Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review

Developmental Medicine and Child Neurology
Amanda K L KwongAlicia Spittle

Abstract

To systematically review the predictive validity of spontaneous early infant movements for later cerebral palsy (CP). Cohort studies with published data to calculate predictive validity of early spontaneous movements for later CP were searched in four electronic databases: CINAHL, Embase, MEDLINE, and PsycINFO. Forty-seven studies met inclusion criteria. The Prechtl General Movements Assessment (GMA) during the fidgety period (10-20wks corrected age) had the strongest sensitivity: 97 per cent (95% confidence interval [CI] 93-99) and specificity: 89% (95% CI 83-93). The sensitivity and specificity of the Prechtl GMA during the writhing period (birth-6wks) was 93% (95% CI 86-96) and 59% (95% CI 45-71) respectively. Cramped-synchronized movements in the writhing period according to Prechtl had the best specificity (sensitivity: 70% [95% CI 54-82]; specificity: 97% [95% CI 74-100]). Hadders-Algra's method of assessing general movements had a pooled sensitivity and specificity of 89% (95% CI 66-97) and 81% (95% CI 64-91) respectively. Presence of asymmetric postures and movement quality/quantity were reported under the Hammersmith Infant Neurological Examination, Hammersmith Neonatal Neurological Examination, and Movement Assessment...Continue Reading

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Citations

Mar 9, 2018·Developmental Medicine and Child Neurology·Nathalie Maitre
Oct 9, 2018·Developmental Medicine and Child Neurology·Mijna Hadders-Algra, Heike Philippi
Nov 6, 2018·Developmental Medicine and Child Neurology·Amanda K L KwongAlicia J Spittle
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Oct 3, 2021·Acta Paediatrica·Anna KiviLeena Haataja
Dec 2, 2021·Journal of Paediatrics and Child Health·Amanda K L KwongAlicia J Spittle

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