单次不安运动质量评估对高危儿运动发育的预测价值

• 作 者: 侯方华 杨红 王艺 史惟 邵肖梅 王卫平 Christa Einspieler 曹云
• 机 构: 复旦大学附属儿科医院康复科,复旦大学附属儿科医院神经科,复旦大学附属儿科医院新生儿科,复旦大学附属儿科医院儿童保健科,奥地利Graz医科大学生理医学中心生理学研究所,
• 出 处: 中国儿童保健杂志
• 发表日期: 2010年11期
• 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

【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 premature infants). The predictive validities were more between the single assessment group and the multiple assessment group. 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 absurd motor developmental The results were 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.