Fidgety movements in infants born very preterm: predictive value for cerebral palsy in a clinical multicentre setting.

Datta, Alexandre N; Furrer, Mark A; Bernhardt, Iris; Hüppi, Petra S; Borradori-Tolsa, Cristina; Bucher, Hans Ulrich; Latal, Beatrice; Grunt, Sebastian; Natalucci, Giancarlo (2017). Fidgety movements in infants born very preterm: predictive value for cerebral palsy in a clinical multicentre setting. Developmental medicine and child neurology, 59(6), pp. 618-624. Blackwell 10.1111/dmcn.13386

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AIM This study assessed predictive values of fidgety movement assessment (FMA) in a large sample of infants born very preterm for developmental abnormalities, in particular for cerebral palsy (CP) at 2 years in an everyday clinical setting. METHOD This is a multicentre study of infants born preterm with gestational age lower than 32.0 weeks. FMA was performed at 3 months corrected age; neurodevelopment (Bayley Scales of Infant Development, 2nd edition) and neurological abnormalities were assessed at 2 years. Predictive values of FMA for the development of CP were calculated and combined with abnormalities at cerebral ultrasound. RESULTS Five hundred and thirty-five infants (gestational age 28.2wks [standard deviation 1.3wks]) were included. Eighty-one percent showed normal fidgety movements and 19% atypical (82 absent, 21 abnormal) fidgety movements. Absent fidgety movements predicted CP at 2 years with an odds ratio (OR) of 8.9 (95% confidence interval [CI] 4.1-17.0), a combination of atypical fidgety movements and major brain lesion on cerebral ultrasound predicted it with an OR of 17.8 (95% CI 5.2-61.6). Mean mental developmental index of infants with absent fidgety movements was significantly lower (p=0.012) than with normal fidgety movements. INTERPRETATION Detection of infants at risk for later CP through FMA was good, but less robust when performed in a routine clinical setting; prediction improved when combined with neonatal cerebral ultrasound.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine

UniBE Contributor:

Grunt, Sebastian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0012-1622

Publisher:

Blackwell

Language:

English

Submitter:

Sinthuja Rajkumar

Date Deposited:

20 Feb 2018 10:34

Last Modified:

20 Feb 2018 10:43

Publisher DOI:

10.1111/dmcn.13386

PubMed ID:

28102574

BORIS DOI:

10.7892/boris.110883

URI:

https://boris.unibe.ch/id/eprint/110883

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