Early Intervention Guided by the General Movements Examination at Term Corrected Age-Short Term Outcomes.

Autor: Toma AI; Life Memorial Hospital, 010719 Bucharest, Romania.; Faculty of Medicine, University Titu Maiorescu, 040441 Bucharest, Romania., Dima V; Neonatology Department Filantropia Clinical Hospital, 011132 Bucharest, Romania., Alexe A; Independent Researcher, 10067 Ploiesti, Romania., Bojan C; Kinetotherapy Department, Pediatric Neurology Alexandru Obregia Hospital, 041914 Bucharest, Romania., Nemeș AF; Life Memorial Hospital, 010719 Bucharest, Romania.; Faculty of Medicine, University Titu Maiorescu, 040441 Bucharest, Romania., Gonț BF; Life Memorial Hospital, 010719 Bucharest, Romania., Arghirescu A; Life Memorial Hospital, 010719 Bucharest, Romania., Necula AI; Life Memorial Hospital, 010719 Bucharest, Romania., Fieraru A; Life Memorial Hospital, 010719 Bucharest, Romania., Stoiciu R; Life Memorial Hospital, 010719 Bucharest, Romania., Mirea A; Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania., Calomfirescu Avramescu A; Neonatology Department Filantropia Clinical Hospital, 011132 Bucharest, Romania., Isam AJ; Faculty of Medicine, University Titu Maiorescu, 040441 Bucharest, Romania.
Jazyk: angličtina
Zdroj: Life (Basel, Switzerland) [Life (Basel)] 2024 Apr 05; Vol. 14 (4). Date of Electronic Publication: 2024 Apr 05.
DOI: 10.3390/life14040480
Abstrakt: Background and Aim: The early identification of the former premature neonates at risk of neurologic sequelae could lead to early intervention and a better prognosis. This pilot study aimed to investigate whether the General Movement patterns observed at term-equivalent age in former premature infants could serve as predictors for guiding early intervention and improving prognosis.
Materials and Methods: In a population of 44 premature neonates (mean gestational age 33.59 weeks (+2.43 weeks)) examined at term-equivalent age, 10 neonates with a cramped-synchronized General Movements motor pattern were identified. These neonates were included in an early intervention program consisting of physiotherapy executed both by the therapist and by the parents at home. They were again examined at a corrected age of 12 weeks. The presence or absence of fidgety movements and the MOS-R (motor optimality score revised) was noted. The examinations were performed by certified specialists.
Results: Normal fidgety movements and a MOS-R of 20-24 were presented in 9/10 of the former premature infants, with normal foot to foot contact present in 7/10, and normal hand to hand contact present in 5/10. The atypical patterns noted were side to side movements of the head in 5/10, a non-centered head in 9/10, asymmetric tonic neck reflex in 9/10 and jerky movements in 10/10. One patient presented with no fidgety movements and a MOS-R score of 9.
Conclusion: Early intervention in our group of patients allowed for an improvement in the neurologic status, demonstrated by the presence of fidgety movements. We suggest that early intervention should be indicated in all premature infants that present with a cramped-synchronized GM pattern during examination at term-equivalent age. However, due to the small sample size, the absence of statistical analysis and a control group, and the limited follow-up period, the conclusions must be approached with caution.
Databáze: MEDLINE
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