General movements of preterm infants in relation to their motor competence between 5 and 6 years |
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| Authors: | Breda Sustersic Katja Sustar Darja Paro-Panjan |
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| Affiliation: | 1. Department of Human Pathology of the Adult and Developmental Age, Unit of Child Neurology and Psychiatry, University Hospital of Messina, Messina, Italy;2. Department of Economical, Business and Environmental Sciences and Quantitative Methods, University of Messina, Messina, Italy;3. Department of Human Pathology of the Adult and Developmental Age, Unit of Neonatal Intensive Care, University Hospital of Messina, Messina, Italy;4. Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy;1. Foundation for Autism Research, Inc., New York, NY, USA;2. Research Unit iDN — interdisciplinary Developmental Neuroscience, Institute of Physiology, Center for Physiological Medicine, Medical University of Graz, Graz, Austria;3. Center of Neurodevelopmental Disorders (KIND), Department of Women''s & Children''s Health, Karolinska Institutet, Stockholm, Sweden;4. Child and Adolescent Psychiatry, Stockholm County Council, Stockholm, Sweden;1. Research Unit iDN, Interdisciplinary Developmental Neuroscience, Institute of Physiology, Center for Physiological Medicine, Medical University of Graz, Austria;2. Department of Rehabilitation, Children''s Hospital of Fudan University, Shanghai, PR China;3. Department of Pediatrics, Nanjing Maternity and Child Health Hospital, Nanjing Medical University, PR China;4. Center of Neurodevelopmental Disorders, Karolinska Institutet, Stockholm, Sweden;5. Department of Developmental Neuroscience, University of Pisa, Italy;6. IRCCS Fondazione Stella Maris, Pisa, Italy;7. Dept. of Neonatology, University of Modena and Reggio Emilia, Modena, Italy;8. Division of Neonatology, Beatrix Children''s Hospital, University Medical Center, University of Groningen, The Netherlands;1. Division Developmental Neurology,Department of Paediatrics,University Medical Center Groningen,University of Groningen, Hanzeplein 1, Groningen GZ 9713, The Netherlands;2. Department of Genetics, University Medical Center Groningen, University of Groningen, Hanzeplein 1, Groningen GZ 9713, The Netherlands;3. Department of Obstetrics and Gynaecology, Academic Medical Center, Meibergdreef 9, Amsterdam AZ 1105, The Netherlands |
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| Abstract: | BackgroundThe criteria for identification of children with high risk of cerebral palsy are well documented, but the early identification of children at highest risk of minor motor deficits remains less clear.AimTo analyze the correlation between the quality of general movements (GMs) from term to twenty weeks postterm age and the motor competence between 5 and 6 years of age.MethodsIn the group of 45 preterm infants, the quality of GMs was assessed using Prechtl's method. The Movement Assessment Battery for Children (M-ABC) was used to test motor competence between 5 and 6 years of age. The correlations between GMs and M-ABC results were analyzed.ResultsDuring writhing period, the sensitivity of GMs to identify children with definite motor problem was 0.86 for total impairment, 0.67 for manual dexterity, 0.89 for ball skills and 0.92 for balance. During fidgety period, the sensitivity was higher than during the writhing period: 1.00 for total impairment, 1.00 for manual dexterity, 1.00 for ball skills and 0.83 for balance, respectively. The specificity was low at both ages (total scoring 0.24 at term and 0.21 at 3 months corrected age).ConclusionThe sensitivity of GMs to identify children with definite motor problems is higher at the fidgety than at the writhing period. The specificity of GMs at the term and fidgety age to predict later motor abilities is low. |
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