Quality of general movements in term infants with asphyxia

Abstract Background Perinatal asphyxia may result in a developmental disorder. A recently developed non-invasive tool to investigate brain function at an early age is the assessment of general movements (GMs). Aim To evaluate relationships between perinatal risk factors and the quality of GMs in the...

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Veröffentlicht in:Early human development 2009-01, Vol.85 (1), p.7-12
Hauptverfasser: van Iersel, Patricia AM, Bakker, Saskia CM, Jonker, Arnold JH, Hadders-Algra, Mijna
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container_end_page 12
container_issue 1
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container_title Early human development
container_volume 85
creator van Iersel, Patricia AM
Bakker, Saskia CM
Jonker, Arnold JH
Hadders-Algra, Mijna
description Abstract Background Perinatal asphyxia may result in a developmental disorder. A recently developed non-invasive tool to investigate brain function at an early age is the assessment of general movements (GMs). Aim To evaluate relationships between perinatal risk factors and the quality of GMs in the neonatal period and at 3 months in term newborns with asphyxia in a secondary paediatric setting. Methods 64 term (> 36 weeks postmenstrual age (PMA)) infants with perinatal asphyxia were studied. GMs were assessed at ‘writhing’ GM age (38–47 weeks PMA) and at ‘fidgety’ GM age (48–56 weeks PMA). Pre- and perinatal factors were collected in a standardized way. Results Multivariate analysis revealed that DA GMs at ‘writhing’ age mainly correlated with asphyxia related illness. DA GMs at ‘fidgety’ age correlated in particular with abnormalities on the neonatal ultrasound scan of the brain. Conclusion In secondary paediatric settings GM-assessment especially around 3 months is a valuable tool for the assessment of the integrity of the nervous system in term infants with asphyxia.
doi_str_mv 10.1016/j.earlhumdev.2008.05.006
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A recently developed non-invasive tool to investigate brain function at an early age is the assessment of general movements (GMs). Aim To evaluate relationships between perinatal risk factors and the quality of GMs in the neonatal period and at 3 months in term newborns with asphyxia in a secondary paediatric setting. Methods 64 term (&gt; 36 weeks postmenstrual age (PMA)) infants with perinatal asphyxia were studied. GMs were assessed at ‘writhing’ GM age (38–47 weeks PMA) and at ‘fidgety’ GM age (48–56 weeks PMA). Pre- and perinatal factors were collected in a standardized way. Results Multivariate analysis revealed that DA GMs at ‘writhing’ age mainly correlated with asphyxia related illness. DA GMs at ‘fidgety’ age correlated in particular with abnormalities on the neonatal ultrasound scan of the brain. 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A recently developed non-invasive tool to investigate brain function at an early age is the assessment of general movements (GMs). Aim To evaluate relationships between perinatal risk factors and the quality of GMs in the neonatal period and at 3 months in term newborns with asphyxia in a secondary paediatric setting. Methods 64 term (&gt; 36 weeks postmenstrual age (PMA)) infants with perinatal asphyxia were studied. GMs were assessed at ‘writhing’ GM age (38–47 weeks PMA) and at ‘fidgety’ GM age (48–56 weeks PMA). Pre- and perinatal factors were collected in a standardized way. Results Multivariate analysis revealed that DA GMs at ‘writhing’ age mainly correlated with asphyxia related illness. DA GMs at ‘fidgety’ age correlated in particular with abnormalities on the neonatal ultrasound scan of the brain. 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Psychology</subject><subject>General movements</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Movement</subject><subject>Multivariate Analysis</subject><subject>Neonatal and Perinatal Medicine</subject><subject>Periventricular white matter</subject><subject>Ultrasound scan</subject><issn>0378-3782</issn><issn>1872-6232</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1r3DAQhkVpaLbb_oXiS3qzO7JWH84h0IQ0CQRKaQu9CVkedbX1x0ayN9l_X5ldGsipBzEInnlHeoaQjEJBgYpPmwJNaNdT1-CuKAFUAbwAEK_IgipZ5qJk5WuyACZVnk55St7GuAEArip4Q06pEsCY4gty_m0yrR_32eCy39hjMG3WDTvssB9j5vtsxNCl6sx8f_TjOjNxu94_efOOnDjTRnx_rEvy88v1j6vb_P7rzd3V5_vccpBjTkXdYCmE5MoxrFitjK0VGAaqqqS0qparZmVZJRsngddInRSgai4V447WbEk-HnK3YXiYMI6689Fi25oehynqFC2VSB9aEnUAbRhiDOj0NvjOhL2moGdveqOfvenZmwauk7fU-uE4Y6o7bJ4bj6IScHYETLSmdcH01sd_XElhBXQ1B10eOExGdh6DjtZjb7HxAe2om8H_z2suXoTY1vc-zf2De4ybYQp9Mq6pjqUG_X3e87xmUAAU4Bf7C4VopT0</recordid><startdate>20090101</startdate><enddate>20090101</enddate><creator>van Iersel, Patricia AM</creator><creator>Bakker, Saskia CM</creator><creator>Jonker, Arnold JH</creator><creator>Hadders-Algra, Mijna</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090101</creationdate><title>Quality of general movements in term infants with asphyxia</title><author>van Iersel, Patricia AM ; Bakker, Saskia CM ; Jonker, Arnold JH ; Hadders-Algra, Mijna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c507t-16bde266758f3e93b8acb80a3089977c8b74d4c397df705be1f7608b57835f1b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Advanced Basic Science</topic><topic>Asphyxia</topic><topic>Asphyxia - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Embryology: invertebrates and vertebrates. Teratology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>General movements</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Movement</topic><topic>Multivariate Analysis</topic><topic>Neonatal and Perinatal Medicine</topic><topic>Periventricular white matter</topic><topic>Ultrasound scan</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Iersel, Patricia AM</creatorcontrib><creatorcontrib>Bakker, Saskia CM</creatorcontrib><creatorcontrib>Jonker, Arnold JH</creatorcontrib><creatorcontrib>Hadders-Algra, Mijna</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Early human development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Iersel, Patricia AM</au><au>Bakker, Saskia CM</au><au>Jonker, Arnold JH</au><au>Hadders-Algra, Mijna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of general movements in term infants with asphyxia</atitle><jtitle>Early human development</jtitle><addtitle>Early Hum Dev</addtitle><date>2009-01-01</date><risdate>2009</risdate><volume>85</volume><issue>1</issue><spage>7</spage><epage>12</epage><pages>7-12</pages><issn>0378-3782</issn><eissn>1872-6232</eissn><coden>EHDEDN</coden><abstract>Abstract Background Perinatal asphyxia may result in a developmental disorder. A recently developed non-invasive tool to investigate brain function at an early age is the assessment of general movements (GMs). Aim To evaluate relationships between perinatal risk factors and the quality of GMs in the neonatal period and at 3 months in term newborns with asphyxia in a secondary paediatric setting. Methods 64 term (&gt; 36 weeks postmenstrual age (PMA)) infants with perinatal asphyxia were studied. GMs were assessed at ‘writhing’ GM age (38–47 weeks PMA) and at ‘fidgety’ GM age (48–56 weeks PMA). Pre- and perinatal factors were collected in a standardized way. Results Multivariate analysis revealed that DA GMs at ‘writhing’ age mainly correlated with asphyxia related illness. DA GMs at ‘fidgety’ age correlated in particular with abnormalities on the neonatal ultrasound scan of the brain. 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subjects Advanced Basic Science
Asphyxia
Asphyxia - physiopathology
Biological and medical sciences
Embryology: invertebrates and vertebrates. Teratology
Female
Fundamental and applied biological sciences. Psychology
General movements
Humans
Infant, Newborn
Male
Movement
Multivariate Analysis
Neonatal and Perinatal Medicine
Periventricular white matter
Ultrasound scan
title Quality of general movements in term infants with asphyxia
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