Document Detail


The predictive validity of general movements--a systematic review.
MedLine Citation:
PMID:  19036618     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The assessment of general movements (GMs), introduced by Professor Heinz Prechtl and his co-workers in the early 1990s, may offer the opportunity to identify infants with neurological deficits at a very early age. AIM: The aim of this review was to systematically assess available data in order to determine the evidence of general movements in early infancy to predict the neurodevelopmental outcome in 12- and 24-month-old infants. METHOD: A systematic literature search was performed using the following computerised databases: Medline, CINAHL, Pedro, The Cochrane Library, Science Direct, ProQuest: Science Journals, Medical Library & Social Science Journals, Journals @ OVID and PsycINFO. The following key terms were used: general movements, spontaneous motor activity, nervous system diseases [MeSH] and developmental disabilities [MeSH]. A comprehensive author search was also conducted. The methodological quality of eligible studies was critically appraised by two reviewers using the Critical Review Form for Quantitative Studies of the McMaster University Occupational Therapy Evidence-Based Practice Research Group. RESULTS: Seventeen studies were eligible for this review. The average score of the studies was 8.82 (73.5%) from a total of 12 (SD 0.73). Fifteen of the 17 studies found a high relationship (sensitivity > or =92%; specificity > or =82%; p<0.01) between the quality of general movements at 8-20 weeks postterm (fidgety movements' period) and the infants' neurodevelopmental outcome. CONCLUSION: The results of this systematic review indicate that the qualitative assessment of general movements, especially during the fidgety movements' period, can be used as a prognostic tool to identify infants with neurodevelopmental disabilities.
Authors:
Marlette Burger; Quinette A Louw
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Review     Date:  2008-11-25
Journal Detail:
Title:  European journal of paediatric neurology : EJPN : official journal of the European Paediatric Neurology Society     Volume:  13     ISSN:  1532-2130     ISO Abbreviation:  Eur. J. Paediatr. Neurol.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-17     Completed Date:  2009-10-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9715169     Medline TA:  Eur J Paediatr Neurol     Country:  England    
Other Details:
Languages:  eng     Pagination:  408-20     Citation Subset:  IM    
Affiliation:
Division of Physiotherapy, Department of Interdisciplinary Health Science, Faculty of Health Sciences, Stellenbosch University, PO Box 19063, Tygerberg 7505, Cape Town, South Africa. mbu@sun.ac.za
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MeSH Terms
Descriptor/Qualifier:
Child
Child Development
Child, Preschool
Databases, Factual
Diagnostic Imaging
Evidence-Based Medicine
Humans
Infant
Infant, Newborn
Movement / physiology*
Nervous System Diseases / diagnosis*,  pathology,  radiography,  ultrasonography
Predictive Value of Tests
Prognosis

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