Are abnormal fidgety movements an early marker for complex minor neurological dysfunction at puberty?
Prechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it is uncertain whether the GM assessment can be used to predict mild neurological impairment. To determine whether the quality of general m...
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| Published in | Early human development Vol. 83; no. 8; pp. 521 - 525 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Lausanne
Elsevier Ireland Ltd
01.08.2007
New York,NY Elsevier Amsterdam |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0378-3782 1872-6232 |
| DOI | 10.1016/j.earlhumdev.2006.10.001 |
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| Abstract | Prechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it is uncertain whether the GM assessment can be used to predict mild neurological impairment.
To determine whether the quality of general movements (GMs) from the age of 3 to 5 months, i.e. fidgety movements, is related to the presence of complex minor neurological dysfunctions (MND) 13 to 15 years later.
Prospectively collected data on the quality of GMs during infancy were retrospectively analysed on the basis of MND at puberty.
Twenty-eight participants (14 girls and 14 boys) with a median gestational age of 40 weeks (range: 35 to 42 weeks) and an appropriate birth weight (median 3390 g; range 1900 to 4200 g).
Touwen's neurological examination.
Abnormal fidgety movements were not related to later complex MND, but to fine manipulative disabilities (
p
<
0.05). Normal fidgety movements, which are continually present in the whole body, might be required for optimal calibration of the proprioceptive system. |
|---|---|
| AbstractList | Prechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it is uncertain whether the GM assessment can be used to predict mild neurological impairment.
To determine whether the quality of general movements (GMs) from the age of 3 to 5 months, i.e. fidgety movements, is related to the presence of complex minor neurological dysfunctions (MND) 13 to 15 years later.
Prospectively collected data on the quality of GMs during infancy were retrospectively analysed on the basis of MND at puberty.
Twenty-eight participants (14 girls and 14 boys) with a median gestational age of 40 weeks (range: 35 to 42 weeks) and an appropriate birth weight (median 3390 g; range 1900 to 4200 g).
Touwen's neurological examination.
Abnormal fidgety movements were not related to later complex MND, but to fine manipulative disabilities (
p
<
0.05). Normal fidgety movements, which are continually present in the whole body, might be required for optimal calibration of the proprioceptive system. Prechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it is uncertain whether the GM assessment can be used to predict mild neurological impairment. To determine whether the quality of general movements (GMs) from the age of 3 to 5 months, i.e. fidgety movements, is related to the presence of complex minor neurological dysfunctions (MND) 13 to 15 years later. Prospectively collected data on the quality of GMs during infancy were retrospectively analysed on the basis of MND at puberty. Twenty-eight participants (14 girls and 14 boys) with a median gestational age of 40 weeks (range: 35 to 42 weeks) and an appropriate birth weight (median 3390 g; range 1900 to 4200 g). Touwen's neurological examination. Abnormal fidgety movements were not related to later complex MND, but to fine manipulative disabilities (p<0.05). Normal fidgety movements, which are continually present in the whole body, might be required for optimal calibration of the proprioceptive system. AbstractBackgroundPrechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it is uncertain whether the GM assessment can be used to predict mild neurological impairment. AimsTo determine whether the quality of general movements (GMs) from the age of 3 to 5 months, i.e. fidgety movements, is related to the presence of complex minor neurological dysfunctions (MND) 13 to 15 years later. Study designProspectively collected data on the quality of GMs during infancy were retrospectively analysed on the basis of MND at puberty. SubjectsTwenty-eight participants (14 girls and 14 boys) with a median gestational age of 40 weeks (range: 35 to 42 weeks) and an appropriate birth weight (median 3390 g; range 1900 to 4200 g). Outcome measuresTouwen's neurological examination. Results and conclusionsAbnormal fidgety movements were not related to later complex MND, but to fine manipulative disabilities ( p< 0.05). Normal fidgety movements, which are continually present in the whole body, might be required for optimal calibration of the proprioceptive system. Prechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it is uncertain whether the GM assessment can be used to predict mild neurological impairment.BACKGROUNDPrechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it is uncertain whether the GM assessment can be used to predict mild neurological impairment.To determine whether the quality of general movements (GMs) from the age of 3 to 5 months, i.e. fidgety movements, is related to the presence of complex minor neurological dysfunctions (MND) 13 to 15 years later.AIMSTo determine whether the quality of general movements (GMs) from the age of 3 to 5 months, i.e. fidgety movements, is related to the presence of complex minor neurological dysfunctions (MND) 13 to 15 years later.Prospectively collected data on the quality of GMs during infancy were retrospectively analysed on the basis of MND at puberty.STUDY DESIGNProspectively collected data on the quality of GMs during infancy were retrospectively analysed on the basis of MND at puberty.Twenty-eight participants (14 girls and 14 boys) with a median gestational age of 40 weeks (range: 35 to 42 weeks) and an appropriate birth weight (median 3390 g; range 1900 to 4200 g).SUBJECTSTwenty-eight participants (14 girls and 14 boys) with a median gestational age of 40 weeks (range: 35 to 42 weeks) and an appropriate birth weight (median 3390 g; range 1900 to 4200 g).Touwen's neurological examination.OUTCOME MEASURESTouwen's neurological examination.Abnormal fidgety movements were not related to later complex MND, but to fine manipulative disabilities (p<0.05). Normal fidgety movements, which are continually present in the whole body, might be required for optimal calibration of the proprioceptive system.RESULTS AND CONCLUSIONSAbnormal fidgety movements were not related to later complex MND, but to fine manipulative disabilities (p<0.05). Normal fidgety movements, which are continually present in the whole body, might be required for optimal calibration of the proprioceptive system. |
| Author | Bos, Arend F. Milioti, Styliani Nakajima, Yayohi Einspieler, Christa Marschik, Peter B. Prechtl, Heinz F.R. |
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| Keywords | Infant MND Fine manipulation General movements (GMs) Follow-up Human Puberty Early Abnormal movement |
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| References | Prechtl (bib1) 1990; 23 Bos, Dibiasi, Tiessen, Bergman (bib8) 2002; 82 Hadders-Algra, Groothuis (bib9) 1999; 41 Bos, Einspieler, Prechtl, Touwen, Okken-Beukens, Stremmelar (bib7) 1999; 8 Einspieler, Prechtl (bib2) 2005; 11 Touwen (bib22) 1979; vol. 71 Prechtl (bib25) 1997; 50 Groen, de Blecourt, Postema, Hadders-Algra (bib11) 2005; 47 Hadders-Algra, Huisjes, Touwen (bib23) 1988; 30 Prechtl, Cioni, Einspieler, Bos, Ferrari (bib26) 2001; 43 Marshall, Tanner (bib20) 1981 Einspieler (bib18) 1994; 36 Lunsing, Hadders-Algra, Huisjes, Touwen (bib14) 1992; 34 Einspieler C, Prechtl HFR, Bos AF, Ferrari F, Cioni G. Prechtl’s method on the qualitative assessment of general movements in preterm, term and young infants. (incl. CD-ROM). London: MacKeith Press, distributed by Cambridge University Press; 2004. Bos, van Loon, Hadders-Algra, Martijn, Okken, Prechtl (bib6) 1997; 50 Hopkins, Prechtl (bib4) 1984; vol. 94 Hadders-Algra (bib13) 2004; 145 Hadders-Algra, Klip-van den Nieuwendijk, Martijn, van Eykern (bib12) 1997; 39 Prechtl, Einspieler, Cioni, Bos, Ferrari, Sontheimer (bib5) 1997; 349 Soorani-Lunsing (bib15) 1993; 34 Hadders-Algra (bib16) 2002; 44 Einspieler, Prechtl, van Eykern, de Roos (bib19) 1994; 40 Einspieler, Prechtl, Ferrari, Cioni, Bos (bib21) 1997; 50 Milioti, Einspieler (bib17) 2005; 36 Hadders-Algra, Mavinkurve-Groothuis, Groen, Stremmelaar, Martijn, Butcher (bib10) 2004; 18 Soorani-Lunsing, Hadders-Algra, Olinga, Huisjes, Touwen (bib24) 1993; 35 Hopkins (10.1016/j.earlhumdev.2006.10.001_bib4) 1984; vol. 94 Prechtl (10.1016/j.earlhumdev.2006.10.001_bib25) 1997; 50 Bos (10.1016/j.earlhumdev.2006.10.001_bib8) 2002; 82 Einspieler (10.1016/j.earlhumdev.2006.10.001_bib18) 1994; 36 Einspieler (10.1016/j.earlhumdev.2006.10.001_bib19) 1994; 40 Soorani-Lunsing (10.1016/j.earlhumdev.2006.10.001_bib24) 1993; 35 Hadders-Algra (10.1016/j.earlhumdev.2006.10.001_bib16) 2002; 44 Hadders-Algra (10.1016/j.earlhumdev.2006.10.001_bib13) 2004; 145 Hadders-Algra (10.1016/j.earlhumdev.2006.10.001_bib12) 1997; 39 Milioti (10.1016/j.earlhumdev.2006.10.001_bib17) 2005; 36 Hadders-Algra (10.1016/j.earlhumdev.2006.10.001_bib9) 1999; 41 Prechtl (10.1016/j.earlhumdev.2006.10.001_bib26) 2001; 43 Lunsing (10.1016/j.earlhumdev.2006.10.001_bib14) 1992; 34 Einspieler (10.1016/j.earlhumdev.2006.10.001_bib2) 2005; 11 Prechtl (10.1016/j.earlhumdev.2006.10.001_bib5) 1997; 349 Soorani-Lunsing (10.1016/j.earlhumdev.2006.10.001_bib15) 1993; 34 Bos (10.1016/j.earlhumdev.2006.10.001_bib6) 1997; 50 Hadders-Algra (10.1016/j.earlhumdev.2006.10.001_bib10) 2004; 18 10.1016/j.earlhumdev.2006.10.001_bib3 Bos (10.1016/j.earlhumdev.2006.10.001_bib7) 1999; 8 Touwen (10.1016/j.earlhumdev.2006.10.001_bib22) 1979; vol. 71 Hadders-Algra (10.1016/j.earlhumdev.2006.10.001_bib23) 1988; 30 Einspieler (10.1016/j.earlhumdev.2006.10.001_bib21) 1997; 50 Prechtl (10.1016/j.earlhumdev.2006.10.001_bib1) 1990; 23 Groen (10.1016/j.earlhumdev.2006.10.001_bib11) 2005; 47 Marshall (10.1016/j.earlhumdev.2006.10.001_bib20) 1981 |
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| Snippet | Prechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral palsy. However, it... AbstractBackgroundPrechtl's method on the qualitative assessment of general movements (GMs) is a powerful tool for early and specific prediction of cerebral... |
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| SubjectTerms | Adolescent Advanced Basic Science Biological and medical sciences Biomarkers Embryology: invertebrates and vertebrates. Teratology Female Fine manipulation Follow-up Fundamental and applied biological sciences. Psychology General movements (GMs) Humans Infant Male MND Movement Disorders - physiopathology Neonatal and Perinatal Medicine Nervous System Diseases - physiopathology Prospective Studies Puberty |
| Title | Are abnormal fidgety movements an early marker for complex minor neurological dysfunction at puberty? |
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