Last modified: 2014-04-03
Abstract
Objective: General movements (GMs) are part of spontaneous activity generated by the central nervous system. Abnormal general movements indicate impairment of the central nervous system. The aim of the study was to assess the quality of general movements \in preterm infants and to estimate correlation between intraventricular hemorrhages (IVH) and quality of general movements. Material and methods: Video recordings of the 22 prematures (7 femals,15 males) born between 24th and 35th week of gestation were performed according to Prechtl method and analyzed by 3 independent people. Video recordings were repeated at least 2 times with 2 weeks interval. Results: Most frequently ( 40 /57 -70.2%) poor repertoire (PR) movements were observed. In 5 infants also with cramped-synchronized (CS) movements. Hypokinetic movements were rare (3.5%). Only 10/57 first recordings were normal. All (10) infants with IVH have abnormal PR movements pattern and without later improvement. In 8% of infants with IVH GMs even made worse. In preterm infants with normal ultrasound, GMs pattern improved. The differences between preterm infants with IVH and without IVH are statistically significant (p=0.01), but the grade of IVH, as well as the gestational age are not significant (p>0.05) for general movements quality. Conclusions: IVH in preterm infants was found to correlate with abnormal general movements. During the first weeks of life in preterm newborns with IVH poor repertoire of general movements occur frequently. Repeated estimation of the early GMs in preterm infants may be a good prognostic factor for abnormal psychomotor development.