Barbosa de Souza C1, Françoso Genovesi F1, Yuri Panvequio Aizawa C1, Hydee Hasue R1, Drummond Soares de Moura MC1
1Universidade de São Paulo (USP), Faculdade de Medicina - FMUSP, São Paulo, Brazil
Background: Improvement of prenatal and neonatal care has contributed to a greater survival of newborns with risks for developmental disorders. Early and effective detection of these risks is essential for early intervention and minimization of functional impairments. Although General Movement Assessment (GMA) has the most predictive value for developmental abnormalities in infants with risk factors, the most used in Brazil is the Alberta Infant Motor Scale (AIMS).
Purpose: To verify the validity of GMs and AIMS at three months of age (fidgety movements phase) to predict the outcome of motor development at six and 12 months of age.
Methods: Longitudinal observational study with 45 newborns and infants of the University Hospital of the University of São Paulo, evaluated from birth to three months of age(corrected, if premature) by GMA, and from one to 12 months by AIMS. Descriptive analysis and kappa and roc curve tests were performed to compare the evaluations.
Results: Participants (male = 51.1%) had a mean gestational age of 34 weeks; 57.7% presented alterations in at least one evaluation by GMA, with absent fidgety movements (FM), while 46.6% had some alteration in AIMS. The majority (85.7%) presented normal outcome at 12 months of age at AIMS. Infantsat risk on AIMS also had altered GMA throughout their trajectory. There was poor reliability between GMA and AIMSatthe age of three months (kappa: 0.259). Infants who presented some alterations in the assessments were referred to physical therapy.
Conclusion(s): It was possible to observe a large number of participants with altered GMA, but with a decrease / normalization in the evaluations by AIMS, which may be related to physiotherapeutic intervention in the most severe cases. There is no correlation between the evaluation of GMs at three months.
Implications: In clinical practice it is better to use instruments with the most sensitivity and at an early stage such as GMA so that infants with risks for altered development can be early included in intervention programs.
Keywords: Child development, neurological examination, general movements
Funding acknowledgements: Didn´t have funding acknowledgements
Purpose: To verify the validity of GMs and AIMS at three months of age (fidgety movements phase) to predict the outcome of motor development at six and 12 months of age.
Methods: Longitudinal observational study with 45 newborns and infants of the University Hospital of the University of São Paulo, evaluated from birth to three months of age(corrected, if premature) by GMA, and from one to 12 months by AIMS. Descriptive analysis and kappa and roc curve tests were performed to compare the evaluations.
Results: Participants (male = 51.1%) had a mean gestational age of 34 weeks; 57.7% presented alterations in at least one evaluation by GMA, with absent fidgety movements (FM), while 46.6% had some alteration in AIMS. The majority (85.7%) presented normal outcome at 12 months of age at AIMS. Infantsat risk on AIMS also had altered GMA throughout their trajectory. There was poor reliability between GMA and AIMSatthe age of three months (kappa: 0.259). Infants who presented some alterations in the assessments were referred to physical therapy.
Conclusion(s): It was possible to observe a large number of participants with altered GMA, but with a decrease / normalization in the evaluations by AIMS, which may be related to physiotherapeutic intervention in the most severe cases. There is no correlation between the evaluation of GMs at three months.
Implications: In clinical practice it is better to use instruments with the most sensitivity and at an early stage such as GMA so that infants with risks for altered development can be early included in intervention programs.
Keywords: Child development, neurological examination, general movements
Funding acknowledgements: Didn´t have funding acknowledgements
Topic: Paediatrics; Neurology; Paediatrics: cerebral palsy
Ethics approval required: Yes
Institution: Faculdade de Medicina da USP - FMUSP
Ethics committee: CAPPESQ
Ethics number: 091/14 and 283/15
All authors, affiliations and abstracts have been published as submitted.
