title: The comparison of general movements assessment and neurological examination during early infancy.
abstract: This prospective single-blinded study was performed to evaluate general movements (GMs) in group of high-risk, low-birth-weight and preterm infants and to compare results with neurologic examination. All infants' neurologic examinations, Gross Motor Function Measurement (GMFM) and Bayley-III Scale were performed at the corrected age of 12 months. A total of 22 infants were included. Eight infants (group-1) (mean: 31.6±3.29 weeks, range: 25-36 weeks) had normal GMs in all recordings and were ultimately evaluated as "normal"; 12 (group-2) (mean: 31.6±3.29 weeks, range:2 5-35 weeks) had abnormal GMs during writhing movements period but had normal GMs in subsequent recordings and were evaluated as "normal"; and 2 infants (group-3) (mean:29.5±7.78 weeks, range:24-35 weeks) with consistent abnormal GMs who were evaluated as "abnormal." Complete agreement (kappa=1) was found between GMs and neurologic examination and significant agreement between GMs and cranial ultrasonography (kappa=0.76). When results of GMFM and Bayley-III were compared; statistically significant differences were found between group-1 and group-2 in "standing" parameter of GMFM (p < 0.05) and "cognitive" parameter of Bayley-III (p < 0.05). GMs assessment can help determine neurologic disorders in high-risk infant populations as an adjunct to other diagnostic techniques.
authors.affiliation: Department of Physiotherapy and Rehabilitation, Bezmialem Vakif University Faculty of Health Sciences, Istanbul, Turkey.
authors.forename: Büşra
authors.initials: B
authors.lastname: Kepenek-Varol
authors.affiliation: Divisions of Pediatric Neurology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
authors.forename: Mine
authors.initials: M
authors.lastname: Çalışkan
authors.affiliation: Divisions of Neonatology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
authors.forename: Zeynep
authors.initials: Z
authors.lastname: İnce
authors.affiliation: Divisions of Pediatric Neurology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
authors.forename: Burak
authors.initials: B
authors.lastname: Tatlı
authors.affiliation: Divisions of Pediatric Neurology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
authors.forename: Emine
authors.initials: E
authors.lastname: Eraslan
authors.affiliation: Divisions of Neonatology, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey.
authors.forename: Asuman
authors.initials: A
authors.lastname: Çoban
mesh_terms: D005260:Female; D006801:Humans; D007223:Infant; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D009068:Movement / Q000502:physiology*; D009069:Movement Disorders / Q000175:diagnosis* / Q000503:physiopathology; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000503:physiopathology; D009460:Neurologic Examination / Q000379:methods*; D011446:Prospective Studies; D016037:Single-Blind Method
keywords: Bayley-III; general movements; low birth weight; neurological examination; preterm infants