Cited by 129Infant Development and Preterm CareNeonatal and fetal brain pathologyCerebral Palsy and Movement Disorders

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Early neurologic assessment in preterm-infants: Integration of traditional neurologic examination and observation of general movements

Maurizio Romeo, Domenico Marco, Guzzetta, Andrea, Scoto, Mariacristina, Cioni, Matteo, Patusi, Pietro, Mazzone, Domenico, Giuseppe Romeo, Mario·2008·European Journal of Paediatric Neurology

DOI 10.1016/j.ejpn.2007.07.008

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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.

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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
ORCID: Guzzetta, Andrea
Scoto, Mariacristina
Cioni, Matteo
Venue: European Journal of Paediatric Neurology
Publisher: Elsevier BV
Published: 2008-05
Volume: 12
Issue: 3
Pages: 183-189
ISSN: 1090-3798 (ISSN-L)
DOI: 10.1016/j.ejpn.2007.07.008
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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 › Rehabilitation › 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

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Early neurologic assessment in preterm-infants: Integration of traditional neurologic examination and observation of general movements

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