Journal article
Predictive validity of spontaneous early infant movement for later cerebral palsy: a systematic review
AKL Kwong, TL Fitzgerald, LW Doyle, JLY Cheong, AJ Spittle
Developmental Medicine and Child Neurology | WILEY | Published : 2018
DOI: 10.1111/dmcn.13697
Abstract
Aim: To systematically review the predictive validity of spontaneous early infant movements for later cerebral palsy (CP). Method: Cohort studies with published data to calculate predictive validity of early spontaneous movements for later CP were searched in four electronic databases: CINAHL, Embase, MEDLINE, and PsycINFO. Results: Forty-seven studies met inclusion criteria. The Prechtl General Movements Assessment (GMA) during the fidgety period (10–20wks corrected age) had the strongest sensitivity: 97 per cent (95% confidence interval [CI] 93–99) and specificity: 89% (95% CI 83–93). The sensitivity and specificity of the Prechtl GMA during the writhing period (birth–6wks) was 93% (95% CI..
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Funding Acknowledgements
The authors would like to acknowledge Ms Diana Zannino (VIBeS, Murdoch Children's Research Institute) for statistical analysis support. This study was supported by the National Health and Medical Research Council of Australia, Centre for Research Excellence in Newborn Medicine, and the Victorian Government Operational Infrastructure Support Program. In addition, Ms Amanda Kwong and Ms Tara Fitzgerald are funded by the Australian Government Research Training Program. A/ Prof Alicia Spittle is a General Movements Assessment tutor with the General Movements Trust. Articles by Spittle et al. (2009 82 and 2013 83) were reviewed in this systematic review. All other authors have stated that they had no interests that might be perceived as posing a conflict or a bias.