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Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants

General movements (GMs) in combination with neurological examination and magnetic resonance imaging at term age can accurately determine the risk of cerebral palsy. The present study aimed to assess whether 11 motor and postural patterns concomitant with GMs were associated with cerebral palsy. Vide...

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Autores principales: Ferrari, Fabrizio, Plessi, Carlotta, Lucaccioni, Laura, Bertoncelli, Natascia, Bedetti, Luca, Ori, Luca, Berardi, Alberto, Della Casa, Elisa, Iughetti, Lorenzo, D’Amico, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723626/
https://www.ncbi.nlm.nih.gov/pubmed/31398881
http://dx.doi.org/10.3390/jcm8081189
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author Ferrari, Fabrizio
Plessi, Carlotta
Lucaccioni, Laura
Bertoncelli, Natascia
Bedetti, Luca
Ori, Luca
Berardi, Alberto
Della Casa, Elisa
Iughetti, Lorenzo
D’Amico, Roberto
author_facet Ferrari, Fabrizio
Plessi, Carlotta
Lucaccioni, Laura
Bertoncelli, Natascia
Bedetti, Luca
Ori, Luca
Berardi, Alberto
Della Casa, Elisa
Iughetti, Lorenzo
D’Amico, Roberto
author_sort Ferrari, Fabrizio
collection PubMed
description General movements (GMs) in combination with neurological examination and magnetic resonance imaging at term age can accurately determine the risk of cerebral palsy. The present study aimed to assess whether 11 motor and postural patterns concomitant with GMs were associated with cerebral palsy. Video recordings performed after birth in 79 preterm infants were reviewed retrospectively. Thirty-seven infants developed cerebral palsy at 2 years corrected age and the remaining 42 showed typical development. GMs were assessed from preterm to fidgety age and GM trajectories were defined. The 11 motor and postural patterns were evaluated at each age and longitudinally, alone and in combination with GM trajectories. A logistic regression model was used to assess the association between GMs, concomitant motor and postural patterns, and cerebral palsy. We confirmed that high-risk GM trajectories were associated with cerebral palsy (odds ratio = 44.40, 95% confidence interval = 11.74–167.85). An association between concomitant motor and postural patterns and cerebral palsy was found for some of the patterns at term age and for all of them at fidgety age. Therefore, at term age, concomitant motor and postural patterns can support GMs for the early diagnosis of cerebral palsy.
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spelling pubmed-67236262019-09-10 Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants Ferrari, Fabrizio Plessi, Carlotta Lucaccioni, Laura Bertoncelli, Natascia Bedetti, Luca Ori, Luca Berardi, Alberto Della Casa, Elisa Iughetti, Lorenzo D’Amico, Roberto J Clin Med Article General movements (GMs) in combination with neurological examination and magnetic resonance imaging at term age can accurately determine the risk of cerebral palsy. The present study aimed to assess whether 11 motor and postural patterns concomitant with GMs were associated with cerebral palsy. Video recordings performed after birth in 79 preterm infants were reviewed retrospectively. Thirty-seven infants developed cerebral palsy at 2 years corrected age and the remaining 42 showed typical development. GMs were assessed from preterm to fidgety age and GM trajectories were defined. The 11 motor and postural patterns were evaluated at each age and longitudinally, alone and in combination with GM trajectories. A logistic regression model was used to assess the association between GMs, concomitant motor and postural patterns, and cerebral palsy. We confirmed that high-risk GM trajectories were associated with cerebral palsy (odds ratio = 44.40, 95% confidence interval = 11.74–167.85). An association between concomitant motor and postural patterns and cerebral palsy was found for some of the patterns at term age and for all of them at fidgety age. Therefore, at term age, concomitant motor and postural patterns can support GMs for the early diagnosis of cerebral palsy. MDPI 2019-08-08 /pmc/articles/PMC6723626/ /pubmed/31398881 http://dx.doi.org/10.3390/jcm8081189 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ferrari, Fabrizio
Plessi, Carlotta
Lucaccioni, Laura
Bertoncelli, Natascia
Bedetti, Luca
Ori, Luca
Berardi, Alberto
Della Casa, Elisa
Iughetti, Lorenzo
D’Amico, Roberto
Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants
title Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants
title_full Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants
title_fullStr Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants
title_full_unstemmed Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants
title_short Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants
title_sort motor and postural patterns concomitant with general movements are associated with cerebral palsy at term and fidgety age in preterm infants
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6723626/
https://www.ncbi.nlm.nih.gov/pubmed/31398881
http://dx.doi.org/10.3390/jcm8081189
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