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General movement assessment and motor optimality score in extremely preterm infants
Mary Sharp1, Arlette Coenen2, Natasha Amery2
1Neonatal Directorate, King Edward Memorial Hospital, Subiaco, Western Australia, Australia; Centre for Neonatal Research & Education, UWA School of Paediatrics and Child Health, Western Australia, Australia.
Early Human Development
|August 24, 2018
Summary
Extremely preterm infants showed abnormal general movements, with poor repertoire common during writhing movements. These infants had a lower motor optimality score compared to term infants, indicating potential motor deficits.
Area of Science:
- Neonatal neurology
- Developmental pediatrics
- Movement science
Background:
- General movements (GMs) assessments are crucial for evaluating neurodevelopment in infants.
- Previous studies on GMs in extremely preterm (EP) infants are limited by small sample sizes.
Purpose of the Study:
- To assess general movements (GMs) and the motor optimality score (MOS) in a cohort of 40 extremely preterm (EP) infants.
- To identify common motor patterns and compare neurodevelopmental outcomes with term infants.
Main Methods:
- Utilized general movements (GMs) assessments to evaluate motor patterns in 40 extremely preterm (EP) infants.
- Calculated the motor optimality score (MOS) for each infant.
- Compared findings with established data from term infants.
Main Results:
- The most frequent finding was a poor repertoire of general movements during the writhing movements, which normalized to fidgety movements.
- Extremely preterm infants exhibited a lower motor optimality score (MOS) compared to published data for term infants.
Conclusions:
- General movements (GMs) assessment reveals specific motor patterns in extremely preterm (EP) infants, including transient abnormalities.
- Lower motor optimality scores (MOS) in EP infants suggest a need for early monitoring and intervention for potential neurodevelopmental challenges.
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