全身运动质量评估：超早期预测早产儿神经发育结局的可靠工具

The assessment of general movements: a reliable tool for predicting the neurodevelopment of preterm infants in an very early phase

摘要:

脑瘫可导致脑发育中的婴儿出现运动功能及姿势的显著异常，早产是造成脑瘫最常见的高危因素，早期识别可能存在的神经发育损伤，以便在严重伤残发生之前进行早期干预显得十分重要。全身运动质量评估在超早期可有效地预测婴儿严重的神经发育缺陷，该方法采用视觉Gestalt知觉对处于早产阶段、足月阶段以及足月后5个月内婴儿的全身运动质量进行评估，其中“不安运动”对神经发育结局尤为重要。

Abstract:

Cerebral palsy (CP) is a permanent disorder in the development of movement and posture in the developing infant brain and is one of the major disabilities that result from extremely preterm birth. Early identification of possible neurodevelopmental injury offers the opportunity to deliver intervention at a very early age and thus prevent severe disability. The assessment of general movements (GMs), has emerged as a reliable and valid predictor of severe neurologic deficits in infants. This method is based on a visual Gestalt perception of the quality of GMs in the preterm and term periods, and postterm up to 5 months. The quality of “fidgety movements” is the most valuable marker for predicting neurologic outcomes.