Quality of general movements in term infants with asphyxia

Iersel, Patricia A. M. van; Bakker, Saskia C.M.; Jonker, Arnold J. H.; Hadders‐Algra, Mijna

doi:10.1016/j.earlhumdev.2008.05.006

Cited by 22 publications

(28 citation statements)

References 37 publications

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“…23 In a recent General Movements study the cord arterial pH<7.20 was one inclusion criteria for the asphyxia group. 24 The International Cerebral Palsy Task Force (1999) 25 have suggested that intrauterine hypoxia, severe enough to be the cause of HIE and/or cerebral palsy should meet following criteria: Apgar scores from 0 to 6 longer than 5 min, cord arterial pH below 7.00 and base deficit above 12 mmol per l, sentinel event or abrupt fetal heart rate change, moderate or severe neonatal encephalopathy of early onset, affection of other 26 criteria for acute perinatal asphyxia were quite similar, but Apgar scores were lower, 3 or below at 5 min. The ACOG committee criteria for asphyxia are fullfiled quite rarely, only in severely asphyxiated infants.…”

Section: Discussionmentioning

confidence: 99%

Obstetric parameters and Doppler findings in cerebral circulation as predictors of 1 year neurodevelopmental outcome in asphyxiated infants

et al. 2011

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Objective: To establish the association of cardiotocography (CTG) and other obstetric parameters with pulsed Doppler findings in cerebral arteries during the first day of life, and to compare the cerebral artery Doppler with other determinants of asphyxia in predicting 1-year neurological outcome in asphyxiated full-term infants.Study Design: Cerebral blood flow velocity (CBFV) were measured from the anterior cerebral (ACA) and basilar (BA) arteries in 30 asphyxiated and 30 healthy-term infants using pulsed Doppler ultrasonography at approximately 24 h of age. CTG, cord artery pH, Apgar scores, biochemical asphyxia markers and symptoms of hypoxic-ischemic encephalopathy (HIE) were compared with the Doppler findings in respect of the ability to predict the outcome, defined by death or impaired neurological performance at 1 year of age.Result: In all, 20% of the asphyxiated infants but none in the control group had increased peak systolic CBFVs (mean þ 3 s.d.) in the ACA or BA. The sensitivity of increased systolic CBFV to predict abnormal outcome in the asphyxia group was 83%, specificity 95% and the sensitivity of the combination of HIE grade from 2 to 3 and increased systolic CBFV in the ACA or BA was 100% and specificity was 95%, respectively. Pathological CTG and low cord artery pH or low Apgar scores showed low predictive power. Conclusion:Grade from 2 to 3 HIE and the systolic CBFV (mean þ 3 s.d.) in the ACA or BA by Doppler ultrasound seemed to predict the outcome in asphyxiated infants at 1 year of age better than CTG, acid basement status, Apgar scores or asphyxia markers. If an increase of more than þ 3 s.d. in the systolic CBFV does not occur within the first 24 h of life, a good 1-year neurological outcome may be anticipated.

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Section: Discussionmentioning

confidence: 99%

Obstetric parameters and Doppler findings in cerebral circulation as predictors of 1 year neurodevelopmental outcome in asphyxiated infants

et al. 2011

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“…Included in the study were 64 term infants admitted because of DBAT to the neonatal ward of the regional general hospital, Gelre Hospital in Apeldoorn, the Netherlands, between January 1999 and July 2005 (for details see van Iersel et al 13 ), and 84 healthy term infants without DBAT who were recruited at the obstetric ward of the same hospital (n=25) or from nearby midwife practices (n=59). Included in the study were 64 term infants admitted because of DBAT to the neonatal ward of the regional general hospital, Gelre Hospital in Apeldoorn, the Netherlands, between January 1999 and July 2005 (for details see van Iersel et al 13 ), and 84 healthy term infants without DBAT who were recruited at the obstetric ward of the same hospital (n=25) or from nearby midwife practices (n=59).…”

Section: Methods Participantsmentioning

confidence: 99%

“…At the age of 6 years, five children could not be reassessed: two children of the study group had died and families of three comparison children declined participation. 13,14 The parents of the children gave signed informed consent and the procedures were approved by the medical ethical committee of University Medical Centre in Utrecht. 16 They died at the ages of 2.5 and 4 years.…”

Section: Methods Participantsmentioning

confidence: 99%

“…13 Both assessors were unaware of the infant's developmental outcome. To this end, spontaneous motility in supine position was video-recorded for at least 5 minutes in an awake, active, non-crying state.…”

Section: Assessment Of General Movements Qualitymentioning

confidence: 99%

“…13,14 The presence of limited mobility was determined with the Movement Assessment Battery for Children (MABC). Therefore, the primary aim of this study is to evaluate to what extent the quality of general movements in the first postnatal months in children born at term with low to moderate risk for developmental disorders predicts serious neurological disorder such as CP, and, in children without CP, milder forms of limited mobility at the age of 6 years.…”

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confidence: 99%

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Does general movements quality in term infants predict cerebral palsy and milder forms of limited mobility at 6 years?

Iersel

Bakker

Jonker

et al. 2016

Develop Med Child Neuro

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Fetal and Infant Spontaneous General Movements as Predictors of Developmental Disabilities

Zuk

2011

Dev Disabil Res Revs

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The challenge of identifying infants who are at risk for developmental delay and possible adverse neurodevelopmental outcome demands methods of evaluation that will lead to early intervention to minimize developmental disability and to maximize the infant's potential. A qualitative assessment of spontaneous general movements (GMs) in the preterm, term, and young infant at risk is a valid and reliable tool for evaluation (Prechtl [1990] Early Hum. Dev. 23:151-158). The aim of this review is to describe the theoretical and clinical bases for the assessment of GMs and its relationship to developmental delay and brain dysfunction. Thirty-seven studies related to the predictive validity of GMs were included in this review. Results suggested that consistent cramped synchronized GMs are highly predictive of later development of cerebral palsy. The fidgety movement quality that appears at the age of 2 to 3 months was found to be a most sensitive predictor of neurodevelopmental outcome in different populations of infants.

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Quality of general movements in term infants with asphyxia

Cited by 22 publications

References 37 publications

Obstetric parameters and Doppler findings in cerebral circulation as predictors of 1 year neurodevelopmental outcome in asphyxiated infants

Obstetric parameters and Doppler findings in cerebral circulation as predictors of 1 year neurodevelopmental outcome in asphyxiated infants

Does general movements quality in term infants predict cerebral palsy and milder forms of limited mobility at 6 years?

Fetal and Infant Spontaneous General Movements as Predictors of Developmental Disabilities

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