Further discussion of general movements quality assessment(writhing movements) in early prediction validity of motor developmental outcome of high-risk infants
10.3760/cma.j.issn.1673-4912.2019.12.007
- VernacularTitle: 全身运动质量评估(扭动运动阶段)对高危儿运动发育结局早期预测价值的进一步探讨
- Author:
Wenxin WEI
1
;
Fei YAN
;
Xiaomei CAO
;
Chunzhi LIU
;
Chunli LIU
;
Lifeng ZHANG
;
Xiaoli WANG
;
Huixian LI
Author Information
1. Neonatal Department, the Affiliated Hospital of Inner Mongolia Medical University, Hohhot 010050, China
- Publication Type:Journal Article
- Keywords:
General movements quality assessment;
Writhing movements;
Motor development outcome;
Predictive validity;
High-risk infants
- From:
Chinese Pediatric Emergency Medicine
2019;26(12):912-916
- CountryChina
- Language:Chinese
-
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.
