%

Movement Disorders in Treatable Inborn Errors of Metabolism

Ebrahimi‐Fakhari

Karnebeek²,

Münchau

2018

Movement Disorders

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There are several hundred single‐gene disorders that we classify as inborn errors of metabolism. Inborn errors of metabolism are often rare and highly heterogeneous multisystem diseases with non‐neurological and neurological manifestations, commonly with onset during childhood. Movement disorders are among the most common neurological problems in inborn errors of metabolism, but, in many cases, remain poorly defined. Although movement disorders are usually not the only and often not the presenting symptom, their recognition can facilitate a diagnosis. Movement disorders contribute substantially to the morbidity in inborn errors of metabolism and can have a significant impact on quality of life. Common metabolic movement disorders include the monoamine neurotransmitter disorders, disorders of amino and organic acid metabolism, metal storage disorders, lysosomal storage disorders, congenital disorders of autophagy, disorders of creatine metabolism, vitamin‐responsive disorders, and disorders of energy metabolism. Importantly, disease‐modifying therapies exist for a number of inborn errors of metabolism, and early recognition and treatment can prevent irreversible CNS damage and reduce morbidity and mortality. A phenomenology‐based approach, based on the predominant movement disorder, can facilitate a differential diagnosis and can guide biochemical, molecular, and imaging testing. The complexity of metabolic movement disorders demands an interdisciplinary approach and close collaboration of pediatric neurologists, neurologists, geneticists, and experts in metabolism. In this review, we develop a general framework for a phenomenology‐based approach to movement disorders in inborn errors of metabolism and discuss an approach to identifying the “top ten” of treatable inborn errors of metabolism that present with movement disorders—diagnoses that should never be missed. © 2018 International Parkinson and Movement Disorder Society

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Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review

Abstract: Fidgety general movements (Prechtl) are most predictive for later cerebral palsy compared with other spontaneous movements. False positive results are high among all spontaneous movement assessments.

Cited by 163 publications

References 89 publications

A journey through follow‐up for neurodevelopmentally at‐risk infants—A qualitative study on views of parents and professionals in Liverpool

A journey through follow‐up for neurodevelopmentally at‐risk infants—A qualitative study on views of parents and professionals in Liverpool

The Baby Moves smartphone app for General Movements Assessment: Engagement amongst extremely preterm and term‐born infants in a state‐wide geographical study

Movement Disorders in Treatable Inborn Errors of Metabolism

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