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Updated: May 27, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

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General movement assessments in neonates born with congenital gastrointestinal anomalies: a single site,

Lisa Soumekh1, Samantha Bell1, Sandra L Espinosa1

  • 1Department of Pediatrics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.

Journal of Perinatology : Official Journal of the California Perinatal Association
|February 20, 2025
PubMed

Insights

Infants with gastrointestinal anomalies often exhibit abnormal general movements, similar to extremely low birth weight infants. Specific writhing movement patterns differ significantly between these groups, suggesting potential motor deficit risks.

Area of Science:

  • Neonatal neurology
  • Developmental pediatrics
  • Gastroenterology

Background:

  • General movements (GMs) are crucial for assessing neurological development in infants.
  • Congenital gastrointestinal (GI) anomalies can impact neurodevelopmental outcomes.
  • Extremely low birth weight (ELBW) infants are known to have a higher risk of motor impairments.

Purpose of the Study:

  • To characterize general movements in neonates with congenital GI anomalies.
  • To compare these movements with those in ELBW infants.
  • To identify potential early biomarkers for motor deficits.

Main Methods:

  • Retrospective, single-site study design.
  • Inclusion of two groups: neonates with GI anomalies and ELBW infants (birth weight <1 kg).
  • Primary outcome measure: General Movement Assessment (GMA).

Main Results:

  • Ninety-six infants were analyzed (51 GI group, 45 ELBW group).
  • Comparable rates of abnormal writhing (61% vs. 59%) and fidgety movements (20% vs. 36%) were observed between groups.
  • Significant differences in writhing movement quality were found: 100% poor repertoire in the GI group versus 50% poor repertoire and 50% cramped synchronous in the ELBW group (p < 0.001).

Conclusions:

  • Neonates with congenital GI anomalies are at significant risk for abnormal general movements.
  • Abnormal fidgety movements may serve as an early indicator of future motor deficits in this population.
  • Understanding GM patterns can aid in early detection and intervention for motor impairments.
Abstract

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