Literature DB >> 17992022

Intra-individual consistency in the quality of neonatal general movements.

Akmer Mutlu1, Christa Einspieler, Peter B Marschik, Ayse Livanelioglu.   

Abstract

BACKGROUND: The qualitative assessment of general movements (GMs) proved to be a highly sensitive and specific diagnostic tool for the assessment of the integrity of the young nervous system. It is essential that the quality of GMs remains consistent in an individual during a given recording at a certain date.
OBJECTIVES: The aim of the study was to investigate the intra-individual consistency of the quality of GMs during one recording.
METHODS: 39 preterm infants were recorded at least twice; some were recorded three times. In all, 88 recordings were available but three recordings were excluded due to frequent crying, seizures or hypokinesia. Three scorers assessed 2-3 sequences of these 85 GM recordings.
RESULTS: The inter-scorer agreement was high (kappa 0.85-0.94). Intra-individual consistency revealed a kappa of 0.90 with a 95% CI (0.51, 1.00) for preterm GMs, 0.96 with a 95% CI (0.57, 1.00) for writhing GMs, and 0.92 with a 95% CI (0.53, 1.00) for fidgety GMs.
CONCLUSIONS: The individual quality of GMs remains consistent for a neonate or young infant at a certain date. Copyright (c) 2007 S. Karger AG, Basel.

Entities:  

Mesh:

Year:  2007        PMID: 17992022      PMCID: PMC3332155          DOI: 10.1159/000110870

Source DB:  PubMed          Journal:  Neonatology        ISSN: 1661-7800            Impact factor:   4.035


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