ISSN 1674-3865  CN 21-1569/R
主管:国家卫生和计划生育委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

Chinese Pediatrics of Integrated Traditional and Western Medicine ›› 2018, Vol. 10 ›› Issue (6): 534-537.doi: 10.3969/j.issn.1674-3865.2018.06.023

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Observation on the long-term predictive value of the assessment of general movement in infants

LIN Niannian,WANG Yang,ZHANG Jia,ZHENG Xiaofeng   

  1. Shenyang Children's Hospital, Shenyang 110000, China
  • Online:2018-12-25 Published:2019-03-25

Abstract:
Objective
To observe the development of infants receiving the assessment of general movement for 2 years.
Methods
From March 2015 to March 2016, 203 high-risk children admitted to the Rehabilitation Outpatient Department of Shenyang Children's Hospital were evaluated by the assessment of general movement. The overall motor development of the children was observed, and a total of 54 children were able to be followed up to the age of 2 years.
Results
Among the 203 cases, the poor repertoire movement was 39.2%(49/125), the cramped-synchromised movement was 1.6%(2/125), and 24.4%(33/135) had abnormal fidgety movement. Among the 54 patients who were followed up, the poor repertoire movement was 44.0%(11/25), the cramped-synchromised movement was 4.0%(1/25), and the abnormal fidgety movement was 25.7%(9/35). The early stage results of the assessment of general movement showed that, a total of 10 cases had problems, which conformed to the original diagnosis that it would develop into cerebral palsy in the later follow-up. The patients whose movement were poor repertoire in the twist stage had certain language and social behavior problems.
ConclusionFor infants with assessment of general movements as non-typical cerebral palsy, it is also necessary to regularly monitor the changes in their growth and development. At the same time, standardized management should be carried out for high-risk infants to find problems in time and provide targeted intervention or treatment.

Key words: Cerebral palsy, Assessment of general movement, High-risk infant management