Association between the General Movement Optimality Score and clinical features in newborns during hospitalization: A cross-sectional study.

Autor: Mallmann GS; Graduate Program in Movement Sciences, Institute of Health, Federal University of Mato Grosso do Sul, Av. Costa e Silva, s/n, Cidade Universitaria, 79070-900 Campo Grande, MS, Brazil., França ALN; Graduate Program in Health and Development, Faculty of Medicine, Federal University of Mato Grosso do Sul, Av. Costa e Silva, s/n, Cidade Universitaria, 79070-900 Campo Grande, MS, Brazil., Almeida PR; Regional Hospital of Mato Grosso do Sul, Av. Eng. Lutero Lopes, 36, Aero Rancho, 79084-180 Campo Grande, MS, Brazil., Oliveira LS; Institute of Health, Federal University of Mato Grosso do Sul, Av. Costa e Silva, s/n, Cidade Universitaria, 79070-900 Campo Grande, MS, Brazil., Merey LSF; Institute of Health, Federal University of Mato Grosso do Sul, Av. Costa e Silva, s/n, Cidade Universitaria, 79070-900 Campo Grande, MS, Brazil., Soares-Marangoni DA; Graduate Program in Movement Sciences, Institute of Health, Federal University of Mato Grosso do Sul, Av. Costa e Silva, s/n, Cidade Universitaria, 79070-900 Campo Grande, MS, Brazil; Graduate Program in Health and Development, Faculty of Medicine, Federal University of Mato Grosso do Sul, Av. Costa e Silva, s/n, Cidade Universitaria, 79070-900 Campo Grande, MS, Brazil; Institute of Health, Federal University of Mato Grosso do Sul, Av. Costa e Silva, s/n, Cidade Universitaria, 79070-900 Campo Grande, MS, Brazil. Electronic address: daniele.soares@ufms.br.
Jazyk: angličtina
Zdroj: Early human development [Early Hum Dev] 2023 Mar; Vol. 177-178, pp. 105720. Date of Electronic Publication: 2023 Feb 02.
DOI: 10.1016/j.earlhumdev.2023.105720
Abstrakt: Aims: To describe the General Movements (GMs) of hospitalized newborns to verify if their global and detailed GMA are related and if their GMs are associated with clinical features.
Methods: Cross-sectional study. Thirty-eight preterm and full-term newborns, who were hospitalized in the neonatal intermediate care unit of a reference hospital, were included. Prechtl's General Movement Assessment (GMA), including the General Movement Optimality Score (GMOS) list, was used as an assessment tool. Clinical variables, such as preterm birth, birthweight, length of hospitalization, Apgar scores, pregnancy problems, admission at neonatal intensive care unit, use of invasive mechanical ventilation, and brain imaging findings were also collected. Newborns were videoed at a single time for 3 min before discharge.
Results: Most newborns presented GMs with normal or poor repertoire quality. GMOS ranged from 17 to 42 points. Scores were lower in abnormal GMs. Abnormal GMs were associated with preterm birth, length of hospital stay >30 days and birthweight <2500 g. Accordingly, lower GMOSs were also associated with preterm birth, a birthweight <2500 g and a hospital stay >30 days but also with the invasive mechanical ventilation application.
Conclusion: Preterm and full-term newborns presented normal or abnormal GMs during hospitalization. Preterm birth, low birthweight, longer hospital stay and a time period of invasive ventilation were associated with worse GM behaviors.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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