Box. General movements in non-European low- and middle-income countries.
Reference | Country (World Health Organization region 47 , World Bank income group 48 ) | Cohort | General movements assessment | Outcome (age at follow-up; measures) | Main results |
---|---|---|---|---|---|
Yang et al. 49 (2012) | China (South-East Asia, upper middle income) | 79 children with cerebral palsy (32 of them born preterm) | FM, MOS | 2–5 years; gross motor function classification system 38 | Only 1 infant had developed FM. Children with a low MOS have a limited functional mobility and activity at 2 to 5 years. |
Ma et al. 32 (2015) | China (South-East Asia, upper middle income) | 285 preterm infants with (n = 145) resp. without (n = 140) early intervention | writhing movements, FM | 14 weeks postterm age; general movements assessment | Cramped-synchronized GM (though not poor-repertoire GM) were associated with lower birth weight and lower gestational age. The intervention resulted in an improvement of GM at 3 to 5 months, especially in preterm infants born at < 32 or > 34 weeks. |
Zang et al. 51 (2016) | China (South-East Asia, upper middle income) | 74 very low birth weight infants | FM MOS | 12 months; PDMS-2 22 | Both absent FM and a lower MOS were associated with a poor gross and fine motor performance. |
Adde et al. 2 (2016) | India (South Asia, lower middle income) | 243 very low birth weight infants | FM MOS | 12 months; PDMS-2 22 | Absent or abnormal FM and an abnormal concurrent motor repertoire were associated with a lower gross motor and total motor quotient. |
Soleimani et al. 45 (2015) | Iran (Eastern Mediterranean, upper middle income) | 15 infants born at or near term with perinatal asphyxia | FM | 12–18 months; Infant Neurological International Battery 20 | The presence or absence of FM was associated with the outcome (sensitivity: 0.80; specificity 1.00). |
Burger et al. 9 (2011) | South Africa (Africa, upper middle income) | 115 infants with a birth weight ≤ 1.250g | FM | 12 months; PDMS-2 22 , AIMS 39 , neurological assessment 3 | There was a significant association between FM and the outcome at 12 months. |
Garcia et al. 24 (2004) | Brazil (Americas, upper middle income) | 40 preterm infants with a gestational age < 35 weeks | preterm GM, writhing movements, FM | Follow-up every 3 months until 24 months; neurological examination and DDST 23 | Abnormal GM were associated with brain injuries and neurological outcome. Normal GM were associated with normal neurological outcome. |
Manacero et al. 33 (2012) | Brazil (Americas, upper middle income) | 37 preterm infants born at < 34 weeks | preterm GM | 14 months; test of infant motor performance 10 ; AIMS 39 ; pediatric evaluation of disability inventory 28 | There was no relationship between GM and test of infant motor performance; pre-term infants with cramped-synchronized GM had a lower AIMS centile rank than those with poor-repertoire or normal GM. |
AIMS: Alberta Infant Motor Scale; DDST: Denver Developmental Screening Test; FM: fidgety movements; GM: general movements; MOS: motor optimality score; PDMS-2: Peabody Developmental Motor Scales