General movements and neurodevelopmental outcomes at 2 years of age in infants born very preterm

Ninib Yakoub1,2, Marieken Asprion1, Stephanie Brezina1,2

  • 1Family Larsson-Rosenquist Foundation Centre for Neurodevelopment, Growth and Nutrition of the Newborn, Department of Neonatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.

Insights

The quality of general movements in very preterm infants at 3 months is linked to better cognitive and motor skills at 2 years. However, this association may not be significant when considering other factors like socioeconomic status and neonatal health complications.

Area of Science:

  • Neonatal neurology
  • Developmental pediatrics
  • Movement science

Background:

  • Assessing neurodevelopmental outcomes in very preterm (VPT) infants is crucial.
  • General movements (GMs) are early indicators of neurological function.
  • The predictive value of GM quality for long-term outcomes in VPT infants requires further investigation.

Purpose of the Study:

  • To examine the relationship between the quality of general movements (assessed by the Motor Optimality Score-Revised, MOS-R) at 3 months corrected age and neurodevelopmental outcomes at 2 years corrected age in infants born very preterm.
  • To determine if GM quality has incremental predictive power for neurodevelopmental outcomes beyond known risk factors.

Main Methods:

  • Retrospective cohort study of infants born before 32 weeks' gestation.
  • General movements were video-recorded at 3 months corrected age and assessed using the MOS-R.
  • Neurodevelopment was evaluated at 2 years corrected age using the Bayley Scales of Infant and Toddler Development, Third Edition.

Main Results:

  • Higher MOS-R scores were associated with better cognitive and motor development at 2 years.
  • These associations were attenuated after controlling for gestational age, birthweight, sex, socioeconomic status, and the presence of severe neonatal morbidities.
  • The study included 316 VPT infants with a mean gestational age of 28.7 weeks.

Conclusions:

  • The quality of general movements at 3 months corrected age shows an association with cognitive and motor development at 2 years in very preterm infants.
  • The incremental predictive value of general movement quality may be limited when considering socioeconomic status and the burden of severe neonatal morbidities.
Abstract

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