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Published on: August 25, 2014
Predictive Value of the Early Spontaneous Movements for Preterm Infants' Neurodevelopmental Outcome at 12 Months'
Ayse Yildiz1, Ramazan Yildiz1, Umut Apaydin2
1Department of Physical Therapy and Rehabilitation, Faculty of Health Sciences, Erzurum Technical University, Erzurum, Turkey.
Insights
The Motor Optimality Score-Revised (MOS-R) effectively predicts motor, cognitive, and language development in preterm infants. This early assessment tool shows high accuracy, aiding in early intervention for developmental challenges.
Area of Science:
- Developmental Pediatrics
- Neonatology
- Neuroscience
Background:
- Preterm infants are at risk for motor, cognitive, behavioral, and sensory deficits.
- The predictive role of early spontaneous movements in development requires further investigation.
Purpose of the Study:
- To assess the Motor Optimality Score-Revised (MOS-R) for predicting motor, cognitive, language, and sensory outcomes in preterm infants.
- To evaluate the MOS-R's effectiveness in early developmental screening.
Main Methods:
- Forty preterm infants were assessed using the General Movement Assessment (GMA) to obtain MOS-R scores.
- Developmental outcomes were evaluated at 12 corrected months using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III) and the Test of Sensory Functions in Infants (TSFI).
Main Results:
- The MOS-R demonstrated high sensitivity (80-86.7%) and specificity (71.4-100%) in predicting motor, cognitive, and language development.
- A significant proportion of infants (77.5%) exhibited typical fidgety movements.
- The MOS-R did not predict sensory development outcomes (p > 0.05).
Conclusions:
- The MOS-R is a valuable tool for predicting motor, cognitive, and language development in preterm infants at 12 corrected months.
- Early detection of developmental trajectories using MOS-R can inform timely interventions.
Purpose:
Motor, cognitive, behavioral, and sensory problems may be seen in preterm infants. Early spontaneous movements' role in these developmental areas has yet to be sufficiently investigated. This study aimed to evaluate the effectiveness of the Motor Optimality Score-Revised (MOS-R) in predicting motor, cognitive, language, and sensory developmental outcomes in premature infants.
Methods:
Forty preterm children were examined. Early spontaneous movements were evaluated using the General Movement Assessment (GMA), which detects the MOS-R. Infants' language, cognitive, and motor development were assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (Bayley-III). Sensory development was evaluated using the Test of Sensory Functions in Infants (TSFI).
Results:
The mean score for the MOS-R was 23.13 ± 4.6. Most infants (n = 31, 77.5%) showed typical fidgety movements. The sensitivity of the MOS-R for determining motor, cognitive, and language development at 12 corrected months was 86.7%, 80%, and 82%, respectively, and the specificity was 71.4%, 100%, and 100%, respectively. MOS-R scores did not predict sensory development outcomes (p > 0.05) CONCLUSIONS: At three months, the MOS-R demonstrated high sensitivity and specificity in detecting motor, cognitive, and language functions in preterm infants at 12 months corrected age.
