Early neurologic assessment in preterm-infants: Integration of traditional neurologic examination and observation of general movements
Abstract
Objective To evaluate the possible additional benefit in terms of prognostic accuracy of an integrated application of a traditional scorable method of neurologic examination and the Prechtl's method of qualitative assessment of general movements (GMs) in a large population of 903 consecutive preterm infants.Study design Infants were enrolled from the Intensive Care Unit of the University of Catania. Inclusion criteria were a gestational age below 37 weeks and the absence of genetic disorders. All infants underwent serial ultrasound and at 3 months performed both the GMs assessment and the Hammersmith Infant Neurologic Examination (HINE). Outcome was assessed at 2 years by the Touwen neurologic examination and the Clinical Adaptive Test/Clinical, Linguistic and Auditory Milestone Scale.Results The integration of the two methods was shown to be more effective than the single assessments in predicting neurologic outcome. The additional benefit of combining the two approaches was particularly clear for the discrimination between unilateral and bilateral cerebral palsy.Conclusions The integrated use of a scorable neurological examination and Prechtl's assessment of GMs can improve early prediction of neurodevelopmental outcome in preterm infants and should complement other clinical and instrumental exams in follow-up programs.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Infant movement behaviors can reveal rich information about the developing central nervous system.
“A growing body of literature suggests that infant movement behaviors can reveal rich information about the developing central nervous system.”
From Miniaturized wireless, skin-integrated sensor networks for quantifying full-body movement behaviors and vital signs in infants (2021) · cites this paper as [2]
Atypical patterns of infant movement can indicate underlying neuromotor pathologies that reflect or presage clinical conditions like cerebral palsy, autism spectrum disorder, or minor forms of other neurological dysfunctions.
“Atypical patterns can indicate underlying neuromotor pathologies that reflect or presage clinical conditions like cerebral palsy, autism spectrum disorder, or minor forms of other neurological dysfunctions (1–4).”
From Miniaturized wireless, skin-integrated sensor networks for quantifying full-body movement behaviors and vital signs in infants (2021) · cites this paper as [2]
Recent international protocols recommend additional evaluations for at-risk infants early in life, including visual observations of the infant's general movements (GM) by an expert clinician throughout the preterm and term phase.
“Recent international protocols recommend additional evaluations for at-risk infants early in life, including visual observations of the infant’s general movements (GM) by an expert clinician throughout the preterm and term phase (2, 4, 10).”
From Miniaturized wireless, skin-integrated sensor networks for quantifying full-body movement behaviors and vital signs in infants (2021) · cites this paper as [2]
Cites
A Coefficient of Agreement for Nominal Scales
Cohen, J. (1960) · Educational and Psychological Measurement · doi:10.1177/001316446002000104 · Cited by 42,398 · see citing works
The contribution of low birth weight to infant mortality and childhood morbidity
McCormick, M. C. (1985) · New England Journal of Medicine · doi:10.1056/nejm198501103120204 · Cited by 2,119 · see citing works
An early marker for neurological deficits after perinatal brain lesions
Prechtl, H. F. R., Einspieler, C., Cioni, G., Bos, A. F., Ferrari, F., & Sontheimer, D. (1997) · The Lancet · doi:10.1016/s0140-6736(96)10182-3 · Cited by 719 · see citing works
THE CHANGING PANORAMA OF CEREBRAL PALSY IN SWEDEN 1954–1970
Hagberg, B. A., HAGBERG, G., & Olow, I. (1975) · Acta Paediatrica · doi:10.1111/j.1651-2227.1975.tb03820.x · Cited by 489 · see citing works
Optimality score for the neurologic examination of the infant at 12 and 18 months of age
Haataja, L., Mercuri, E., Regev, R., Cowan, F., Rutherford, M., Dubowitz, V., & Dubowitz, L. (1999) · The Journal of Pediatrics · doi:10.1016/s0022-3476(99)70016-8 · Cited by 387 · see citing works
Alexander, G. R., Kogan, M. D., Bader, D., Carlo, W. A., Allen, M. C., & Mor, J. M. (2003) · PEDIATRICS · doi:10.1542/peds.111.1.e61 · Cited by 352 · see citing works
Annual Summary of Vital Statistics: 2004
Hoyert, D. L., Mathews, T. J., Menacker, F., Strobino, D. M., & Guyer, B. (2006) · PEDIATRICS · doi:10.1542/peds.2005-2587 · Cited by 318 · see citing works
Neurological Development in Infancy
Touwen, B. C. L. (1993) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 306 · see citing works
Cramped Synchronized General Movements in Preterm Infants as an Early Marker for Cerebral Palsy
Ferrari, F., Cioni, G., Einspieler, C., Roversi, M. F., Bos, A. F., Paolicelli, P. B., Ranzi, A., & Prechtl, H. F. R. (2002) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.156.5.460 · Cited by 269 · see citing works
Cioni, G., Ferrari, F., Bos, A. F., Prechtl, H. F. R., & Einspieler, C. (2008) · Mac Keith Press eBooks · Cited by 249 · see citing works
Neurological Development in Infancy
Stephenson, J. B. P. (1977) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.40.10.1031-b · Cited by 240 · see citing works
Neonatal Signs as Predictors of Cerebral Palsy
Nelson, K. B., & Ellenberg, J. H. (1979) · PEDIATRICS · doi:10.1542/peds.64.2.225 · Cited by 202 · see citing works
Cioni, G., Ferrari, F., Einspieler, C., Paolicelli, P. B., Barbani, T., & Prechtl, H. F. R. (1997) · The Journal of Pediatrics · doi:10.1016/s0022-3476(97)80010-8 · Cited by 182 · see citing works
THE CHANGING PANORAMA OF CEREBRAL PALSY IN SWEDEN 1954–1970
Hagberg, B. A., Hagberg, G., & Olow, I. (1975) · Acta Paediatrica · doi:10.1111/j.1651-2227.1975.tb03821.x · Cited by 165 · see citing works
Hadders‐Algra, M., Mavinkurve‐Groothuis, A. M. C., Groen, S. E., Stremmelaar, E. F., Martijn, A., & Butcher, P. R. (2004) · Clinical Rehabilitation · doi:10.1191/0269215504cr730oa · Cited by 150 · see citing works
Strategies for the early diagnosis of cerebral palsy
Palmer, F. B. S. C. (2004) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2004.05.016 · Cited by 124 · see citing works
Haataja, L. M., Mercuri, E. M., Guzzetta, A., Rutherford, M., Counsell, S. J., Frisone, M. F., Cioni, G., Cowan, F. M., & Dubowitz, L. M. S. (2001) · The Journal of Pediatrics · doi:10.1067/mpd.2001.111325 · Cited by 114 · see citing works
Self-citationCorrelation of neurologic assessment in the preterm newborn infant with outcome at 1 year
Dubowitz, L. M. S., Dubowitz, V., Palmer, P., Miller, G., Fawer, C. L., & Levene, M. I. (1984) · The Journal of Pediatrics · doi:10.1016/s0022-3476(84)80028-1 · Cited by 98 · see citing works
Clinical adaptive test/clinical linguistic auditory milestone scale in early cognitive assessment
Hoon, A. H., Pulsifer, M. B., Gopalan, R., Palmer, F. B. S. C., & Capute, A. J. (1993) · The Journal of Pediatrics · doi:10.1016/s0022-3476(05)81587-2 · Cited by 88 · see citing works
PREDICTION IN VERY PRETERM INFANTS OF SATISFACTORY NEURODEVELOPMENTAL PROGRESS AT 12 MONTHS
Hope, P. L., Costello, A. M. D. L., Bradford, B. C., & Reynolds, E. O. R. (1988) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1988.tb04726.x · Cited by 87 · see citing works
Early Recognition of Infants at High Risk for Cerebral Palsy: Examination at Age Four Months
Ellenberg, J. H., & Nelson, K. B. (1981) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1981.tb02059.x · Cited by 78 · see citing works
Frisone, M. F., Mercuri, E. M., Laroche, S., Foglia, C., Maalouf, E. F., Haataja, L. M., Cowan, F. M., & Dubowitz, L. M. S. (2002) · The Journal of Pediatrics · doi:10.1067/mpd.2002.119626 · Cited by 76 · see citing works
Application of a scorable neurologic examination in healthy term infants aged 3 to 8 months
Haataja, L. M., Cowan, F. M., Mercuri, E. M., Bassi, L., Guzzetta, A., & Dubowitz, L. M. S. (2003) · The Journal of Pediatrics · doi:10.1067/s0022-3476(03)00393-7 · Cited by 60 · see citing works
Self-citationEinspieler, C., Marschik, P. B., Milioti, S., 中島, や., Bos, A. F., & Prechtl, H. F. R. (2006) · Early Human Development · doi:10.1016/j.earlhumdev.2006.10.001 · Cited by 59 · see citing works
Bouza, H., Rutherford, M., Acolet, D., Pennock, J. M., & Dubowitz, L. M. S. (1994) · Neuropediatrics · doi:10.1055/s-2008-1073022 · Cited by 53 · see citing works
MINOR NEUROLOGICAL DYSFUNCTION FROM BIRTH TO 12 YEARS. I: INCREASE DURING LATE SCHOOL‐AGE
Lunsing, R. J., Hadders‐Algra, M., Huisjes, H. J., & Touwen, B. C. L. (1992) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1992.tb11451.x · Cited by 51 · see citing works
Predictive value of neonatal neurological tests for developmental outcome of preterm infants
Maas, Y. G. H., Mirmiran, M., Hart, A. A. M., Koppe, J. G., Ariagno, R. L., & Spekreijse, H. (2000) · The Journal of Pediatrics · doi:10.1067/mpd.2000.106901 · Cited by 50 · see citing works
Ohgi, S., Arisawa, K., Takahashi, T., Kusumoto, T., Goto, Y., Akiyama, T., & Saito, H. (2003) · Brain and Development · doi:10.1016/s0387-7604(02)00233-4 · Cited by 50 · see citing works
Molteno, C. D., Grosz, P., Wallace, P., & Jones, M. (1995) · Early Human Development · doi:10.1016/0378-3782(95)01621-9 · Cited by 44 · see citing works
Comparison of Two Methods of Neurologic Assessment in Infants
Paro‐Panjan, D., Šušteršič, B., & Neubauer, D. (2005) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2005.05.008 · Cited by 43 · see citing works
CAT/CLAMS: its use in detecting early childhood cognitive impairment
Kube, D. A., Wilson, W. M., Petersen, M. C., & Palmer, F. B. S. C. (2000) · Pediatric Neurology · doi:10.1016/s0887-8994(00)00191-0 · Cited by 42 · see citing works
Neurologic Status and Intracranial Hemorrhage in Very-Low-Birth-Weight Preterm Infants
Ford, L. (1989) · American journal of diseases of children · doi:10.1001/archpedi.1989.02150220084024 · Cited by 36 · see citing works
Child and Adolescent Neurology
David, R. B. (1998) · Cited by 33 · see citing works
Neurological Examination at 6 to 9 Months in Infants with Cystic Periventricular Leukomalacia
Ricci, D., Cowan, F. M., Pane, M., Gallini, F., Haataja, L. M., Luciano, R., Cesarini, L., Leone, D., Donvito, V., Baranello, G., et al. (2006) · Neuropediatrics · doi:10.1055/s-2006-924581 · Cited by 30 · see citing works
Flagged first, then by citations
1 of the 35 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
A systematic review of tests to predict cerebral palsy in young children
Bosanquet, M., Copeland, L., Ware, R., & Boyd, R. (2013) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.12140 · Cited by 518 · see citing works
McIntyre, S., Morgan, C., Walker, K., & Novak, I. (2011) · Developmental Disabilities Research Reviews · doi:10.1002/ddrr.1106 · Cited by 304 · see citing works
Romeo, D. M., Ricci, D., Brogna, C., & Mercuri, E. (2016) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.12876 · Cited by 260 · see citing works
Cerebral Palsy: Early Markers of Clinical Phenotype and Functional Outcome
Einspieler, C., Bos, A. F., Krieber, M., Alvarado, E., Barbosa, V. M., Bertoncelli, N. M., Burger, M., Chorna, O. D., Secco, S. D., deRegnier, R.-A. O., et al. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8101616 · Cited by 250 · see citing works
Self-citationKwong, A. K. L., Fitzgerald, T. L., Doyle, L. W., Cheong, J. L. Y., & Spittle, A. J. (2018) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.13697 · Cited by 226 · see citing works
Fidgety movements – tiny in appearance, but huge in impact
Einspieler, C., Peharz, R., & Marschik, P. B. (2016) · Jornal de Pediatria · doi:10.1016/j.jped.2015.12.003 · Cited by 217 · see citing works
Early Diagnosis and Early Intervention in Cerebral Palsy
Hadders‐Algra, M. (2014) · Frontiers in Neurology · doi:10.3389/fneur.2014.00185 · Cited by 208 · see citing works
The predictive validity of general movements – A systematic review
Burger, M., & Louw, Q. A. (2008) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2008.09.004 · Cited by 169 · see citing works
Morgan, C., Romeo, D. M., Chorna, O. D., Novak, I., Galea, C., Secco, S. D., & Guzzetta, A. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8111879 · Cited by 158 · see citing works
Self-citationDarsaklis, V., Snider, L., Majnemer, A., & Mazer, B. L. (2011) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2011.04017.x · Cited by 142 · see citing works
Silva, N., Zhang, D., Kulvičius, T., Gail, A., Barreiros, C., Lindstaedt, S., Kraft, M., Bölte, S., Poustka, L., Nielsen‐Saines, K., et al. (2021) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2021.103854 · Cited by 137 · see citing works
Early Diagnosis and Treatment of Cerebral Palsy in Children with a History of Preterm Birth
Spittle, A. J., Morgan, C., Olsen, J. E., Novak, I., & Cheong, J. L. Y. (2018) · Clinics in Perinatology · doi:10.1016/j.clp.2018.05.011 · Cited by 125 · see citing works
PIPARI Study Group, Lind, A., Parkkola, R. K., Lehtonen, L., Munck, P., Maunu, J., Lapinleimu, H., & Haataja, L. M. (2011) · Pediatric Radiology · doi:10.1007/s00247-011-2071-x · Cited by 110 · see citing works
Einspieler, C., Marschik, P. B., & Prechtl, H. F. R. (2008) · Zeitschrift für Psychologie · doi:10.1027/0044-3409.216.3.147 · Cited by 105 · see citing works
Maitre, N. L., Chorna, O., Romeo, D. M., & Guzzetta, A. (2016) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2016.09.010 · Cited by 93 · see citing works
Self-citationNeurological assessment in infants discharged from a neonatal intensive care unit
Romeo, D. M. M., Cioni, M., Palermo, F., Cilauro, S., & Romeo, M. G. (2013) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2012.09.006 · Cited by 92 · see citing works
Self-citationAre sporadic fidgety movements as clinically relevant as is their absence?
Einspieler, C., Yang, H., Bartl-Pokorny, K. D., Chi, X., Zang, F.-F., Marschik, P. B., Guzzetta, A., Ferrari, F., Bos, A. F., & Cioni, G. (2015) · Early Human Development · doi:10.1016/j.earlhumdev.2015.02.003 · Cited by 85 · see citing works
Self-citationEarly Markers For Cerebral Palsy: Insights From the Assessment of General Movements
Einspieler, C., Marschik, P. B., Bos, A. F., Ferrari, F., Cioni, G., & Prechtl, H. F. R. (2012) · Future Neurology · doi:10.2217/fnl.12.60 · Cited by 81 · see citing works
Yang, H., Einspieler, C., Shi, W., Marschik, P. B., Wang, Y., Cao, Y., Li, H., Yuan-gui, L., & Shao, X. (2012) · Early Human Development · doi:10.1016/j.earlhumdev.2012.06.004 · Cited by 74 · see citing works
Hay, K., Nelin, M. A., Carey, H., Chorna, O. D., Moore‐Clingenpeel, M., & Maitre, N. L. (2018) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2018.07.002 · Cited by 66 · see citing works
Yuge, M., Marschik, P. B., 中島, や., Yamori, Y., Kanda, T., Hirota, H., Yoshida, N., & Einspieler, C. (2011) · Early Human Development · doi:10.1016/j.earlhumdev.2010.12.046 · Cited by 66 · see citing works
Romeo, D. M., Cowan, F. M., Haataja, L. M., Ricci, D., Pede, E., Gallini, F., Cota, F., Brogna, C., Vento, G., Romeo, M. G., et al. (2020) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.14768 · Cited by 68 · see citing works
Early psychomotor development of low-risk preterm infants: Influence of gestational age and gender
Romeo, D. M., Brogna, C., Sini, F., Romeo, M. G., Cota, F., & Ricci, D. (2016) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2016.04.011 · Cited by 65 · see citing works
Prognostic value of the qualitative assessments of general movements in late-preterm infants
Brogna, C., Romeo, D. M., Cervesi, C., Scrofani, L., Romeo, M. G., Mercuri, E. M., & Guzzetta, A. (2013) · Early Human Development · doi:10.1016/j.earlhumdev.2013.08.008 · Cited by 59 · see citing works
Self-citationJeong, H., Kwak, S. S., Sohn, S., Lee, J. Y., Lee, Y. J., O’Brien, M. K., Park, Y., Avila, R., Kim, J.-T., Yoo, J.-Y., et al. (2021) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.2104925118 · Cited by 59 · see citing works
“Recent international protocols recommend additional evaluations for at-risk infants early in life, including visual observations of the infant’s general movements (GM) by an expert clinician throughout the preterm and term phase (2, 4, 10).”
BackgroundBernhardt, I., Marbacher, M., Hilfiker, R., & Radlinger, L. (2011) · Early Human Development · doi:10.1016/j.earlhumdev.2011.04.017 · Cited by 56 · see citing works
Romeo, D. M., Cioni, M., Scoto, M., Pizzardi, A., Romeo, M. G., & Guzzetta, A. (2009) · Early Human Development · doi:10.1016/j.earlhumdev.2009.01.004 · Cited by 54 · see citing works
Self-citationMaitre, N. L., Slaughter, J. C., & Aschner, J. L. (2013) · Early Human Development · doi:10.1016/j.earlhumdev.2013.06.004 · Cited by 54 · see citing works
Predictive Value of General Movement Assessment for Cerebral Palsy in Routine Clinical Practice
Øberg, G. K., Jacobsen, B. K., & Jørgensen, L. (2015) · Physical Therapy · doi:10.2522/ptj.20140429 · Cited by 52 · see citing works
Støen, R. Ø., Boswell, L., de Regnier, R.-A. O., Fjørtoft, T., Gaebler-Spira, D. J., Ihlen, E. A. F., Labori, C., Loennecken, M. C., Msall, M. E., Møinichen, U. I., et al. (2019) · Journal of Clinical Medicine · doi:10.3390/jcm8111790 · Cited by 47 · see citing works
Setänen, S., Lehtonen, L., Parkkola, R. K., Aho, K., Haataja, L. M., & the PIPARI Study Group (2016) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.13030 · Cited by 45 · see citing works
George, J. M., Boyd, R. N., Colditz, P. B., Rose, S., Pannek, K., Fripp, J., Lingwood, B. E., Lai, M., Kong, A., Ware, R. S., et al. (2015) · BMC Pediatrics · doi:10.1186/s12887-015-0439-z · Cited by 44 · see citing works
Kodrič, J., Šušteršič, B., & Paro‐Panjan, D. (2009) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2009.04.012 · Cited by 42 · see citing works
Romeo, D. M., Cowan, F. M., Haataja, L. M., Ricci, D., Pede, E., Gallini, F., Cota, F., Brogna, C., Romeo, M. G., Vento, G., et al. (2022) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15191 · Cited by 42 · see citing works
Burger, M., Frieg, A., & Louw, Q. A. (2011) · Early Human Development · doi:10.1016/j.earlhumdev.2011.01.034 · Cited by 40 · see citing works
Fetal and Infant Spontaneous General Movements as Predictors of Developmental Disabilities
Zuk, L. (2011) · Developmental Disabilities Research Reviews · doi:10.1002/ddrr.1104 · Cited by 40 · see citing works
Harpster, K. L., Merhar, S. L., Illapani, V. S. P., Peyton, C., Kline‐Fath, B. M., & Parikh, N. A. (2021) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2020.12.056 · Cited by 39 · see citing works
Soleimani, F., Badv, R. S., Momayezi, A., Biglarian, A., & Marzban, A. (2015) · Early Human Development · doi:10.1016/j.earlhumdev.2015.05.007 · Cited by 36 · see citing works
Setänen, S., Lahti, K., Lehtonen, L., Parkkola, R. K., Maunu, J., Saarinen, K., & Haataja, L. M. (2014) · Early Human Development · doi:10.1016/j.earlhumdev.2014.09.007 · Cited by 36 · see citing works
Neurodevelopmental outcome of preterm very low birth weight infants born from 2005 to 2007
Orcesi, S., Olivieri, I., Longo, S., Perotti, G., Piana, R. L., Tinelli, C., Spinillo, A., Balottin, U., & Stronati, M. (2012) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2012.05.006 · Cited by 36 · see citing works
Ryll, U. C., Krumlinde‐Sundholm, L., Verhage, C. H., Sicola, E., Sgandurra, G., Bastiaenen, C. H. G., & Eliasson, A. (2020) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.14739 · Cited by 35 · see citing works
Olsen, J. E., Brown, N. C., Eeles, A. L., Lee, K. J., Anderson, P. J., Cheong, J. L. Y., Doyle, L. W., & Spittle, A. J. (2015) · Early Human Development · doi:10.1016/j.earlhumdev.2015.09.009 · Cited by 33 · see citing works
De Bock, F., Will, H., Behrenbeck, U., Jarczok, M. N., Hadders-Algra, M., & Philippi, H. (2017) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2017.01.012 · Cited by 29 · see citing works
Garfinkle, J., Li, P., Boychuck, Z., Bussières, A., & Majnemer, A. (2019) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2019.07.006 · Cited by 28 · see citing works
A Call for Early Detection of Cerebral Palsy
Kim, F., & Maitre, N. L. (2024) · NeoReviews · doi:10.1542/neo.25-1-e1 · Cited by 28 · see citing works
Dicanio, D., Spoto, G., Alibrandi, A., Minutoli, R., Nicotera, A. G., & Rosa, G. D. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.958682 · Cited by 25 · see citing works
PREDICTIVE VALUE OF THE GENERAL MOVEMENTS ASSESSMENT IN PRETERM INFANTS: A META-ANALYSIS
Pires, C. D. S., Marba, S. T. M., Caldas, J. P. D. S., & Stopiglia, M. C. S. (2020) · Revista Paulista de Pediatria · doi:10.1590/1984-0462/2020/38/2018286 · Cited by 24 · see citing works
Prevalence of abnormal general movements in three-month-old infants
Bouwstra, H., Dijk-Stigter, G. R., Grooten, H. M. J., Janssen-Plas, F. E. M., Koopmans, A. J., Mulder, C. D., van Belle, A., & Hadders‐Algra, M. (2009) · Early Human Development · doi:10.1016/j.earlhumdev.2009.01.003 · Cited by 24 · see citing works
Romeo, D. M., Apicella, M., Velli, C., Brogna, C., Ricci, D., Pede, E., Sini, F., Coratti, G., Gallini, F., Cota, F., et al. (2022) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15201 · Cited by 24 · see citing works
Longo, S., Caporali, C., Pisoni, C., Borghesi, A., Perotti, G., Tritto, G., Olivieri, I., Piana, R. L., Tonduti, D., Decio, A., et al. (2021) · Scientific Reports · doi:10.1038/s41598-021-95864-0 · Cited by 22 · see citing works
Roescher, A. M., Hitzert, M. M., Timmer, A., Verhagen, E. A., Erwich, J. J., & Bos, A. F. (2011) · Early Human Development · doi:10.1016/j.earlhumdev.2011.01.040 · Cited by 22 · see citing works
Randomized Comparison Trial of Rehabilitation Very Early for Infants with Congenital Hemiplegia
Boyd, R. N., Greaves, S., Ziviani, J. M., Novak, I., Badawi, N. A., Pannek, K., Elliott, C. M., Wallen, M. A., Morgan, C., Valentine, J. P., et al. (2024) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2024.114381 · Cited by 24 · see citing works
Self-citationInter-observer agreement of the General Movements Assessment with infants following surgery
Crowle, C., Galea, C., Morgan, C., Novak, I., Walker, K., & Badawi, N. A. (2016) · Early Human Development · doi:10.1016/j.earlhumdev.2016.11.001 · Cited by 21 · see citing works
Roescher, A. M., Timmer, A., Hitzert, M. M., de Vries, N. K. S., Verhagen, E. A., Erwich, J. J. H. M., & Bos, A. (2013) · Early Human Development · doi:10.1016/j.earlhumdev.2013.11.004 · Cited by 19 · see citing works
Hadders‐Algra, M., Tacke, U., Pietz, J., Rupp, A., & Philippi, H. (2024) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.15901 · Cited by 18 · see citing works
Fidgety movements – tiny in appearance, but huge in impact
Einspieler, C., Peharz, R., & Marschik, P. B. (2016) · Jornal de Pediatria (Versão em Português) · doi:10.1016/j.jpedp.2016.03.016 · Cited by 17 · see citing works
Karagianni, P., Kyriakidou, M., Mitsiakos, G., Chatziioanidis, H., Koumbaras, E., Evangeliou, A., & Nikolaides, N. (2009) · Journal of Child Neurology · doi:10.1177/0883073809333538 · Cited by 17 · see citing works
Dogra, D. P., Majumdar, A. K., Sural, S., Mukherjee, J., Mukherjee, S., & Singh, A. K. (2011) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2011.2172223 · Cited by 16 · see citing works
Robust and Interpretable General Movement Assessment Using Fidgety Movement Detection
de Morais, R. F. A. B., Le, V., Morgan, C., Spittle, A. J., Badawi, N. A., Valentine, J. P., Hurrion, E. M., Dawson, P. A., Tran, T., & Venkatesh, S. (2023) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2023.3299236 · Cited by 14 · see citing works
Paulsen, H., Ljungblad, U. W., Riiser, K., & Evensen, K. A. I. (2023) · BMC Pediatrics · doi:10.1186/s12887-023-04220-w · Cited by 12 · see citing works
Chin, E. Y. J., Baral, V. R., Ereno, I. L., Allen, J. C., Low, K., & Yeo, C. L. (2018) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.14205 · Cited by 13 · see citing works
The predictive validity of HINE, Bayley, general movements and MOS-R in infancy
Jackman, M., Morgan, C., Luke, C. R., Korostenski, L., Zawada, K., Juarez, M., Webb, A., Blatch-Williams, R., & Crowle, C. (2025) · Early Human Development · doi:10.1016/j.earlhumdev.2025.106226 · Cited by 12 · see citing works
Chen, C., Georgieff, M., Elison, J. T., Chen, M., Stinear, J. W., Mueller, B. A., Rao, R., Rudser, K. D., & Gillick, B. T. (2017) · Pediatric Physical Therapy · doi:10.1097/pep.0000000000000365 · Cited by 12 · see citing works
Pietruszewski, L., Moore‐Clingenpeel, M., Moellering, G. C., Lewandowski, D., Batterson, N., & Maitre, N. L. (2022) · Early Human Development · doi:10.1016/j.earlhumdev.2022.105665 · Cited by 13 · see citing works
Brown, A., Greisen, G. O., Haugsted, U., & Jonsbo, F. (2016) · Acta Paediatrica · doi:10.1111/apa.13491 · Cited by 12 · see citing works
Yardımcı-Lokmanoğlu, B. N., Mutlu, A., & Livanelioğlu, A. (2021) · Early Human Development · doi:10.1016/j.earlhumdev.2021.105508 · Cited by 11 · see citing works
Luke, C. R., Benfer, K. A., Mick‐Ramsamy, L., Ware, R. S., Reid, N., Bos, A. F., Bosanquet, M., & Boyd, R. N. (2022) · BMJ Open · doi:10.1136/bmjopen-2021-053646 · Cited by 12 · see citing works
Shin, H. I., Park, M. W., & Lee, W. H. (2023) · Korean Journal of Pediatrics · doi:10.3345/cep.2022.01235 · Cited by 10 · see citing works
Teschler, U., Dathe, A.-K., Heuser-Spura, K. M., Bialas, J., Cordier, L. J., Albayrak, B., Felderhoff‐Mueser, U., & Hüning, B. M. (2023) · Scientific Reports · doi:10.1038/s41598-023-49037-w · Cited by 12 · see citing works
The comparison of general movements assessment and neurological examination during early infancy
Kepenek-Varol, B., Çalışkan, M., İnce, Z., Tatlı, B., Eraslan, E., & Çoban, A. Ç. (2016) · The Turkish Journal of Pediatrics · doi:10.24953/turkjped.2016.01.008 · Cited by 10 · see citing works
Pietruszewski, L., Nelin, M. A., Batterson, N., Less, J., Moore‐Clingenpeel, M., Lewandowski, D., Levengood, K., & Maitre, N. L. (2021) · Pediatric Physical Therapy · doi:10.1097/pep.0000000000000822 · Cited by 10 · see citing works
Dogra, D. P., Badri, V., Majumdar, A. K., Sural, S., Mukherjee, J., Mukherjee, S., & Singh, A. K. (2014) · Medical & Biological Engineering & Computing · doi:10.1007/s11517-014-1178-2 · Cited by 8 · see citing works
Adıgüzel, H., Sarıkabadayı, Y. Ü., & Elbasan, B. (2022) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2022.2062504 · Cited by 7 · see citing works
Luke, C. R., Mick‐Ramsamy, L., Bos, A. F., Benfer, K. A., Bosanquet, M., Gordon, A., Williams, H., TAIFALOS, C. J., Smith, M., Leishman, S. J., et al. (2024) · Early Human Development · doi:10.1016/j.earlhumdev.2024.106004 · Cited by 7 · see citing works
Influence of infections on the quality of general movements in premature infants
Skworc, A., Marciniak, S., & Sławska, H. (2020) · Early Human Development · doi:10.1016/j.earlhumdev.2020.105118 · Cited by 7 · see citing works
Early Spontaneous Movements and Postural Patterns in Infants With Extremely Low Birth Weight
Porsnok, D., Sırtbaş-Işık, G., Yardımcı-Lokmanoğlu, B. N., & Mutlu, A. (2022) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2022.01.007 · Cited by 7 · see citing works
Upper Extremity Movement Pathology during Functional Tasks
Mailleux, L., Simón-Martínez, C., Feys, H., & Jaspers, E. (2017) · Springer eBooks · doi:10.1007/978-3-319-30808-1_57-1 · Cited by 7 · see citing works
Yu, L., Li, Y., Chen, M., & Dong, L. (2018) · Journal of Shanghai Jiaotong University (Science) · doi:10.1007/s12204-018-2023-9 · Cited by 6 · see citing works
Dogra, D. P., Nandam, K., Majumdar, A. K., Sural, S., Mukhopadhyay, J., Majumdar, B., Singh, A. K., & Mukherjee, S. (2010) · IEEE International Conference on e-Health Networking, Applications and Services (Healthcom) · doi:10.1109/health.2010.5556541 · Cited by 6 · see citing works
Ong, W. J., Baral, V. R., Ereno, I. L., Sultana, R., & Yeo, C. L. (2022) · Journal of Paediatrics and Child Health · doi:10.1111/jpc.16240 · Cited by 5 · see citing works
Zlatanović, D., Čolović, H., Zivkovic, V. D., Stanković, A., Kostić, M., Vučić, J., & Tošić, T. (2022) · Folia Neuropathologica · doi:10.5114/fn.2022.119593 · Cited by 5 · see citing works
Dogra, D. P., Majumdar, A. K., Sural, S., Mukherjee, J., Mukherjee, S., & Singh, A. K. (2012) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2012.07.005 · Cited by 5 · see citing works
Palmar Grasp Reflex in Human Newborns
de Moraes, M. V. M., Dionísio, J., Tan, Ü., & Tudella, E. (2017) · Pediatrics & Therapeutics · doi:10.4172/2161-0665.1000309 · Cited by 5 · see citing works
General movements assessment: A bibliometric analysis
Zhussupova, Z., Ayaganov, D. N., Tekebayeva, L., Jaxybayeva, A., Mamedbayli, A., Tamadon, A., & Zharmakhanova, G. M. (2023) · Early Human Development · doi:10.1016/j.earlhumdev.2023.105924 · Cited by 5 · see citing works
Luke, C. R., Benfer, K. A., Mick‐Ramsamy, L., Ware, R. S., Bosanquet, M., Reid, N., Bos, A. F., & Boyd, R. N. (2025) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.70003 · Cited by 5 · see citing works
Early diagnosis of cerebral palsy
Haataja, L. M. (2020) · Pediatric Medicine · doi:10.21037/pm-20-53 · Cited by 4 · see citing works
Ryll, U. C., Kembe, J., Verhage, C. H., Sgandurra, G., Krumlinde‐Sundholm, L., & Eliasson, A. (2024) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.16004 · Cited by 4 · see citing works
Early diagnosis and prognosis in cerebral palsy
Cioni, G., Belmonti, V., & Einspieler, C. (2013) · Elsevier eBooks · doi:10.1016/b978-0-7020-5099-2.00008-x · Cited by 4 · see citing works
A Tool for Automatic Hammersmith Infant Neurological Examination
Dogra, D. P., Nandam, K., Majumdar, A. K., Sural, S., Mukhopadhyay, J., Majumdar, B., Singh, A. K., & Mukherjee, S. (2011) · International Journal of E-Health and Medical Communications · doi:10.4018/jehmc.2011040101 · Cited by 4 · see citing works
Belmonti, V., & Cioni, G. (2014) · Motricité Cérébrale · doi:10.1016/j.motcer.2014.10.001 · Cited by 4 · see citing works
High and variable prevalence does matter in reviews of diagnostic accuracy in cerebral palsy
Hanna, S. (2013) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.12097 · Cited by 4 · see citing works
Jain, S., Harpster, K. L., Merhar, S. L., Kline‐Fath, B. M., Altaye, M., Illapani, V. S. P., Peyton, C., Parikh, N. A., & Cincinnati Infant Neurodevelopment Early Prediction Study (CINEPS) Investigators (2026) · PEDIATRICS · doi:10.1542/peds.2025-071309 · Cited by 5 · see citing works
Beghetti, I., Spinedi, S. F., Corvaglia, L., Zardi, E., Paoletti, V., Benvenuti, E., Rossi, A., Neri, B., Zuccarini, M., Graziosi, V., et al. (2025) · Early Human Development · doi:10.1016/j.earlhumdev.2025.106274 · Cited by 3 · see citing works
The Standardized Infant NeuroDevelopmental Assessment: validation of a new scale
Jary, S. (2018) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.14086 · Cited by 3 · see citing works
Dey, P., Dogra, D. P., Roy, P. P., & Bhaskar, H. (2016) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc.2016.7590837 · Cited by 3 · see citing works
Maćkowska, K., Raźniewska, M., Siwiec, G., Skrzypczak, J., Ostrzyżek-Przeździecka, K., & Gąsior, J. S. (2020) · Child Neurology · doi:10.20966/chn.2020.59.470 · Cited by 2 · see citing works
Boswell, L., Adde, L., Fjørtoft, T., Pascal, A., Russow, A., Støen, R. Ø., Thomas, N., den Broeck, C. V., & de Regnier, R.-A. O. (2024) · Physical Therapy · doi:10.1093/ptj/pzae081 · Cited by 2 · see citing works
Exercise classification and event segmentation in Hammersmith Infant Neurological Examination videos
Ansari, A. F., Roy, P. P., & Dogra, D. P. (2017) · Machine Vision and Applications · doi:10.1007/s00138-017-0896-5 · Cited by 2 · see citing works
Early Markers for Cerebral Palsy
Einspieler, C., & Marschik, P. B. (2017) · Springer eBooks · doi:10.1007/978-3-319-67858-0_9 · Cited by 2 · see citing works
Identification of Putative Biomarkers in Cerebral Palsy: A Meta-Analysis and Meta-Regression
Suresh, V., Gupta, S., Khulbe, Y., Shamim, M. A., Jain, V., Jayan, M., Waleed, M. S., Joe, N., Sanker, V., Gandhi, A. P., et al. (2024) · Pediatric Neurology · doi:10.1016/j.pediatrneurol.2024.07.016 · Cited by 2 · see citing works
- Authors
- Maurizio Romeo, D. M., Guzzetta, A., Scoto, M., Cioni, M., Patusi, P., Mazzone, D., & Giuseppe Romeo, M.
- Affiliations
- University of Catania (IT)
- Corresponding author
- Guzzetta, Andrea
- Venue
- European Journal of Paediatric Neurology
- Publisher
- Elsevier BV
- Published
- 2008-05
- Volume
- 12
- Issue
- 3
- Pages
- 183-189
- ISSN
- 1090-3798 (ISSN-L)
- OpenAlex
- W2171156347
- Cited by
- 129
- References
- 35
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 12 · 2023: 5 · 2022: 9 · 2021: 11 · 2020: 9 · 2019: 4 · 2018: 9 · 2017: 6 · 2016: 11 · 2015: 6 · 2014: 4 · 2013: 6 · 2012: 6
- FWCI
- 2.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Paediatric Neurology (publishedVersion)
- PubMed (publishedVersion)
- CINECA IRIS Institutial research information system (University of Pisa) (submittedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Keywords
- preterm infants, neurologic assessment, General Movements Assessment, neurodevelopmental outcome prediction, cerebral palsy, neurodevelopmental follow-up
- MeSH terms
- Humans, Infant, Infant, Newborn, Infant, Premature, Movement, Neurologic Examination, Psychomotor Disorders, Videotape Recording, Observation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
