General Movements Assessment in Infants with High Birth Weight

IF 3.2 3区医学 Q2 CLINICAL NEUROLOGY

Pediatric neurology Pub Date : 2024-07-10 DOI:10.1016/j.pediatrneurol.2024.07.003

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引用次数: 0

Abstract

Background

High birth weight (HBW) describes fetal birth weight of more than 4000 g. Infants with HBW have a high risk of developing neurological and developmental problems. Until recently, there were no studies in the literature that investigated the quality of spontaneous movements and the integrity of the developing nervous system in infants with HBW. The aims of this study were (1) to describe age-specific detailed early spontaneous movements in infants with HBW and (2) to compare the detailed early spontaneous movements of infants with HBW and normal birth weight (NBW).

Methods

Twenty-two infants with HBW (median birth weight = 4190 g) and 22 infants with NBW (median birth weight = 3255 g) were included at 10 to 19 weeks post-term age (median = 13 weeks). All infants were assessed according to General Movement Assessment using three- to five-minute video recordings. Video recordings of each infant were evaluated using Motor Optimality Score for three- to five-month-old infants-Revised score sheet.

Results

Motor Optimality Score-Revised (MOS-R) (P < 0.001), observed postural patterns (P < 0.001), and age-adequate movement repertoire (P = 0.005) were significantly lower in the infants with HBW. Infants with HBW had more aberrant (abnormal or absent) fidgety movements (18%) than those with NBW (0%).

Conclusions

The results of this study demonstrated that the motor repertoire of infants with HBW tended to decrease more than that of those with NBW. To enable the follow-up of progression as a result of these assessments infants in need should be referred to age-adequate early intervention programs.

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高出生体重婴儿的一般运动评估

背景高出生体重（HBW）是指胎儿出生体重超过 4000 克。直到最近，文献中还没有关于高出生体重儿自发运动质量和神经系统发育完整性的研究。本研究的目的是：(1) 描述HBW婴儿特定年龄的早期自发运动细节；(2) 比较HBW婴儿和正常出生体重（NBW）婴儿的早期自发运动细节。方法纳入22名HBW婴儿（出生体重中位数为4190克）和22名NBW婴儿（出生体重中位数为3255克），这些婴儿在足月后10至19周出生（中位数为13周）。所有婴儿均通过三到五分钟的视频录像进行一般运动评估。结果患有HBW的婴儿的运动优化评分-修订版（MOS-R）（P < 0.001）、观察到的姿势模式（P < 0.001）和适龄运动剧目（P = 0.005）均明显低于HBW婴儿。结论：本研究结果表明，HBW 患儿的运动剧目比 NBW 患儿有更大的减少趋势。为了能够根据这些评估结果跟踪进展情况，应将有需要的婴儿转介到适合其年龄的早期干预计划。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric neurology 医学-临床神经学

CiteScore

4.80

自引率

2.60%

发文量

176

审稿时长

78 days

期刊介绍： Pediatric Neurology publishes timely peer-reviewed clinical and research articles covering all aspects of the developing nervous system. Pediatric Neurology features up-to-the-minute publication of the latest advances in the diagnosis, management, and treatment of pediatric neurologic disorders. The journal''s editor, E. Steve Roach, in conjunction with the team of Associate Editors, heads an internationally recognized editorial board, ensuring the most authoritative and extensive coverage of the field. Among the topics covered are: epilepsy, mitochondrial diseases, congenital malformations, chromosomopathies, peripheral neuropathies, perinatal and childhood stroke, cerebral palsy, as well as other diseases affecting the developing nervous system.