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  11. Translation, Cross-cultural Adaptation And Validation Of The General Movement Checklist

Translation, cross-cultural adaptation and validation of the General Movement checklist

Daniela Eugenia Salazar-Díaz1, Carlos P Viñals-Labañino1, Marcela Balderas-Campos2

  • 1Servicio de Parálisis cerebral y estimulación temprana, Instituto Nacional de Rehabilitación "Luis Guillermo Ibarra Ibarra", Ciudad de México, México.

Acta Neurologica Belgica
|December 16, 2024

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View abstract on PubMed

Summary
This summary is machine-generated.

The Spanish General Movement checklist (GMC) is a reliable tool for assessing neurodevelopmental disorders in Mexican infants. This validation study confirms its accuracy for early detection in low-resource settings.

Area of Science:

  • Neuroscience
  • Developmental Pediatrics
  • Clinical Assessment Tools

Background:

  • Prechtl's General Movement Assessment (GMA) is crucial for predicting infant neurodevelopmental outcomes.
  • Limited access to GMA training in low- and middle-income countries, like Mexico, hinders early detection.
  • The General Movement checklist (GMC) was developed to simplify GMA evaluation for less experienced clinicians.

Purpose of the Study:

  • To validate the Spanish version of the General Movement checklist (GMC) for use in Mexican infants.
  • To assess the reliability and validity of the GMC for early neurodevelopmental disorder assessment.
  • To provide a practical tool for clinicians with limited experience in General Movement Assessment.

Main Methods:

  • An observational, cross-sectional study involving high-neurological-risk infants.
Keywords:
General movement checklistNeurodevelopmental outcomePrechtl’s general movement assessmentSpanish version

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  • Analysis of inter- and intra-observer reliability using Cohen's kappa.
  • Translation, cross-cultural adaptation, and validation of the GMC using Cronbach's alpha, CVI, GMOS-R, and ROC curves.

    • Main Results:

    • Excellent intra-observer (Kappa = 0.91) and inter-observer (Kappa = 0.75-1.0) reliability.
    • High internal consistency (Cronbach's alpha = 0.8579) and strong content validity (CVI > 0.7).
    • High predictive validity with 90% sensitivity and 92% specificity compared to clinical diagnosis.

    Conclusions:

    • The Spanish GMC is a validated, reliable, and accurate tool for early neurodevelopmental disorder assessment in Mexican infants.
    • This validated checklist can improve early detection and intervention for neurodevelopmental disorders in resource-limited settings.
    • Further research is recommended to corroborate these findings in broader populations.