Article

The aim of this systematic review was to examine the evidence for the
predictive validity of Prechtl's Method on the Qualitative Assessment of General
Movements (GMsA) with respect to neurodevelopmental outcomes. METHOD: Six
electronic databases (PsychINFO, Embase, Health and Psychosocial Instruments,
PubMed, and AMED) were searched using the following keywords to identify all
studies that examined the predictive validity of the GMsA: 'general movements',
'assessment', 'movement', 'child development', 'infant', and 'predictive value of
test'. Only English- and French-language studies were included, whereas studies
that focused on spontaneous mobility in preterm infants, but not necessarily the
GMsA, or which did not report on the predictive value of the GMsA were excluded.
A total of 39 studies were included in the final analysis. RESULTS: Studies were
separated according to the age at follow-up: 12 to 23 months, 2 to 3, 4 to 11,
and 12 to 18 years. All used a longitudinal cohort study design; however, the
outcome measures differed greatly amongst the studies. Values for sensitivity,
specificity, positive predictive value, and negative predictive value varied
amongst studies. The overall trend indicated that the presence of abnormalities
in the quality of fidgety movements at 12 weeks adjusted age is more predictive
of adverse outcomes than abnormal writhing movements. INTERPRETATION: The GMsA
demonstrates potential as a cost-effective, non-intrusive means of infant
examination. However, current studies include important sources of bias. Future methodologically rigorous studies with functional outcomes are suggested.
CI - (c) The Authors. Developmental Medicine & Child Neurology (c) 2011 Mac Keith
Press.

Langue : ANGLAIS