| Title: |
Quality of general movements and the development of minor neurological dysfunction at toddler and school age |
| Authors: |
Hadders-Algra, M; Mavinkurve-Groothuis, AMC; Stremmelaar, EF; Martijn, A; Butcher, PR; Groen, S.E |
| Source: |
Hadders-Algra, M, Mavinkurve-Groothuis, AMC, Stremmelaar, EF, Martijn, A, Butcher, PR & Groen, S E 2004, 'Quality of general movements and the development of minor neurological dysfunction at toddler and school age', Clinical Rehabilitation, vol. 18, no. 3, pp. 287-299. https://doi.org/10.1191/0269215504cr730oa |
| Publication Year: |
2004 |
| Collection: |
University of Groningen research database |
| Subject Terms: |
GROUP SELECTION THEORY; POSTURAL ADJUSTMENTS; PRETERM BIRTH; DISORDERS; FRAMEWORK; INFANCY; MARKER |
| Description: |
Objective: To evaluate the reliability of assessing infants' general movements (GMs) using a new classification and its validity in predicting complex minor neurological dysfunction (MND) at toddler and at school age. Design: Prospective study of two groups of infants, each consisting of a mix of low-risk and high-risk infants. Setting: University Hospital Groningen, the Netherlands. Subjects: Group A consisted of 16 low-risk and 21 high-risk infants; group B of 28 low-risk and 24 high-risk infants. Main outcome measures: Between term age and four months post term: multiple assessments of neurological condition by means of (a) assessment of GMs, and (b) a traditional neurological examination. GMs were classified into four classes using a standardized qualitative description: two classes of normal movements (normal-optimal and normal-suboptimal) and two classes of abnormal movements (mildly and definitely abnormal movements). Follow-up neurological examination with special attention to presence of MND was carried out in group A at 1% years, in group B at 4-9 years. Results: GMs could be assessed reliably. They were stable over age in about 60% of the infants. Both the condition of the GMs and the infant neurological condition were significantly related to neurological condition at follow-up. Best prediction of complex MND was achieved when both types of infant assessment at the age of 2-4 months post term were combined. Conclusions: The assessment of GMs is a valuable tool, in particular when combined with the traditional neurological examination, to predict at early age the development of complex MND. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| ISSN: |
0269-2155 |
| Relation: |
info:eu-repo/semantics/altIdentifier/wos/000221026200008; info:eu-repo/semantics/altIdentifier/hdl/https://hdl.handle.net/11370/4ce14076-1a1a-45e3-b1c6-4cf016ca377c; info:eu-repo/semantics/altIdentifier/pissn/0269-2155 |
| DOI: |
10.1191/0269215504cr730oa |
| Availability: |
https://hdl.handle.net/11370/4ce14076-1a1a-45e3-b1c6-4cf016ca377c; https://research.rug.nl/en/publications/4ce14076-1a1a-45e3-b1c6-4cf016ca377c; https://doi.org/10.1191/0269215504cr730oa |
| Rights: |
info:eu-repo/semantics/restrictedAccess |
| Accession Number: |
edsbas.C5281D97 |
| Database: |
BASE |