Are sporadic fidgety movements as clinically relevant as is their absence?
Are sporadic fidgety movements as clinically relevant as is their absence?
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DOI：
10.1016/j.earlhumdev.2015.02.003
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发表时间：
2015-04
影响因子：
2.5
通讯作者：
Cioni G
中科院分区：
文献类型：
--
作者：
Einspieler C;Yang H;Bartl-Pokorny KD;Chi X;Zang FF;Marschik PB;Guzzetta A;Ferrari F;Bos AF;Cioni G
在足月后3至5个月时有正常烦躁运动的婴儿很可能表现出神经学上的正常发育，而没有烦躁运动是不良神经学结局的早期标志，主要是脑瘫（CP）。所谓的零星烦躁运动的临床意义（即，坐立不安的运动在几个身体部位孤立地发生，持续时间为1- 3秒）。我们的目的是确定是否有婴儿发展为CP和有零星的烦躁运动有更好的结果比婴儿谁没有烦躁运动。纵向研究。前瞻性收集数据的回顾性分析。61例发生CP的婴儿（46例男性，15例女性; 29例早产婴儿;在足月后9至16周龄时拍摄视频以评估运动和姿势）。粗大运动功能分类系统（GMFCS）适用于3至5岁。在3 - 5岁时，在9 - 16周龄时有零星烦躁运动的诊断为CP的儿童（n=9）和从未出现烦躁运动的儿童（n=50）在功能性活动和活动受限方面没有差异。一名婴儿的FM正常，并发展为单侧CP，GMFCS I级;其余婴儿的FM异常，并发展为双侧CP，GMFCS II级。没有证据表明偶尔出现孤立的烦躁发作表明CP的类型较轻。
Infants with normal fidgety movements at 3 to 5 months after term are very likely to show neurologically normal development, while the absence of fidgety movements is an early marker for an adverse neurological outcome, mainly cerebral palsy (CP). The clinical significance of so-called sporadic fidgety movements (i.e., fidgety movements occur isolated in a few body parts and are of 1- to 3-second-duration) is not yet known. Our objective was to determine whether infants who had developed CP and had sporadic fidgety movements have a better outcome than infants who did not have fidgety movements. Longitudinal study. Retrospective analysis of prospectively collected data. 61 infants who developed CP (46 male, 15 female; 29 infants born preterm; videoed for the assessment of movements and postures at 9 to 16 weeks postterm age). The Gross Motor Function Classification System (GMFCS) was applied at 3 to 5 years of age. There was no difference between children diagnosed with CP who had sporadic fidgety movements at 9 to 16 weeks post-term age (n=9) and those who never developed fidgety movements (n=50) with regards to their functional mobility and activity limitation at 3 to 5 years of age. One infant had normal FMs and developed unilateral CP, GMFCS Level I; the remaining infant had abnormal FMs and developed bilateral CP, GMFCS Level II. There is no evidence that the occurrence of occasional isolated fidgety bursts indicates a milder type of CP.
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影响因子：
1.4
作者：
Einspieler, C;Cioni, G;Prechtl, HFR
通讯作者：
Prechtl, HFR
影响因子：
2.5
作者：
Bouwstra, Hylco;Dijk-Stigter, Geerteke R.;Hadders-Algra, Mijna
通讯作者：
Hadders-Algra, Mijna
影响因子：
2.5
作者：
Einspieler, C;Prechtl, HFR;Bos, AF
通讯作者：
Bos, AF
DOI：
10.1027/0044-3409.216.3.147
发表时间：
2008-01-01
影响因子：
1.8
作者：
Einspieler, Christa;Marschik, Peter B.;Prechtl, Heinz F. R.
通讯作者：
Prechtl, Heinz F. R.
影响因子：
--
作者：
Ferrari, F;Cioni, G;Prechtl, HFR
通讯作者：
Prechtl, HFR