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ISSN 2063-5346
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ASSESSING THE CEREBRAL PALSY AND NEURODEVELOPMENTAL DISABILITY AT TWO YEARS BY PRETERM GENERAL MOVEMENTS

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Dr. Sandeep Rangaiah1*, Dr. Avinash bettasoge2, Dr. Shambu S Angadi3, Dr. Bapurao S Kanthi4
» doi: 10.48047/ecb/2023.12.si10.0066

Abstract

Background: Neurological examination before discharge is vital in subjects admitted to NICU (neonatal Intensive care unit), which would help in early assessment and targeted intervention to eliminate the severity and risk of the neurodevelopmental disability and cerebral palsy. Aim: The present study aimed to evaluate the accuracy of general movements in the preterm subjects and period of fidgety movement in the prediction of cerebral palsy and neurodevelopmental disability in preterm infants of gestational age of ≤ 32 weeks at thecorrected gestational age of 18-24 months. Methods: In 85 very preterm infants with a mean birth weight of 1213±224 grams and gestational age of 29.6±1.34 weeks, fidgety movements were assessed at 8-18 weeks post-term, and general movements were assessed in a preterm period of 31-36 weeks following the post-conception age. Griffiths Mental Developmental Scales were used to assess the Neurodevelopmental outcomes in 64 child subjects. Results: Neurodevelopmental disability was seen in 5 child subjects where. One subject had cerebral palsy, and four subjects had global developmental delays.With fidgety movements and preterm movements, the relative risk of neurodevelopmental disability was found to be 6.05 (0.95-38.07) and 1.44 (0.33-6.87)at 95% CI.The specificity and sensitivity values were 93% and 100% in the fidgety movement period and 63% and 50% in the preterm period, respectively.

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