Transitory neurological findings in a population of at risk infants

Michaelis, Richard; Asenbauer, C.; Buchwald-Saal, M.; Haas, G.; Krägeloh‐Mann, Ingeborg

doi:10.1016/0378-3782(93)90049-z

Cited by 37 publications

(15 citation statements)

References 17 publications

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“…Young infants quite often show mild to moderate asymmetries which usually resolve spontaneously with increasing age. 21 The low prevalence of serious unilateral disorders in the present sample precludes a proper evaluation of the effect and utility of the symmetry subscale. As expected, movement fluency was not related to age.…”

Section: Discussionmentioning

confidence: 99%

The Infant Motor Profile: a standardized and qualitative method to assess motor behaviour in infancy

Heineman

Bos²,

Hadders‐Algra³

2008

Develop Med Child Neuro

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A reliable and valid instrument to assess neuromotor condition in infancy is a prerequisite for early detection of developmental motor disorders. We developed a video-based assessment of motor behaviour, the Infant Motor Profile (IMP), to evaluate motor abilities, movement variability, ability to select motor strategies, movement symmetry, and fluency. The IMP consists of 80 items and is applicable in children from 3 to 18 months. The present study aimed to test intra-and interobserver reliability and concurrent validity of the IMP with the Alberta Infant Motor Scale (AIMS) and Touwen neurological examination. The study group consisted of 40 low-risk term (median gestational age [GA] 40wks, range 38-42wks) and 40 high-risk preterm infants (median GA 29.6wks, range 26-33wks) with corrected ages 4 to 18 months (31 females, 49 males). Intra-and interobserver agreement of the IMP were satisfactory (Spearman's rho=0.9). Concurrent validity of IMP and AIMS was good (Spearman's rho=0.8, p<0.005). The IMP was able to differentiate between infants with normal neurological condition, simple minor neurological dysfunction (MND), complex MND, and abnormal neurological condition (p<0.005). This means that the IMP may be a promising tool to evaluate neurological integrity during infancy, a suggestion that needs confirmation by means of assessment of larger groups of infants with heterogeneous neurological conditions.

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Section: Discussionmentioning

confidence: 99%

The Infant Motor Profile: a standardized and qualitative method to assess motor behaviour in infancy

Heineman

Bos²,

Hadders‐Algra³

2008

Develop Med Child Neuro

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“…Most notable are the neurological deficits that LBW babies experience (82). Minor neurological abnormalities have been detected in LBW babies (58,67). Subnormal head circumference is quite common up to 7 months of age, with catch-up evident between the seventh and eighth months (71).…”

Section: Birthweight and The Lingering Effects Of Poverty On Childrenmentioning

confidence: 99%

“…Substantial fluctuations in income may, for example, force a family to change its residence. Income volatility also often creates emotional stress for parents, which can in turn lead them to be less nurturing and more punitive with their children than are parents with greater income stability (58).…”

Section: The Varying Experiences Of Povertymentioning

confidence: 99%

The Effects of Poverty on Child Health and Development

Aber

Bennett

Conley

et al. 1997

Annu. Rev. Public Health

449

289

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Poverty has been shown to negatively influence child health and development along a number of dimensions. For example, poverty-net of a variety of potentially confounding factors-is associated with increased neonatal and postneonatal mortality rates, greater risk of injuries resulting from accidents or physical abuse/neglect, higher risk for asthma, and lower developmental scores in a range of tests at multiple ages.Despite the extensive literature available that addresses the relationship between poverty and child health and development, as yet there is no consensus on how poverty should be operationalized to reflect its dynamic nature. Perhaps more important is the lack of agreement on the set of controls that should be included in the modeling of this relationship in order to determine the "true" or net effect of poverty, independent of its cofactors. In this paper, we suggest a general model that should be adhered to when investigating the effects of poverty on children. We propose a standard set of controls and various measures of poverty that should be incorporated in any study, when possible. 463

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“…Reports of transitory neurological findings, including those which may merit a preliminary label of CP, of uncertain clinical significance exist in the literature. 11,12 This uncertainty has placed lower limits on the age at which CP can be reliably diagnosed; which is reflected in the inscription protocols of various CP registries. 13 Despite the frequency of CP (an estimated 1.5-2.5/1000 live births 14 ) and the historical usage of this terminology, 15 there is a paucity of information on the natural history of the motor patterns of CP.…”

mentioning

confidence: 99%

Stability of motor impairment in children with cerebral palsy

Shevell

Majnemer

Poulin

et al. 2008

Develop Med Child Neuro

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Classification of the quality and topographical pattern of motor impairment is used to describe cerebral palsy (CP). As an adjunct to a study characterizing the quality of life and participation of school-age children with CP, initial and follow-up classification of CP were compared. A cohort of 93 children (58 males, 35 females) were initially assessed at a mean age of 2 years 6 months (SD 2y 2mo) and re-assessed at 9 years 4 months (SD 2y 2mo) with a mean interval of 6 years 6 months (SD 2y 4mo) between assessments. Sixty children had Gross Motor Function Classification System levels I-III. All but one of the children were still classified has having CP at follow-up. Type of CP documented remained constant in 67 children (72%; 95% confidence interval 62-80). Clinical factors that were statistically significant (p<0.05) as possible predictors of CP subtype change were original classification of a non-spastic subtype or a non-spastic quadriparetic subtype. Change in CP subtype occurs in an appreciable minority of children with CP, which is likely to reflect a combination of intrinsic and extrinsic influences. Such change may challenge efforts to monitor the effects of interventions in this population.Cerebral palsy (CP) can be conceptualized as a clinically-defined array of functional impairments, which features objective findings of motor impairments of cerebral origin that are acquired either before birth or in the first years of life. 1,2 Heterogeneity is a prominent characteristic of CP with respect to: etiology; pattern of motor impairment documented; functional limitations regarding mobility, feeding, and other activities of daily living; co-existing impairments in other non-motor developmental and sensory domains; concurrent medical and behavioral disorders; clinical evolution; and outcomes, regardless of the method of definition and measurement. 2,3 As CP arises in the brain which is dynamically developing and maturing, it is not surprising that its clinical features may change over time. 4 Environmental experience (e.g. activity and participation) may modify the underlying impairment. Recognizing and predicting these changes challenges clinicians who care for children with CP and may obscure the effects of interventions and limit certainty regarding prognostication. 5

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Transitory neurological findings in a population of at risk infants

Cited by 37 publications

References 17 publications

The Infant Motor Profile: a standardized and qualitative method to assess motor behaviour in infancy

The Infant Motor Profile: a standardized and qualitative method to assess motor behaviour in infancy

The Effects of Poverty on Child Health and Development

Stability of motor impairment in children with cerebral palsy

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