General Movements and Outcome in Children with Birthweights ≤ 500 Grams at Age 5 to 6 Years

4Citations
Citations of this article
27Readers
Mendeley users who have this article in their library.

This article is free to access.

Abstract

Background The prognosis of long-term outcome in the delicate subgroup of preterm infants born with a birthweight ≤ 500 g is difficult. We wanted to determine whether general movements (GMs) correlate with outcome at 5 to 6 years of age in preterm children with birthweights ≤500 g. Methods GMs were assessed up to 20 weeks postterm age in a cohort of infants born consecutively in our unit between 1998 until 2003. A structured neurological examination, the Gross Motor Function Classification Scale, and the Kaufman Assessment Battery Test for Children were applied in surviving children at 5 to 6 years. In relation to long-term outcome, only the postterm GM assessment was analysed. Results Of 44 infants in total, 19 received immediate life support in the delivery room and were admitted to the NICU (GA 25 weeks [22.3-29.5]; BW 440 g [334-490]). All 9 surviving infants received GM assessment, but only 8 out of 9 infants had postterm assessment; all 9 had outcome assessment at 5 to 6 years. Children with female sex and birthweights>400 g had better outcomes than those with male sex and birthweights < 400 g. Normal fidgety movements and normal repertoire were associated with normal development at early school age in 3 children, in one child with moderate cognitive impairment and light motor impairment. Pathological fidgety movements or repertoire were associated with abnormal motor development and moderate and severe cognitive impairment in 3 children and with normal development in one child. Conclusion This study shows that normal fidgety movements at postterm age combined with birthweight and sex may predict normal motor and cognitive outcome in extremely preterm children with birthweights ≤500 g.

References Powered by Scopus

The child behavior checklist and related forms for assessing behavioral/emotional problems and competencies

914Citations
N/AReaders
Get full text

An early marker for neurological deficits after perinatal brain lesions

561Citations
N/AReaders
Get full text

Development of the Gross Motor Function Classification System for cerebral palsy

436Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Clinical factors associated with abnormal general movements of preterm newborns during hospitalization in a neonatal intensive care unit

9Citations
N/AReaders
Get full text

Early Spontaneous Movements and Postural Patterns in Infants With Extremely Low Birth Weight

3Citations
N/AReaders
Get full text

General movement assessments in neonates born with congenital gastrointestinal anomalies: a single site, retrospective study

0Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

Rieger-Fackeldey, E., Schulz, P., & Schulze, A. (2020). General Movements and Outcome in Children with Birthweights ≤ 500 Grams at Age 5 to 6 Years. Zeitschrift Fur Geburtshilfe Und Neonatologie, 224(2), 86–92. https://doi.org/10.1055/a-0966-9740

Readers over time

‘19‘20‘21‘22‘23‘2402468

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 11

79%

Researcher 2

14%

Professor / Associate Prof. 1

7%

Readers' Discipline

Tooltip

Nursing and Health Professions 4

36%

Medicine and Dentistry 3

27%

Neuroscience 2

18%

Psychology 2

18%

Save time finding and organizing research with Mendeley

Sign up for free
0