The qualitative assessment of general movements in preterm, term and young infants - Review of the methodology
The qualitative assessment of general movements in preterm, term and young infants - Review of the methodology
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DOI：
10.1016/s0378-3782(97)00092-3
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发表时间：
1997-11-24
影响因子：
2.5
通讯作者：
Bos, AF
中科院分区：
文献类型：
--
作者：
Einspieler, C;Prechtl, HFR;Bos, AF
我们描述了Prechtl的一般运动定性评估方法的最新进展，作为早期检测脑功能障碍的诊断工具。在讨论了早产儿、足月龄婴儿和幼儿一般运动视频记录的最佳技术之后，注意力集中在对这种自发运动模式的适当分析上。最近，一群活跃在该领域的研究人员对正常和异常一般运动的各种性质达成了共识。这些定义在这里全文报告。由于这是一种新引入的方法，需要对其可靠性进行仔细的研究。不同研究小组获得的数据证明了该方法的稳健性（测井间一致性：78-98%）。最后，结合目前已发表的研究报告，对该早期评估方法的有效性进行了探讨。虽然该方法在所有研究年龄组（早产儿、足月、第一个月、第二个月和第三个月）的敏感性相似，平均为94.5%，但该方法的特异性与年龄有关。早期低，逐渐增加，产后3个月可达82% ~ 100%。这种现象可以用早期功能障碍的自发恢复来解释。相反，一般运动的持续异常与2年随访中发现的神经功能缺陷有关。(C) 1997爱思唯尔科学爱尔兰有限公司
We describe the state of the art of Prechtl's method for the qualitative assessment of general movements as a diagnostic tool for early detection of brain dysfunction, After discussing the optimal technique for video recording general movements in preterm, term and young infants, attention is focused on the proper analysis of this spontaneous motor pattern. Recently, a group of active researchers in the field reached consensus on the various qualities of normal and abnormal general movements. These definitions are reported here in full. Since it is a newly introduced method careful investigation into its reliability is required. Various groups of investigators have obtained data which demonstrate the robust character of the method (interscorer agreement: 78-98%). Finally, we discuss the validity of this early assessment method on the basis of the reports published so far. While the method's sensitivity is similar in all age groups studied (preterm, term, first month, second month, and third month age epochs), and averages 94.5%, the specificity of the method is age-dependent. It is low during the early ages, increases gradually and reaches 82 to 100% at 3 months post-term. This phenomenon is explained by spontaneous recovery of early dysfunction. In contrast, consistent abnormalities of general movements are Linked to neurological deficits found at the 2 year follow-up. (C) 1997 Elsevier Science Ireland Ltd.