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The predictive validity of general movements--a systematic review.

Marlette Burger1, Quinette A Louw

  • 1Division 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

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
|November 28, 2008
PubMed
Summary

Assessing general movements (GMs) in early infancy, particularly during the fidgety period, can accurately predict neurodevelopmental outcomes. This method helps identify infants with potential neurological deficits for early intervention.

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Area of Science:

  • Pediatric Neurology
  • Developmental Neuroscience
  • Movement Science

Background:

  • General movements (GMs) assessment, pioneered by Prechtl, offers early identification of neurological deficits in infants.
  • Early detection is crucial for timely intervention and improved neurodevelopmental outcomes.

Purpose of the Study:

  • To systematically review evidence on the predictive value of general movements in early infancy for neurodevelopmental outcomes at 12 and 24 months.
  • To assess the reliability of GMs as a prognostic tool for identifying infants at risk.

Main Methods:

  • A systematic literature search was conducted across multiple databases (Medline, CINAHL, Pedro, Cochrane, etc.).
  • Key terms included 'general movements,' 'spontaneous motor activity,' 'nervous system diseases,' and 'developmental disabilities.'

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  • Methodological quality was appraised using the McMaster University Critical Review Form.

    • Main Results:

    • Seventeen studies were included in the review.
    • A significant relationship (sensitivity >92%, specificity >82%) was found between the quality of GMs (8-20 weeks postterm) and neurodevelopmental outcomes.
    • The fidgety movements' period showed particular predictive value.

    Conclusions:

    • Qualitative assessment of general movements is a reliable prognostic tool.
    • This assessment, especially during the fidgety movements' period, aids in identifying infants with neurodevelopmental disabilities.