Poor repertoire General Movements predict some aspects of development outcome at 2 years in very preterm infants

Poor repertoire General Movements predict some aspects of development outcome at 2 years in very preterm infants
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DOI:
10.1016/j.earlhumdev.2011.10.002
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发表时间:
2012-06-01
影响因子:
2.5
通讯作者:
Calzolari, Stefano
Calzolari, Stefano
中科院分区:
医学4区
文献类型:
--
作者:
Beccaria, Elisa;Martino, Manuela;Calzolari, Stefano

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背景:观察内源性“全身运动”的质量已被证明是评估脆弱新生儿的可靠且敏感的工具。产后 2-4 个月没有坐立不安的动作高度预示着脑瘫。相反,在扭体期出现的不良曲目模式对于预测任何发育阶段的运动或神经行为障碍都是不可靠的。目的:检查产后 1 个月出现 PR 模式是否与 2 岁时较低的神经发育商数相关。研究设计:对极早产儿样本进行 1 个月和 3 个月的一般运动评估以及 2 岁时的格里菲斯智力发育量表婴儿。将婴儿分为两组:不良曲目模式组和正常模式组。使用学生 t 检验、卡方检验和方差分析来比较两组之间的新生儿变量和结果。 受试者:79 名极早产儿(出生体重)
Background: Observation of the quality of endogenously generated "General Movements" has been proved to be a reliable and sensitive tool in the assessment of fragile neonates. The absence of fidgety movements at 2-4 months post-term is highly predictive of Cerebral Palsy. On the contrary, the presence of a poor repertoire pattern during the writhing period is not reliable in predicting motor or neurobehavioral disorders at any stage of development.Aim: To examine if the presence of a PR pattern at 1 month post-term was associated with lower neurodevelopmental quotients at 2 years.Study design: General Movements evaluation at 1 and 3 months and the Griffiths Scales of Mental Development at 2 years were administered to a sample of very preterm infants. Infants were divided into two groups: poor repertoire pattern group and normal pattern group. Student's t Test and Chi squared test and ANOVA were used to compare neonatal variables and results between the two groups.Subjects: 79 very preterm infants (birthweight