1. The general movement optimality score: a detailed assessment of general movements during preterm and term age
- Author
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Edyta Rowinska, Magdalena Krieber, Peter B. Marschik, Jasmin Pansy, Maria K Kornacka, Hong Yang, Arend F. Bos, Christa Einspieler, Marina Soloveichick, Anna Scheuchenegger, and Reproductive Origins of Adult Health and Disease (ROAHD)
- Subjects
Male ,General movements assessment ,medicine.medical_specialty ,Movement ,CEREBRAL-PALSY ,Video Recording ,INFANTS ,CHILDREN ,Gestational Age ,EARLY MARKER ,Developmental psychology ,Cerebral palsy ,REPERTOIRE ,03 medical and health sciences ,Child Development ,0302 clinical medicine ,Physical medicine and rehabilitation ,Developmental Neuroscience ,030225 pediatrics ,medicine ,Late preterm ,QUALITY ,Humans ,SPONTANEOUS MOTILITY ,Movement (music) ,SCHOOL-AGE ,Infant, Newborn ,Postmenstrual Age ,Gestational age ,medicine.disease ,General movements ,BRAIN-LESIONS ,Term (time) ,Neurodevelopmental Disorders ,Pediatrics, Perinatology and Child Health ,Female ,Neurology (clinical) ,Psychology ,BEHAVIOR ,Infant, Premature ,030217 neurology & neurosurgery - Abstract
AIM: To explore the appropriateness of applying a detailed assessment of general movements and characterize the relationship between global and detailed assessment.METHOD: The analysis was based on 783 video recordings of 233 infants (154 males, 79 females) who had been videoed from 27 to 45 weeks postmenstrual age. Apart from assessing the global general movement categories (normal, poor repertoire, cramped-synchronized, or chaotic general movements), we scored the amplitude, speed, spatial range, proximal and distal rotations, onset and offset, tremulous and cramped components of the upper and lower extremities. Applying the optimality concept, the maximum general movement optimality score of 42 indicates the optimal performance.RESULTS: General movement optimality scores (GMOS) differentiated between normal general movements (median 39 [25-75th centile 37-41]), poor repertoire general movements (median 25 [22-29]), and cramped-synchronized general movements (median 12 [10-14]; pINTERPRETATION: Further research might demonstrate that the GMOS provides a solid base for the prediction of improvement versus deterioration within an individual general movement trajectory.
- Published
- 2015
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