Author/Editor		Vrečar, Irena; Groleger, Katja; Šušteršič, Breda; Zavrl, Nevenka
Title		Ocenjevanje spontanega celostnega gibanja novorojenčkov in dojenčkov kot metoda zgodnjega odkrivanja rizičnih otrok za razvoj cerebralne paralize
Translated title		Qualitative assessment of general movements - a method of early identification of children at risk for developing cerebral palsy
Type		članek
Source		Fizioterapija
Vol. and No.		Letnik 11, št. Suppl 1
Publication year		2003
Volume		str. 57-65
Language		slo
Abstract		Background: The Prechtl's method of qualitative assessment of general movements (GMs) is a well-accepted method for prediction of later neurological outcome. We use this method since 1999 as a part of neurological examination to identify the children that need a neurological follow-up and require an early neurode velopmental intervention (NDT). Aim: We set out to ascertain whether we could tell something about the predictive value of this method. Methods: We retrospectively evaluated the quality of GMs at writhing and/or fidgety age in 221 infants; the quality of GMs was correlated with the neurological outcome at 1 to 3 years of age. Results: All children with normal writhing GMs developed normal fidgety GMs and had a normal neurological outcome. Children with poor repertoire GMs developed normal, or absent fidgety GMs and just in few cases an abnormal fidgety GMs. The outcome was abnormal in one third of cases. Children with cramped synchronised GMs developed no fidgety, except for two. The neurological outcome was abnormal in almost all of them. Conclusions: The assessment of quality of GMs allows valid predictions about later neurological outcome. Our findings are partially in conflict with previous studies. A possible explanation of better outcome could be that all our children with abnormal GMs were referred to early NDT, which should help them to develop normally. Further investigations are needed to explore the role of NDT.
Descriptors		MOVEMENT MOVEMENT DISORDERS VIDEO RECORDING INFANT, NEWBORN INFANT