Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements

Objective This retrospective study aimed to establish an early identification score system of cerebral palsy (CP) in the writhing movement period of high-risk infants by detailed assessment of general movements (GMs). Methods High-risk infants from our hospital during January 2016 to January 2017 we...

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Main Authors: Yuqing Wang, Ping Zhu, Zhongxiu Yang, Guixiong Gu
Format: Article
Language:English
Published: SAGE Publishing 2020-04-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/0300060520902579
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author Yuqing Wang
Ping Zhu
Zhongxiu Yang
Guixiong Gu
author_facet Yuqing Wang
Ping Zhu
Zhongxiu Yang
Guixiong Gu
author_sort Yuqing Wang
collection DOAJ
description Objective This retrospective study aimed to establish an early identification score system of cerebral palsy (CP) in the writhing movement period of high-risk infants by detailed assessment of general movements (GMs). Methods High-risk infants from our hospital during January 2016 to January 2017 were included. GMs were assessed and a detailed score was calculated. The 52-neuromotor examination for 0- to 1-year-olds was performed and follow-up outcome was determined at the 12th month according to CP diagnostic criteria. An early identification score of detailed assessment was established in the writhing movement period of infants. Results The detailed score during the writhing movement period was significantly different among the normal, poor repertoire, and cramped-synchronized groups of GMs ( F  = 208.186). Detailed scores were positively related to 52-neuromotor examination scores, with a correlation coefficient of 0.218. The predictive validity of the early identification score was 92.11%, sensitivity was 100%, specificity was 90.00%, the positive predictive value was 72.73%, the negative predictive value was 100%, the false positive rate was 10, and the false negative rate was 0. Conclusion The detailed GM score in the writhing movement period is correlated with 52-neuromotor examination results. The CP early identification score could be useful in clinical practice.
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spelling doaj.art-b220b7a4a3364ada9520fce0168750f32022-12-21T19:12:03ZengSAGE PublishingJournal of International Medical Research1473-23002020-04-014810.1177/0300060520902579Establishing an early identification score system for cerebral palsy based on detailed assessment of general movementsYuqing WangPing ZhuZhongxiu YangGuixiong GuObjective This retrospective study aimed to establish an early identification score system of cerebral palsy (CP) in the writhing movement period of high-risk infants by detailed assessment of general movements (GMs). Methods High-risk infants from our hospital during January 2016 to January 2017 were included. GMs were assessed and a detailed score was calculated. The 52-neuromotor examination for 0- to 1-year-olds was performed and follow-up outcome was determined at the 12th month according to CP diagnostic criteria. An early identification score of detailed assessment was established in the writhing movement period of infants. Results The detailed score during the writhing movement period was significantly different among the normal, poor repertoire, and cramped-synchronized groups of GMs ( F  = 208.186). Detailed scores were positively related to 52-neuromotor examination scores, with a correlation coefficient of 0.218. The predictive validity of the early identification score was 92.11%, sensitivity was 100%, specificity was 90.00%, the positive predictive value was 72.73%, the negative predictive value was 100%, the false positive rate was 10, and the false negative rate was 0. Conclusion The detailed GM score in the writhing movement period is correlated with 52-neuromotor examination results. The CP early identification score could be useful in clinical practice.https://doi.org/10.1177/0300060520902579
spellingShingle Yuqing Wang
Ping Zhu
Zhongxiu Yang
Guixiong Gu
Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements
Journal of International Medical Research
title Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements
title_full Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements
title_fullStr Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements
title_full_unstemmed Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements
title_short Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements
title_sort establishing an early identification score system for cerebral palsy based on detailed assessment of general movements
url https://doi.org/10.1177/0300060520902579
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