Early markers for cerebral palsy: Insights from the assessment of general movements

Christa Einspieler, Peter B. Marschik, Arend F. Bos, Fabrizio Ferrari, Giovanni Cioni, Heinz F R Prechtl

Research output: Contribution to journalArticlepeer-review

Abstract

Overt clinical symptoms of cerebral palsy do not emerge before a child is at least half a year old. Among the most reliable early markers for cerebral palsy are abnormal 'general movements (GMs). Two specific abnormal GM patterns predict cerebral palsy: cramped-synchronized GMs (during preterm and term age), which lack the usual smoothness and fluent character; and limb and trunk muscles contract almost simultaneously and relax almost simultaneously. In addition, the absence of so-called fidgety movements at 3-5 months post-term age. Fidgety movements are small movements of the neck, trunk and limbs in all directions and of variable acceleration. Beside a high sensitivity (>91%) and specificity (>81%), the assessment of GMs is quick, nonintrusive and easy to acquire.

Original languageEnglish
Pages (from-to)709-717
Number of pages9
JournalFuture Neurology
Volume7
Issue number6
DOIs
Publication statusPublished - Nov 2012

Keywords

  • bilateral
  • cerebral palsy
  • dyskinetic
  • fidgety movements
  • general movements
  • infant
  • neonate
  • spastic
  • unilateral
  • video analysis

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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