scholarly journals Avaliação dos movimentos em recém-nascidos prematuros internados em uma unidade de cuidados intermediários neonatal

2021 ◽  
Vol 10 (15) ◽  
pp. e257101522781
Author(s):  
Thaís Dutra Rodrigues ◽  
Mariane Soares Barros ◽  
Laisla Pires Dutra
Keyword(s):  
General Movements

Objetivo: Avaliar os movimentos em recém-nascidos prematuros internados em uma unidade de cuidados intermediários neonatal, segundo a General Movements Assessment (GMA). Métodos: Trata-se de um estudo descritivo, exploratório de abordagem quantitativa e delineamento transversal, realizado em um Hospital Materno-Infantil no interior da Bahia, no período de julho a setembro de 2021, composto por uma amostra de 20 recém-nascidos pré-termos. Os instrumentos utilizados para coleta de dados da pesquisa foram: formulário do prontuário dos recém-nascidos pré-termos e a escala de GMA. Resultados: A população do estudo apresentou idade gestacional corrigida entre 33 e 39 semanas correspondendo a fase dos Writhing Movements, foi possível identificar que 65% apresentaram movimentação anormal, sendo 55% preditivo para paralisia cerebral espástica. Conclusão: O Profissional fisioterapeuta além de realizar intervenção neurosensoriomotora em recém-nascidos de alto risco para o desenvolvimento infantil, realiza avaliação a fim de detectar sinais clínicos para atrasos de desenvolvimento motor. Toda intervenção tem a finalidade de adequar o tônus muscular, diminuir a dor, estimular as sinergias musculares e facilitar o desenvolvimento neurosensóriomotor, percebeu-se no estudo que o instrumento de avaliação GMA, é um facilitador confiável, desde idades gestacionais bem precoces.

scholarly journals Early Moves: a protocol for a population-based prospective cohort study to establish general movements as an early biomarker of cognitive impairment in infants

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e041695
Author(s):  
Catherine Elliott ◽  
Caroline Alexander ◽  
Alison Salt ◽  
Alicia J Spittle ◽  
Roslyn N Boyd ◽  
...  
Keyword(s):  
At Risk ◽  
Cohort Study ◽  
Cognitive Impairment ◽  
Research Ethics ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Ethics Committee ◽  
Research Ethics Committee ◽  
National Implementation ◽  
General Movements

IntroductionThe current diagnostic pathways for cognitive impairment rarely identify babies at risk before 2 years of age. Very early detection and timely targeted intervention has potential to improve outcomes for these children and support them to reach their full life potential. Early Moves aims to identify early biomarkers, including general movements (GMs), for babies at risk of cognitive impairment, allowing early intervention within critical developmental windows to enable these children to have the best possible start to life.Method and analysisEarly Moves is a double-masked prospective cohort study that will recruit 3000 term and preterm babies from a secondary care setting. Early Moves will determine the diagnostic value of abnormal GMs (at writhing and fidgety age) for mild, moderate and severe cognitive delay at 2 years measured by the Bayley-4. Parents will use the Baby Moves smartphone application to video their babies’ GMs. Trained GMs assessors will be masked to any risk factors and assessors of the primary outcome will be masked to the GMs result. Automated scoring of GMs will be developed through applying machine-based learning to the data and the predictive value for an abnormal GM will be investigated. Screening algorithms for identification of children at risk of cognitive impairment, using the GM assessment (GMA), and routinely collected social and environmental profile data will be developed to allow more accurate prediction of cognitive outcome at 2 years. A cost evaluation for GMA implementation in preparation for national implementation will be undertaken including exploring the relationship between cognitive status and healthcare utilisation, medical costs, health-related quality of life and caregiver burden.Ethics and disseminationEthics approval has been granted by the Medical Research Ethics Committee of Joondalup Health Services and the Health Service Human Research Ethics Committee (1902) of Curtin University (HRE2019-0739).Trial registration numberACTRN12619001422112.

scholarly journals Evaluation of General Movements Assessment’s (GMA) Interobserver Agreement in Babies at High-risk for Cerebral Palsy

2020 ◽  
Author(s):  
Canan Yıldırım ◽  
Turgay Altunalan ◽  
Arzu Yılmaz ◽  
Selda Özge Özbek ◽  
Hüseyin Bol ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
High Risk ◽  
Interobserver Agreement ◽  
General Movements

scholarly journals Humans use minimum cost movements in a whole-body task

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Lijia Liu ◽  
Dana Ballard
Keyword(s):  
Dynamic Model ◽  
Tool Use ◽  
Large Scale ◽  
Minimum Cost ◽  
Whole Body ◽  
Energetic Cost ◽  
Body Movements ◽  
Closed Curves ◽  
General Movements ◽  
Musculoskeletal Systems

AbstractHumans have elegant bodies that allow gymnastics, piano playing, and tool use, but understanding how they do this in detail is difficult because their musculoskeletal systems are extraordinarily complicated. Nonetheless, common movements like walking and reaching can be stereotypical, and a very large number of studies have shown their energetic cost to be a major factor. In contrast, one might think that general movements are very individuated and intractable, but our previous study has shown that in an arbitrary set of whole-body movements used to trace large-scale closed curves, near-identical posture sequences were chosen across different subjects, both in the average trajectories of the body’s limbs and in the variance within trajectories. The commonalities in that result motivate explanations for its generality. One explanation could be that humans also choose trajectories that are economical in cost. To test this hypothesis, we situate the tracing data within a forty eight degree of freedom human dynamic model that allows the computation of movement cost. Using the model to compare movement cost data from nominal tracings against various perturbed tracings shows that the latter are more energetically expensive, inferring that the original traces were chosen on the basis of minimum cost.

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