Early human development · 2026
The role of asymmetrical finger postures during fidgety age in the prediction of unilateral cerebral palsy.
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Kraft Karianne E, Roescher Annemiek M, Baptist Dyvonne H, Bos Arend F
Аннотация
AIM: To determine whether the combination of normal or abnormal exaggerated Fidgety Movements (FMs) and asymmetrical finger postures at 3 months corrected age is associated with an increased risk of unilateral cerebral palsy (CP).
METHOD: Prospective cohort study in 139 children born before 30 weeks' gestation and/or with birth weight below 1000 g. At 11.3-13.6 weeks corrected age, we evaluated FMs, finger postures, segmental wrist movements, and head position from 10 min video recordings according to Prechtl General Movements Assessment. Results of neonatal cerebral ultrasound and information about CP diagnosis at five years were extracted from medical records.
RESULTS: Sixteen out of 132 children (12.1%) who exhibited normal or abnormal exaggerated FMs demonstrated asymmetrical finger postures. None of those 16 children with asymmetrical finger postures showed asymmetrical segmental wrist movements. We also did not observe any relation with head position. Cerebral ultrasound revealed uni- or bilateral intraventricular hemorrhage (IVH) grade 1 at most, in four and two out of the 16 children, respectively. By the age of five, none of the 14 children for whom follow-up data were available had developed CP.
CONCLUSION: In this cohort of preterm-born infants with no or low-grade IVH, asymmetrical finger postures at 3 months corrected age were not associated with unilateral CP at five years if both symmetrical segmental wrist movements and normal or abnormal exaggerated FMs were present.
METHOD: Prospective cohort study in 139 children born before 30 weeks' gestation and/or with birth weight below 1000 g. At 11.3-13.6 weeks corrected age, we evaluated FMs, finger postures, segmental wrist movements, and head position from 10 min video recordings according to Prechtl General Movements Assessment. Results of neonatal cerebral ultrasound and information about CP diagnosis at five years were extracted from medical records.
RESULTS: Sixteen out of 132 children (12.1%) who exhibited normal or abnormal exaggerated FMs demonstrated asymmetrical finger postures. None of those 16 children with asymmetrical finger postures showed asymmetrical segmental wrist movements. We also did not observe any relation with head position. Cerebral ultrasound revealed uni- or bilateral intraventricular hemorrhage (IVH) grade 1 at most, in four and two out of the 16 children, respectively. By the age of five, none of the 14 children for whom follow-up data were available had developed CP.
CONCLUSION: In this cohort of preterm-born infants with no or low-grade IVH, asymmetrical finger postures at 3 months corrected age were not associated with unilateral CP at five years if both symmetrical segmental wrist movements and normal or abnormal exaggerated FMs were present.