Please use this identifier to cite or link to this item:
Scopus Web of Science® Altmetric
Type: Journal article
Title: Early general movements are associated with developmental outcomes at 4.5-5 years
Author: Olsen, J.E.
Cheong, J.L.Y.
Eeles, A.L.
FitzGerald, T.L.
Cameron, K.L.
Albesher, R.A.
Anderson, P.J.
Doyle, L.W.
Spittle, A.J.
Citation: Early Human Development, 2020; 148:105115-1-105115-6
Publisher: Elsevier
Issue Date: 2020
ISSN: 0378-3782
Statement of
Joy E. Olsen, Jeanie L.Y. Cheong, Abbey L. Eeles, Tara L. Fitz Gerald, Kate L. Cameron, Reem A. Albesher
Abstract: BACKGROUND:Prechtl's general movements assessment (GMA) post-term has high predictive validity for cerebral palsy, but less is known about whether earlier GMA, including before term, are associated with other developmental problems. AIMS:To examine the relationships between GMA prior to term and at term-equivalent, with developmental outcomes at 4.5-5 years' corrected age. STUDY DESIGN:Prospective cohort study. SUBJECTS:122 very preterm infants born <30 weeks' gestation and 91 healthy term controls. OUTCOME MEASURES:GMA (categorised as 'normal' or 'abnormal') were assessed at <32, 32-33 and 34-36 weeks' postmenstrual age for the preterm infants, and at term-equivalent for both groups. Children were assessed at 4.5-5 years' corrected age using the Movement Assessment Battery for Children-2nd edition (MABC-2), Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT), Pediatric Quality of Life Inventory (PedsQL), Little Developmental Coordination Disorder Questionnaire (Little DCD-Q) and Wechsler Preschool and Primary Scale of Intelligence-IV (WPPSI-IV). RESULTS:Prior to term, abnormal GMA at the first two timepoints were associated with lower scores on the Little DCD-Q, and abnormal GMA at the second and third timepoints with lower quality of life scores and PEDI-CAT mobility domain scores. Abnormal GMA at term-equivalent were associated with lower MABC-2, mobility and quality of life scores for preterm infants, and worse social/cognitive domain scores for both groups. CONCLUSIONS:Abnormal GMA prior to term and at term-equivalent are associated with worse motor, functional and cognitive outcomes at 4.5-5 years' corrected age, and may be useful to identify infants for developmental surveillance/early intervention.
Keywords: Developmental outcomes
General movements assessment
Term equivalent age
Very preterm infants
Rights: 2020 Elsevier B.V. All rights reserved.
DOI: 10.1016/j.earlhumdev.2020.105115
Grant ID:
Appears in Collections:Dentistry publications

Files in This Item:
There are no files associated with this item.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.