摘要
【Objective】 To study the predictive value of a single qualitive assessment of general movements(GMs) in fidgety period(fidgety movements) for high risk infants’ abnormal motor developmental outcome. 【Methods】 183 high risk infants were accepted a single or multiple GMs assessment in fidgety movements period.Motor developmental outcome was defined by clinical diagnosis and Peabody Motor Develoment Scale assessment after 12-month-age(corrected age of premature infants).The predictive validities were compared between the single assessment group and the multiple assessment group. 【Results】 In the single assessment group,the predictive validity of cerebral palsy was as follows: sensitivity 100%,specificity 93.8%,positive predictive value 87.8%,and negative predictive value 100%;while the predictive validity of abormal motor developmental outcome(cerebral palsy and motor retardation) was as follows: sensitivity 74.0%,specificity 93.9%,positive predictive value 90.2%,and negative predictive value 82.7%.In the multiple assessment group,the predictive validity of cerebral palsy was as follows: sensitivity 85.0%,specificity 89.4%,positive predictive value 77.3%,and negative predictive value 93.3%;while the predictive validity of abormal motor developmental outcome was as follows: sensitivity 77.8%,specificity 97.5%,positive predictive value 95.5%,and negative predictive value 86.7%. 【Conclusions】 The study found a high relationship between a single fidgety movements assessment and the infants’ motor developmental outcome(especially cerebral palsy).Further studies need to be done in general population.
[Objective] To study the predictive value of a single qualitive assessment of general movements (GMs) in fidgety period (fidgety movements) for high risk infants abnormal motor developmental outcome. [Methods] 183 high risk infants were accepted a single or multiple GMs assessment in fidgety movements period. Motor developmental outcome was defined by clinical diagnosis and Peabody Motor Develoment Scale assessment after 12-month age (corrected age of pre- mature infants). The predictive validities were compared between the single assessment group and the multiple assessment group. [Results] In the single assessment group, the predictive validity of cerebral palsy was as follows: sensitivity 100%, specificity 93.8%, positive predictive value 87.8%, and negative predictive value 100% ; while the predictive validi- ty of abormal motor developmental outcome (cerebral palsy and motor retardation) was as follows: sensitivity 74.0%, spe- cificity 93.9%, positive predictive value 90.2 %, and negative predictive value 82.7% In the multiple assessment group, the predictive validity of cerebral palsy was as follows: sensitivity 85. 0%, specificity 89. 4%, positive predictive value 77.3 %, and negative predictive value 93.3 % ; while the predictive validity of abormal motor developmental outcome was as follows: sensitivity 77.8%, specificity 97.5%, positive predictive value 95.5%, and negative predictive value 86.7%. [Conclusions] The study found a high relationship between a single fidgety movements assessment and the infants motor developmental outcome (especially cerebral palsy). Further studies need to be done in general population.
出处
《中国儿童保健杂志》
CAS
2010年第11期846-848,861,共4页
Chinese Journal of Child Health Care
基金
2009年上海市科委重大基础研究(09JC1402700)
关键词
全身运动
不安运动
运动发育结局
脑性瘫痪
预测效度
高危新生儿
general movements
fidgety movements
motor developmental outcome
cerebral palsy
predictive validi- ty
high risk infant