title: General movements as a predictive tool of the neurological outcome in term born infants with hypoxic ischemic encephalopathy.
abstract: BACKGROUND
  At a time of increasing high risk neonates, an assessment method is needed that can reliably predict neurological deficits at an early age.
  
  
  OBJECTIVE
  The objective of this study was to determine whether the assessment of fidgety movements (FMs) will predict the neurological outcome of infants with hypoxic ischemic encephalopathy (HIE).
  
  
  METHODS
  This study employed a prospective and descriptive plan.
  
  
  METHODS
  The study sample consisted of 15 infants (8 male and 7 female) born at term. Video recording of FMs were analyzed at 3 to 5 months' infants, who identified with perinatal asphyxia and neonatal HIE. FMs were classified as present or absent.
  
  
  METHODS
  At 12-18 months age, the infants' developmental outcome was classified as normal or abnormal according to the Infant Neurological International Battery test. "Abnormal outcome" was denoted as poor motor or neurological outcome such as cerebral palsy, whereas "Normal outcome" denotes normal motor and neurological outcomes.
  
  
  RESULTS
  The predictive values of FMs were: a sensitivity 0.80 (95% CI: 0.44-0.96), a specificity 1.00 (95% CI: 0.47-1.00), and the accuracy 0.87 (0.57 to 1.00).
  
  
  CONCLUSIONS
  FMs assessment improves our ability to predict later neurodevelopmental outcomes in term born children with neonatal HIE.
authors.affiliation: Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Kodakyar St, Daneshjo Blvd, Evin, P.O Box: 14155-6386, Tehran, Iran. Electronic address: Soleimani_farin@yahoo.com.
authors.forename: Farin
authors.initials: F
authors.lastname: Soleimani
authors.affiliation: Tehran University of Medical Science, Children's Medical Center of Excellence, Dr Gharib St, Keshavarz Blvd, P.O Box: 14155-6386, Tehran, Iran. Electronic address: drbadv@zums.ac.ir.
authors.forename: Reza Shervin
authors.initials: RS
authors.lastname: Badv
authors.affiliation: Department of Pediatrics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran. Electronic address: aminmomayezi@yahoo.com.
authors.forename: Amin
authors.initials: A
authors.lastname: Momayezi
authors.affiliation: Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences, Koodakyar Street, Daneshjoo Ave, Evin, Tehran 1985713834, Iran. Electronic address: abiglarian@gmail.com.
authors.forename: Akbar
authors.initials: A
authors.lastname: Biglarian
authors.affiliation: Department of Pediatrics, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran. Electronic address: Dmarzban@gmail.com.
authors.forename: Asghar
authors.initials: A
authors.lastname: Marzban
mesh_terms: D002657:Child Development; D005260:Female; D006801:Humans; D020925:Hypoxia-Ischemia, Brain / Q000175:diagnosis*; D007231:Infant, Newborn; D008297:Male; D009068:Movement
keywords: Fidgety movements; General movements; Hypoxic ischemic encephalopathy; Infant; Predictive value