Original scientific paper
https://doi.org/10.24141/1/9/2/3
The Quality Of Fidgety Movements And Motor Outcome At 2 Years Of Age In Preterm Born Children With Perinatal Brain Injury
Jasminka Gagula
orcid.org/0009-0005-8983-4451
; Day Care Center for the Rehabilitation of Children and Youth “Mali dom – Zagreb”
Ana Katušić
; Laboratory for Early Motor Behavior Research, Department of Motoric Disorders and Chronic Diseases, University of Zagreb Faculty of Education and Rehabilitation Sciences
Abstract
Assessment of general movements is a valid and reliable predictor of neuromotor outcome in children with perinatal brain injury. The quality of fidgety movements has the highest predictive value in recognizing the neurological developmental outcome.
This study aimed to examine the motor outcome at 2 years of age in preterm born children with perinatal brain injuries in relation to the quality of fidgety movements.
The study included 27 preterm born infants (median gestational age = 29 weeks) with evident brain injury at term-equivalent age. Assessment of the quality of fidgety movements was made according to the HaddersAlgra classification (median = 13 weeks corrected age). The neuromotor assessment was performed using the Gross Motor Function Measure (GMFM-66) and the Gross Motor Function Classification System (GMFCS) (median = 16 months corrected age). Abnormal fidgety movements were observed in 22 children (81%). The total median GMFM score in children with normal suboptimal fidgety movements was 58,8% (IQR = 57,7-66,4), in children with mildly abnormal fidgety movements 53,4% (IQR = 47,5 – 52,7 ), and in children with definitively abnormal fidgety movements 33,1% (IQR = 27,3–45,5).
Children with normal suboptimal fidgety movements showed motor performance corresponding to the highest levels of gross motor function (GMFCS levels I and II), while the motor performance of children with mild and abnormal fidgety movements corresponded to all levels of the GMFCS system (I-V).
Keywords
preterm infants; brain injury, general movements assessment; motor functions
Hrčak ID:
313059
URI
Publication date:
4.1.2024.
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