Further discussion of general movements quality assessment(writhing movements) in early prediction validity of motor developmental outcome of high-risk infants

中国小儿急救医学 Pub Date : 2019-12-20 DOI:10.3760/CMA.J.ISSN.1673-4912.2019.12.007

Wenxin Wei, Fei-fei Yan, Xiaomei Cao, Chun-zhi Liu, Chunli Liu, Lifeng Zhang, Xiaoli Wang

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Abstract

Objective To study the predictive value of general movements(GMs) quality assessment technique(writhing movements)on the motor development outcome of high-risk infants, so as to provide a reference basis for clinical diagnosis and treatment. Methods A retrospective analysis was made on the high-risk infants who were hospitalized in the Neonatal Department of the Affiliated Hospital of Inner Mongolia Medical University from January 1, 2017 to December 31, 2018, and the GMs quality assessment was finished and followed up to 12-month-old among high-risk infants.The clinical diagnostic criteria for patients with cerebral palsy and Peabody Development Motor Scales-2(PDMS-2)were used to evaluate the motor development outcome of 12-month-old high-risk infants.Furthermore, the predictive value of GMs writhing movements on the motor development outcome of high-risk infants were evaluated. Results The predictive validity of writhing movements phase[cramped synchronized(CS)+ poor repertoire(PR)]for motor retardation and cerebral palsy in high-risk infants who met the inclusion criteria were as follows: the sensitivity, specificity, positive predictive value, negative predictive value were 94.44%, 23.03%, 11.04%, 97.62% and 100%, 21.88%, 2.60%, 100%, respectively.The predictive sensitivity and negative predictive value of writhing movements PR for motor retardation and cerebral palsy were 92.31%, 100%; 98.18%, 100% respectively.The predictive sensitivity, specificity and negative predictive value of writhing movements CS for motor retardation and cerebral palsy were 100%, 95.81%, 100% and 100%, 95.31% and 100%, respectively. Conclusion GMs quality assessment(writhing movements)has high reliability in predicting the motor development outcome of high-risk infants, especially cramped-synchronized has significant value in early screening of children with motor retardation and cerebral palsy. Key words: General movements quality assessment; Writhing movements; Motor development outcome; Predictive validity; High-risk infants

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一般运动质量评估（扭体运动）在高危婴儿运动发育结果早期预测有效性中的进一步探讨

目的探讨一般运动（GMs）质量评估技术（扭体运动）对高危儿运动发育结果的预测价值，为临床诊断和治疗提供参考依据。方法对2017年1月1日至2018年12月31日在内蒙古医科大学附属医院新生儿科住院的高危婴儿进行回顾性分析，对高危婴儿进行GMs质量评估并随访至12个月大。采用脑瘫患者的临床诊断标准和皮博迪运动发育量表-2（PDMS-2）来评估12个月大高危婴儿的运动发育结果。此外，还评估了GMs扭动运动对高危婴儿运动发育结果的预测价值。结果扭体运动阶段[痉挛同步（CS）+不良反应（PR）]对符合纳入标准的高危婴儿运动迟缓和脑瘫的预测有效性如下：敏感性、特异性、阳性预测值和阴性预测值分别为94.44%、23.03%、11.04%、97.62%和100%、21.88%、2.60%和100%。扭体运动PR对运动迟缓和脑瘫的预测敏感性和阴性预测值分别为92.31%和100%；分别为98.18%、100%。扭体运动CS对运动迟缓和脑瘫的预测敏感性、特异性和阴性预测值分别为100%、95.81%、100%和100%、95.31%和100%。结论GMs质量评估（扭体运动）在预测高危婴儿运动发育结果方面具有较高的可靠性，尤其是同步痉挛对运动迟缓和脑瘫儿童的早期筛查具有重要价值。关键词：一般动作质量评估；书写动作；运动发育结果；预测有效性；高危婴儿

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来源期刊

中国小儿急救医学

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发文量

6226

期刊介绍： Chinese Journal of Neurology was established in 1955, the predecessor of which is Chinese Journal of Neurology and Psychiatry. Chinese Journal of Neurology and Psychiatry has been indexed by MEDLINE until 1996, when it was divided into two journals, Chinese Journal of Neurology, and Chinese Journal of Psychiatry. Chinese Journal of Neurology is now indexed by EM, SCOPUS, AJ, WPRIM, CNKI, Wanfang Data, CSCD, etc. The impact factor of the journal is 2.755 in 2017, ranking the first among all neurological and psychological journals in China and among all the 142 medical journals published by the Chinese Medical Association. The journal is available both in print and online.