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【Objective】 To analyze the correlation between deformational plagiocephaly and/or brachycephaly (DPB) and motor developmental delay in infants, so as to provide theoretical basis for early motor development screening and intervention in DPB infants. 【Methods】 A total of 7 826 children aged 6 - 12 months who visited Mianyang Maternal & Child Health Care Hospital from January 2021 to December 2022 were inlcuded in this study. DPB infants were selected as the study subjects, and the prevalence rate was analyzed. 2 761 DPB infants were divided into mild, moderate, and severe DPB groups, and 1 900 normal children were included as the control group. Peabody Developmental Motor Scale-2 (PDMS-2) was used to evaluate the levels of gross and fine motor development in children in each case group and control group. Univariate analysis and LSD-t test were used to analyze the differences in gross motor quotient (GMQ) and fine motor quotient (FMQ) of children in each group. χ2 test was used to analyze the rate of motor developmental delay in children in each group. 【Results】 The prevalence rate of DPB was 35.47%. There were statistically significant differences in GMQ and FMQ among the mild DPB group, moderate DPB group, severe DPB group, and control group (F=171.271, 194.877, P<0.05). Further statistical comparison showed that there was no statistically significant difference in GMQ and FMQ between mild DPB group and control group (P>0.05). The GMQ and FMQ of the moderate and severe DPB groups were significantly lower than those of the control group (P<0.05). There was no statistically significant difference in the rate of developmental delay in gross and fine motor development between each case group and the control group (χ2=7.478, 5.777, P>0.05). 【Conclusions】 The prevalence of DPB in Mianyang area is relatively high, and DPB do not increase the probability of motor development delay. However, infants with moderate to severe DPB have significantly lower levels of motor development compared to healthy infants. It is recommended to screen infants with DPB as soon as possible, and conduct motor development screening and exercise promotion for infants with moderate to severe DPB.
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【Objective】 To identify the influencing factors of infant motor development, and to explore the potential interactive factors, so as to provide scientific basis for early prediction and targeted prevention of infant motor developmental delay. 【Methods】 Data of infants receiving "0~1 motor development screening" at 21 community health service centers in Tongzhou District, from January 1st, 2020 to August 31st, 2021 were collected through the Beijing Maternal and Child Information System.Using the method of nested case-control study, 416 infants with positive screening results were selected as case group, 416 infants with negative screening result were selected into the control group by 1∶1 case-control matching of screening age.Chi-square test, Logistic regression analysis, and Exhaustive CHAID decision tree model were used to explore the influencing factors of infant motor development, the interaction effect was investigated by using the additive and multiplicative interaction models. 【Results】 Multivariate Logistic analysis showed that birth weight<2 500g (OR=3.28), cesarean section (OR=1.63), outdoor activity≤ 1h/d (OR=3.07), and no supplementation of vitamin D (OR=2.68) were risk factors for positive screening results of infant motor development (P<0.01).The Exhaustive CHAID decision tree showed that low birth weight was the primary risk factor for infant with positive screening results, followed by outdoor activity, vitamin D supplementation and delivery.The interaction analysis showed that there was a multiplicative interaction (OR=13.76, 95% CI:1.20 - 158.08) and an additive interaction (RERI=10.22, 95%CI:5.05 - 15.38) between non supplementation of vitamin D and low birth weight on infant motor development with positive screening results. 【Conclusions】 Attention should be paid to the early motor development of infants with low birth weight and those born by cesarean section, with emphasis on the dosage of vitamin D supplementation and outdoor activity duration.Moreover, the early screening and hierarchical management of infant motor development should also be strengthened.
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Objective@#To explore the neural processing differences in inhibitory control and cognitive flexibility associated with motor development levels in preschool children, so as to provide a basis for motor learning and cognitive development in preschool children.@*Methods@#From March 20 to 31 in 2023, a total of 84 preschool children aged 4-6 were recruited from two kindergartens in Xi an City. The MOBAK-KG Motor Development Assessment Scale was used to assess the children s motor development levels. The Go/no go task paradigm was employed to test inhibitory control ability, and the Dimensional Change Card Sort (DCCS) task paradigm was utilized to evaluate cognitive flexibility. Functional near infrared spectroscopy (fNIRS) was used to monitor the preschool children s prefrontal cortex oxygenation dynamics during inhibitory control and cognitive flexibility tasks. Malab software and Homer 2 plugins were used to calculate prefrontal oxygenated hemoglobin concentration of preschool children during the tasks.@*Results@#The high motor skills group exhibited significantly higher task accuracy during inhibitory control and cognitive flexibility tasks [0.95(0.92, 0.97),(0.54±0.12)] compared to the low motor skill group[0.93(0.85, 0.97),(0.45±0.13)] ( Z/t =-2.09, 3.14 , P <0.05). During the inhibitory control task, the high motor skill group [0.24(0.10,0.41), 0.34(0.16,0.62), 0.30(0.07, 0.52 ), 0.26(0.09, 0.53), 0.15(0.01, 0.43), 0.34(0.10, 0.67)mol/L] showed significantly higher oxygenated hemoglobin concentrations in the left and right dorsolateral prefrontal cortices (L-DLPFC, R-DLPFC), left and right pars triangular Broca s areas ( L- PTBA, R-PTBA), and left and right frontopolar areas (L-FPA, R-FPA) compared to the low motor skill group [0.04( -0.13 , 0.15), 0.00(-0.12, 0.11), -0.01(-0.17, 0.14), 0.04(-0.14, 0.16), -0.01(-0.16, 0.12), -0.03(-0.21, 0.15) mol/L ] ( Z=-4.83, -5.57, -4.77, -4.10, -3.45, -5.74, P <0.01). During the cognitive flexibility task, the high motor skill group[0.21(0.03, 0.36), 0.28(0.15, 0.45), 0.15(0.05, 0.30), 0.20(0.05, 0.37), 0.04(-0.17, 0.26), 0.14(-0.08, 0.40) mol/L ] exhibited significantly higher oxygenated hemoglobin concentrations in the L-DLPFC, R-DLPFC, L-PTBA, R-PTBA, L- FPA, R-FPA brain regions compared to the low motor skill group [0.02(-0.20, 0.23), 0.02(-0.12, 0.21), 0.00(-0.22, 0.16 ), 0.00(-0.16, 0.15), -0.05(-0.25, 0.06), 0.01(-0.23, 0.20)mol/L] ( Z=-3.63, -4.45, -3.58, -3.75, -2.18, -1.98 , P <0.05).@*Conclusions@#The motor development level in preschool children is closely related to inhibitory control and cognitive flexibility. It is crucial to emphasize motor learning in early childhood to further promote holistic development of both mind and body.
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ObjectiveTo investigate the developmental characteristics of gross motor skills and executive functions, and the correlation between them in school-age children with attention deficit hyperactivity disorder (ADHD). MethodsFrom November, 2020 to May, 2021, 90 children with ADHD were recruited from Peking University Sixth Hospital and Beijing Haidian Wanquan Primary School, and other 90 children with normal development from this primary school were recruited matched their age and gender. Gross motor skills were assessed with the Test of Gross Motor Development in Children, Third Edition (TGMD-3), and inhibitory control, working memory, and cognitive flexibility were assessed with Stroop Color Words Test (SCWT), Rey-Osterrich Complex Figure Test (ROCFT) and Trail Making Test (TMT), respectively. ResultsThe TGMD-3 score was significantly lower in children with ADHD than in normal children (t = -6.275, P < 0.001), while the test results of SCWT, ROCFT and TMT were worse (|t| ≥ 1.986, P ≤ 0.05). The TGMD-3 score of children with ADHD was negatively correlated with the word sense reaction time (r = -0.261), the number of word sense errors (r = -0.404) and the number of color errors (r = -0.326) (P < 0.05), positively correlated with the delayed structural memory scores (r = 0.228) (P < 0.05), and negatively correlated with the TMT-A reaction time (r = -0.255), the number of TMT-A errors (r = -0.329), TMT-B reaction time (r = -0.214) and the number of TMT-B errors (r = -0.474) (P < 0.05). Stratified linear regression analyses showed that the TGMD-3 score of children with ADHD was significant only in predicting test results for inhibitory control and cognitive flexibility (P < 0.05), with explanations of 8.7% and 22.5%, respectively. ConclusionDevelopments of both gross motor skills and executive function delay in children with ADHD, and there is a relation between them, especially the level of gross motor skills relating to the developments of inhibitory control and cognitive flexibility.
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ObjectiveTo systematically review the evidences of impact of exercise rehabilitation and adapted physical activity on psychomotor skills, motor abilities, and motor development in children with spastic cerebral palsy (CP). MethodsRelevant literature was retrieved from PubMed, Embase, Web of Science and CNKI, from January, 2010 to June, 2023. The contents were coded using International Classification of Diseases, Eleventh Revision, and International Classification of Functioning, Disability and Health; and evidences were analyzed with theoretical framework and code of ICD-11 and ICF. ResultsA total of nine articles were included, from Denmark, South Korea, Australia, Saudi Arabia, Ghana, India and Japan, published from 2015 to 2022. The intervention programs primarily involved exercise rehabilitation (including physical therapy) and adapted physical activity. Exercise rehabilitation included upper limb strength training, lower limb strength training, balance and coordination training, gait training, functional aerobic exercise, stretching and flexibility exercises, flexibility training, muscle relaxation techniques; ten to 50 minutes a time, two to six times a week,with the intensity of low to high, for six to 20 weeks. Adapted physical activities mainly involved adapted running training, virtual games; 60 minutes a time, two to four times a week, with the intensity of medium to high, for six to twelve weeks. Interventions primarily took place in medical and rehabilitation institutions, schools, and home-based communities, with professionals including occupational physical therapists, university researchers, community health personnel and teachers. The outcomes were mainly reflected in four aspects: psychomotor skills, motor abilities, motor development, and quality of life and well-being. In terms of psychomotor skills, adolescents with CP mastered running techniques and knowledge, and enhanced their response to balance threats. In terms of motor abilities, adolescents with CP showed an increase in muscle strength, enhanced muscle endurance, and an expansion of muscle tone; improvements in gait functionality, walking ability, and gait symmetry; increases in walking endurance; improvements in standing function; and improvements in dynamic balance; as well as enhanced control over balance posture. In terms of motor development, there was a significant improvement in activities of daily living, participation levels in school and leisure activities during free time, and an expanded range of motion. In terms of quality of life and well-being, adolescents with CP showed significant enhancements in self-confidence and self-esteem, significant relief from (spastic) pain, and improvements in social well-being and acceptance. ConclusionThis systematic review has synthesized the evidences of benefits of exercise rehabilitation and adapted physical activity on the psychomotor skills, motor abilities and motor development of children and adolescents with spastic CP. In terms of psychomotor skills, exercise rehabilitation and adapted physical activity help to improve the cognitive and motor skills of adolescents with spastic CP. In terms of motor abilities, exercise rehabilitation and adapted physical activity can improve muscle-related functions, gait and walking abilities, as well as balance and coordination. In terms of motor development, exercise rehabilitation and adapted physical activity significantly enhance activities of daily living and the level of participation in leisure physical activities. Finally, exercise rehabilitation and adapted physical activity can increase energy and motivation, alleviate pain, and enhance social well-being and acceptance.
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Abstract Objective: To verify whether the time spent in prone, supine, or seated positions differed between term and preterm infants; and to determine whether a single verbal guidance session for parents changed the time spent in different positions, and, consequently, the motor development scores, after one month in preterm infants. Methods: Sixty-one infants from a full-term and preterm group from Brazil were included. Motor development was assessed by the Alberta Infant Motor Scale (AIMS) and the parents registered the time spent in each position on a 24-hour schedule. A month after verbal guidance, a second assessment was performed only on the preterm infants. Results: The positioning times awake determined for the full-term and preterm parents were similar. Preterm infants spent more time in the prone sleeping position (2.1 vs. 0.8 h; p=0.037) than full-term infants. The AIMS percentile scores did not differ significantly between the groups. For preterm infants, the time spent in all positions did not change during the second assessment (n=18). Conclusions: The fact that some parents position their infants in the prone posture during sleeping periods reinforce the importance of parental education approaches for sudden infant death syndrome (SIDS) prevention during the first months of life. The verbal guidance provided to parents of preterm infants did not influence the AIMS percentile and time spent in various positions but increased preterm parents' confidence in placing their infants in a prone position to play.
RESUMO Objetivo: Verificar se o tempo nas posições prono, supino ou sentado difere entre lactentes a termo e pré-termo; bem como determinar se uma única sessão de orientação verbal aos pais alterou o tempo despendido nas diferentes posições e, consequentemente, o escore de desenvolvimento motor, após um mês em lactentes pré-termo. Métodos: Foram incluídos 61 lactentes brasileiros nos grupos a termo e pré-termo. O desenvolvimento motor foi avaliado pela Alberta Infant Motor Scale (AIMS), e os pais registraram o tempo despendido em cada posição em uma linha do tempo de 24 horas. Um mês após a orientação verbal, uma segunda avaliação foi realizada apenas nos lactentes pré-termo. Resultados: O tempo de posicionamento acordado determinado pelos pais de lactentes a termo e pré-termo foi semelhante. Os lactentes pré-termo passaram mais tempo dormindo na posição prona (2,2 vs. 0,8 h; p=0,037) do que os lactentes a termo. Os escores de percentil AIMS não diferiram significativamente entre os grupos. Para lactentes pré-termo, o tempo despendido em todas as posições não se modificou durante a segunda avaliação (n=18). Conclusões: O fato de alguns pais posicionarem os lactentes em decúbito ventral durante os períodos de sono reforça a importância das abordagens educativas parentais para a prevenção da síndrome da morte súbita do lactente (SMSL) durante os primeiros meses de vida. A orientação verbal fornecida aos pais de prematuros não influenciou o percentil da AIMS e o tempo de permanência em várias posições, mas aumentou a confiança dos pais de lactentes prematuros em utilizar a posição prona para brincar.
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Jiménez-Díaz, J., Chaves-Castro, K. y Carpio-Rivera, E. (2023). Relación entre el desempeño motor real evaluado con pruebas orientadas al proceso y el desempeño motor real evaluado con pruebas orientadas al producto: un metaanálisis. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-17. El desempeño motor suele ser evaluado de dos formas; la primera se enfoca en cómo se realiza la destreza, mientras que la segunda registra el resultado obtenido después de la ejecución; ambas son ampliamente usadas, sin embargo, la relación entre ellas no está clara. El objetivo del presente estudio fue determinar la relación entre los resultados de las pruebas orientadas al proceso o al producto utilizadas para medir el desempeño motor real y examinar posibles variables moderadoras por medio de la técnica meta-analítica. Para resumir los resultados, se utilizó el modelo de efectos aleatorios (REML) y se calculó el tamaño de efecto (TE) de correlación. Un total de siete estudios cumplieron con los criterios de elegibilidad, se obtuvo un total de 37 TE. Se encontró que existe una relación significativa y positiva entre el desempeño evaluado por medio de proceso y producto (TE = 0.466; IC95% = 0.391,0.541; p < .001; n = 37; Q = 78.68; p < .001; I2 = 60.17%). Como posibles variables moderadoras se analizó la edad y el tipo de destreza. Los resultados sugieren que existe una relación entre el desempeño motor real evaluado por medio de pruebas orientadas al proceso y al producto, la edad y el tipo de destreza no influyen en dicha relación.
Jiménez-Díaz, J., Chaves-Castro, K. y Carpio-Rivera, E. (2023). Relationship between process- and product-oriented assessments of actual motor performance: a meta-analysis. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-17. Motor performance is often assessed in two different ways. The first of them focuses on how the skill is carried out, whereas the second records the product obtained after execution. While both are widely used, the relationship between them is not clear. The objective of the present study is to determine the relationship between the results of process- or product-oriented tests that are used to measure actual motor performance, and to examine possible moderating variables through the meta-analytic technique. In order to sum up the products, the random effect model (REML) was used and the effect size (TE) of the correlation was calculated. A total seven studies met the criteria for eligibility, and a total 37 TE were obtained. It was found that a significant and positive relationship exists between process- and product-evaluated performance (TE = 0.466; IC95% = 0.391, 0.541; p < .001; n = 37; Q = 78.68; p < .001; I2 = 60.17%). Age and skill type were analyzed as possible moderating variables. The results suggest that a relationship exists between process- and product-oriented assessments of actual motor performance, while age and the type of skill have no influence on that relationship.
Jiménez-Díaz, J., Chaves-Castro, K. y Carpio-Rivera, E. (2023). Relação entre o desempenho motor real, avaliado por testes orientados a processos e a produtos: uma metanálise. PENSAR EN MOVIMIENTO: Revista de Ciencias del Ejercicio y la Salud, 21(1), 1-17. O desempenho motor é geralmente avaliado de duas maneiras; a primeira se concentra em como a destreza é realizada, enquanto a segunda registra o resultado obtido após a execução; ambas são amplamente utilizadas, no entanto, a relação entre elas não é clara. O objetivo do presente estudo foi determinar a relação entre os resultados de testes orientados a processos ou a produtos usados para medir o desempenho motor real e examinar possíveis variáveis moderadoras por meio da técnica metanalítica. Para resumir os resultados, foi utilizado o modelo de efeitos aleatórios (REML) e calculado o tamanho do efeito (TDE) da correlação. Um total de sete estudos cumpriram os critérios de elegibilidade, resultando em um total de 37 TDEs. Foi encontrada uma relação significativa e positiva entre o desempenho avaliado por processo e produto (TDE = 0,466; IC95% = 0,391, 0,541; p < 0,001; n = 37; Q = 78,68; p < 0,001; I2 = 60,17%). A idade e o tipo de habilidade foram analisados como possíveis variáveis moderadoras. Os resultados sugerem que existe uma relação entre o desempenho motor real, avaliado por testes orientados a processos e a produtos, idade e tipo de habilidade não influenciam esta relação.
Sujets)
Humains , Développement musculaire , Mise en condition physique de l'homme , Performance fonctionnelle physiqueRésumé
Objetivo: Evaluar el efecto de un programa de educación física adaptado utilizando la lengua de señas mexicana en niños con discapacidad auditiva sobre el desarrollo coordinativo motor. Materiales y métodos: El diseño del estudio fue cuasi experimental, con muestreo por conveniencia; participando 22 estudiantes (edad 10 ± 1.8 años), diagnosticados con discapacidad auditiva, de dos escuelas de la ciudad de Mexicali, Baja California (México). Los participantes fueron divididos aleatoriamente en un grupo experimental (n=11) y un grupo control (n=11), a los cuales se les evaluó el desarrollo coordinativo motor mediante el test de coordinación corporal para niños KTK. El programa de educación física tuvo una duración de 5 meses, adaptando una programación de clases 2 veces a la semana, con una duración de 50 minutos por sesión, comunicándose con los alumnos mediante la lengua de señas mexicana y una serie de tareas para resaltar la coordinación motora. Resultados: Para comparar las variables de estudio se utilizó el test de análisis de varianza (ANOVA) mixta 2 x 2, y se observó una interacción significativa entre grupo experimental y control, lo cual demostró una significancia positiva en el desarrollo coordinativo motor (p=0.01). Conclusión: La aplicación de un programa de educación física adaptado durante cinco meses puede influenciar una mejora en la coordinación motora en niños con discapacidad auditiva.
Objective: To evaluate the effect of an adapted physical education program using mexican sign language in children with hearing impairment on motor coordination. Materials and methods: The design of the study was quasi-experimental, with convenience sampling, involving twenty-two children with an average age of 10 ± 1.8 years, diagnosed with hearing impairment, from two schools of the city of Mexicali, Baja California. Mexico. The participants were randomly divided into an experimental group (n = 11) and a control group (n = 11). The motor coordination was evaluated using the KTK test (Kiphard Körperkoordinationstest für Kindergarten and Schiling, as per the German acronym), through the tests, balancing movements of backs, jumps on one foot, lateral jumps and transposition on a platform. This physical education program was achieved during 5 months, 2 times a week, 50 minutes per session and Mexican Sign Language was utilized and a series of tasks to emphasize motor coordination. Results: Analysis of Variance was applied in order to compare the study variable (ANOVA), mixed 2 x 2. A significant interaction between the two groups (experimental and control) was observed; showing a positive measuring significance in motor coordination (p=0.01). Conclusion: An adapted physical education program using the mexican sign language applied during 5 months can influence an improvement on motor coordination on hearing impaired children.
Résumé
Abstract Objective: To verify whether the time spent in prone, supine, or seated positions differed between term and preterm infants; and to determine whether a single verbal guidance session for parents changed the time spent in different positions, and, consequently, the motor development scores, after one month in preterm infants. Methods: Sixty-one infants from a full-term and preterm group from Brazil were included. Motor development was assessed by the Alberta Infant Motor Scale (AIMS) and the parents registered the time spent in each position on a 24-hour schedule. A month after verbal guidance, a second assessment was performed only on the preterm infants. Results: The positioning times awake determined for the full-term and preterm parents were similar. Preterm infants spent more time in the prone sleeping position (2.1 vs. 0.8 h; p=0.037) than full-term infants. The AIMS percentile scores did not differ significantly between the groups. For preterm infants, the time spent in all positions did not change during the second assessment (n=18). Conclusions: The fact that some parents position their infants in the prone posture during sleeping periods reinforce the importance of parental education approaches for sudden infant death syndrome (SIDS) prevention during the first months of life. The verbal guidance provided to parents of preterm infants did not influence the AIMS percentile and time spent in various positions but increased preterm parents' confidence in placing their infants in a prone position to play.
RESUMO Objetivo: Verificar se o tempo nas posições prono, supino ou sentado difere entre lactentes a termo e pré-termo; bem como determinar se uma única sessão de orientação verbal aos pais alterou o tempo despendido nas diferentes posições e, consequentemente, o escore de desenvolvimento motor, após um mês em lactentes pré-termo. Métodos: Foram incluídos 61 lactentes brasileiros nos grupos a termo e pré-termo. O desenvolvimento motor foi avaliado pela Alberta Infant Motor Scale (AIMS), e os pais registraram o tempo despendido em cada posição em uma linha do tempo de 24 horas. Um mês após a orientação verbal, uma segunda avaliação foi realizada apenas nos lactentes pré-termo. Resultados: O tempo de posicionamento acordado determinado pelos pais de lactentes a termo e pré-termo foi semelhante. Os lactentes pré-termo passaram mais tempo dormindo na posição prona (2,2 vs. 0,8 h; p=0,037) do que os lactentes a termo. Os escores de percentil AIMS não diferiram significativamente entre os grupos. Para lactentes pré-termo, o tempo despendido em todas as posições não se modificou durante a segunda avaliação (n=18). Conclusões: O fato de alguns pais posicionarem os lactentes em decúbito ventral durante os períodos de sono reforça a importância das abordagens educativas parentais para a prevenção da síndrome da morte súbita do lactente (SMSL) durante os primeiros meses de vida. A orientação verbal fornecida aos pais de prematuros não influenciou o percentil da AIMS e o tempo de permanência em várias posições, mas aumentou a confiança dos pais de lactentes prematuros em utilizar a posição prona para brincar.
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RESUMO: O Transtorno do Espectro Autista (TEA) é caracterizado por déficits nas áreas de comunicação, interação social e comportamentos restritos, estereotipados e repetitivos. Embora seja um tema em constante discussão na literatura atual, ainda existem muitas dúvidas a serem investigadas. Dessa forma, neste artigo, teve-se como objetivo investigar a produção científica sobre o desenvolvimento motor em crianças com TEA. Para tanto, realizou-se uma análise bibliométrica por meio de buscas nas bases de dados científicas Web of Science (WoS) e Scopus, para o tema desenvolvimento motor em crianças com TEA, no período compreendido entre os anos de 2014 e 2021. Para a análise de dados, foram utilizados os pacotes Bibliometrix e o Shiny UI for bibliometrix package (biblioshiny), além do software Ms Excel® 2013 para a apresentação das tabelas e dos quadros. Obteve-se um corpus de análise de 89 artigos conforme os critérios de elegibilidade. A bibliometria revelou um panorama de lacunas na área da educação, pois não foram encontradas publicações em periódicos específicos da área. Referenda-se, também, que estudos dessa natureza são importantes para identificar as tendências em relação à produção do conhecimento, a fim de mapear as instituições, os periódicos e os autores que mais publicam no mundo
ABSTRACT: The Autistic Spectrum Disorder (ASD) is characterized by deficit in the areas of communication and social interaction, beyond restricted, stereotyped and repetitive behaviors. Although it is a topic under constant discussion in the current literature, there are still many doubts to be investigated. Therefore, in this article, we aimed to investigate the scientific production on the motor development in children with ASD. For this purpose, a bibliometric analysis was carried out through searches in the Web of Science (WoS) and Scopus databases in relation to the topic of motor development in children with ASD, in the period between 2014 to 2021. For the data analysis, the Bibliometrix package and the Shiny UI for bibliometrix package (biblioshiny) were used, in addition to the Ms Excel® 2013 software for the presentation of tables and charts. An analysis corpus of 89 articles was obtained according to the eligibility criteria. The bibliometrics revealed a panorama of gaps in the educational area, because no publications were found in specific journals in the area. It is also referenced that studies of this nature are important to identify the tendencies in relation to the knowledge production, in order to map institutions, journals and the most published authors.
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Abstract Objectives: to describe the motor development, in the first two years of life, of children with evidence of congenital Zika virus syndrome (CZS) at birth and of children exposed to the Zika virus (ZIKV) during pregnancy, but without evidence of CZS. Methods: systematic review, according to the recommendations of the Preferred Reporting Items for Systematic Reviews (PRISMA). The search took place in the VHL/LILACS interface and BIREME/ PubMed interface databases until March 2020. Two researchers analyzed the quality of the studies using the Johanna Briggs Institute methodology. Results: 21 articles were selected. Children with CZS have severe impairment of motor functions and a high prevalence of spastic cerebral palsy. At two years of life, most reached only early levels of motor development; with impaired vision, hearing, language, cognition, behavior, and social interaction. On the other hand, children exposed to ZIKV, but without evidence of CZS, are at lower risk, about 20% have late manifestations of delay and/or neurodevelopmental disorder. Variables associated with greater motor impairment are early maternal infection, preterm birth, lower head circumference, abnormal imaging, use of anticonvulsant, increasing age, arthrogryposis, epilepsy, deficits in vision, language, cognition, and lower income. Conclusion: Most children with CZS show severe motor impairment; a small part of those exposed to ZIKV, without evidence of the syndrome at birth, have alteration in neurodevelopment. Those children should be followed in the long-term, since some manifestations may occur belatedly.
Resumo Objetivos: analisar o desenvolvimento motor, nos dois primeiros anos de vida, de crianças com evidências da síndrome congênita pelo Zika vírus (SCZ) ao nascimento e de crianças expostas ao Zika vírus (ZIKV) durante a gestação, mas sem evidências da SCZ. Métodos: revisão sistemática, segundo as recomendações da Preferred Reporting Items for Systematic Reviews (PRISMA). A busca ocorreu nas bases BVS/interface LILACS e BIREME/interface PubMed até março de 2020. Duas pesquisadoras analisaram a qualidade dos estudos pela metodologia do Johanna Briggs Institute. Resultados: entre 184 publicações, selecionou-se 21 artigos. Crianças com a SCZ apresentam grave comprometimento das funções motoras e alta prevalência de paralisia cerebral espástica. Aos dois anos de vida, a maior parte atingiu apenas níveis iniciais do desenvolvimento motor; com comprometimento da visão, audição, linguagem, cognição, comportamento e interação social. Já as crianças expostas ao ZIKV, mas sem evidências da SCZ, estão em menor risco, cerca de 20% apresentam manifestações tardias de atraso e/ou anormalidade do neurodesenvolvimento. Variáveis associadas a maior comprometimento motor são: infecção materna precoce, nascimento pré-termo, menor perímetro cefálico, exame de imagem anormal, uso de anticonvulsivante, aumento da idade, artrogripose, epilepsia, déficits da visão, linguagem, cognição, e menor renda. Conclusão: a maioria das crianças com SCZ apresenta grave comprometimento motor; pequena parte das expostas ao ZIKV, sem evidências da síndrome ao nascimento, tem alteração no neurodesenvolvimento. Estas crianças devem ser acompanhadas por longo prazo, pois algumas manifestações podem ser tardias.
Sujets)
Humains , Nouveau-né , Nourrisson , Complications infectieuses de la grossesse , Troubles des habiletés motrices , Troubles du développement neurologique , Virus Zika , Infection par le virus Zika , MicrocéphalieRésumé
Objective@#To examine the effect of early comprehensive interventions on the physical growth and nerve development among premature infants, so as to provide insights into the follow-up management of premature infants after discharge from hospital.@*Methods@#A total of 130 premature infants delivered in Shaoxing Municipal Maternal and Child Health Care Hospital from 2019 to 2021 were selected and divided into high- and low-risk groups according to gestational age and birth weight, while 306 full-term normal infants in the same hospital during the study period served as controls. All premature infants were given early comprehensive interventions until age of 12 months, including nutritional support and parental guidance of children's feeding and development, and all normal infants received periodical health checkup according to the basic public health service program. All infants received periodical measurements of height, weight and head circumference, and the 12-month intellectual and motor development ability was measured using the Bayley Scales of Infant Development revised in Chinese cities was used to assess. Infants' physical growth, mental development index (MDI) and motor development index (PDI) were compared among groups.@*Results@#There were 130 premature infants with gestational ages of 28 to 36 weeks and birth weight of 1 200 to 3 440 g, including 79 male infants, and there were 80 infants in the low-risk group and 50 infants in the high-risk group. The full-term infants had a gestational age of 37 to 42 weeks, and birth weights of 2 500 to 4 000 g, including 162 male infants. There were significant differences in height (Wald χ2=28.664, P<0.001) and head circumference growth (Wald χ2=19.312, P=0.013) among the three groups as revealed by the generalized estimating equation; however, no significant differences were seen in the 12-month weight (F=0.639, P=0.528), height (F=1.051, P=0.350) or head circumference (F=0.318, P=0.728) among the three groups. The percentages of abnormal MDI were 2.00%, 0 and 1.31% among the high-risk premature infants, low-risk premature infants and full-term infants at ages of 12 months (χ2=1.319, P=0.517), while the percentages of abnormal PDI were 20.00%, 7.50% and 5.56% among the three groups at ages of 12 months (χ2=12.818, P=0.002).@*Conclusions@#Following implementation of early comprehensive interventions, the premature infants have favorable physical growth and comparable MDI with full-term infants; however, a high percentage of abnormal PDI is seen in high-risk premature infants. An improvement in the motor development among high-risk premature infants is recommended to be emphasized during the management of premature infants.
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O objetivo do presente estudo foi investigar o volume de prá-tica em ginástica artística no desempenho de habilidades motoras fun-damentais. Para tal, 22 ginastas (idade média=8,9 ±1,54) foram divididas em grupo escola de esportes e grupo equipe. A avaliação do desempe-nho motor foi realizada pelo TGMD-2. Os resultados, analisados pelos testes de Mann-Whitney e a análise qui-quadrado, indicaram desempe-nho superior do grupo equipe em habilidades fundamentais locomoto-ras, bem como no quociente motor. Conclui-se que o volume de prática de ginástica artística pode beneficiar o desempenho de habilidades fun-damentais locomotoras, mas não de controle de objetos. Assim, parece haver uma relação de especificidade quanto às categorias de habilida-des praticadas na ginástica artística versus habilidades fundamentais desenvolvidas (AU)
The aim of the present study was to investigate the volume of practice in artistic gymnastics on the motor performance of fundamental skills. For this, 22 gymnasts (mean age = 8.9 ± 1.54) were divided into a sports school group and a team group. The assessment of motor performance was performed by TGMD-2. The results, analyzed by the Mann-Whitney tests and the chi-square analysis, indicated superior performance of the team group in fundamental locomotor skills, as well as in the motor quotient. As conclusion, the volume of practice in artistic gymnastics may benefit the performance of locomotor fundamental skills, but not object control skills. Thus, there seems to be a relationship of specificity regarding the categories of skills practiced in artistic gymnastics versus fundamental skills developed (AU).
El objetivo del presente estudio fue investigar el volumen de práctica en gimnasia artística sobre el rendimiento motor de habilidades fundamentales. Para ello, 22 gimnastas (edad media = 8,9 ± 1,54) se dividieron en un grupo de escuela deportiva y un grupo de equipo. La evaluación del rendimiento motor fue realizada por TGMD-2. Se concluye que el volumen de práctica de gimnasia artística puede beneficiar el desempeño de las habilidades locomotoras fundamentales, pero no el control de objetos. Por lo tanto, parece haber una relación de especificidad con respecto a las categorías de habilidades practicadas en gimnasia artística versus habilidades fundamentales desarrolladas (AU)
Sujets)
Humains , Femelle , Enfant , Rendement , Gymnastique , Aptitudes motrices , Sports , Développement humainRésumé
O objetivo do estudo foi analisar o estágio de desenvolvimento motor de escolares do ensino Fundamental II em Instituições públicas e privadas, por meio da habilidade motora salto vertical. Participaram do estudo 79 escolares da zona leste da cidade de São Paulo / SP, matriculados no Ensino Fundamental II. Os instrumentos utilizados de medidas antropométricas foram uma balança de bioimpedância, estadiômetro, filmadora digital e a Sistemática de Avaliação do Padrão Motor de crianças no Salto Vertical proposta por Araujo. De acordo com os resultados foi observado (26-32,9%) dos participantes no estágio Inicial, (47-59,5%) no estágio Emergentes Elementar e (6-7,6%) no estágio Proficiente. Constatou-se uma incidência elevada no estágio Emergentes Elementar (47-59,5%), o que sugere que o desenvolvimento motor para o salto vertical não está adequado para a faixa etária. Os resultados se diferem do que sugere a Teoria de Gallahue, pois, para a faixa etária dos participantes desse estudo, os mesmos deveriam apresentar padrões de movimentos fundamentais consistentes e proficientes. Essa discordância com a Teoria de Gallahue pode estar associada a quantidade e a qualidade dos estímulos presentes nessa fase que compreende os participantes do estudo, influenciando diretamente o desenvolvimento, esses fatores não foram controlados por esse estudo. (AU)
The objective of the study was to analyze the stage of motor development of elementary schoolchildren in public and private institutions, through motor skill vertical jump. The study was attended by 79 schoolchildren from the eastern zone of the city of São Paulo / SP, enrolled in Elementary School II. The instruments used for anthropometric measurements were: a bioimpedance scale, stadiometer, digital camcorder and the Child Motor Pattern Assessment Systematic in the Vertical Jump proposed by Araujo. According to the results (26-32.9%) of the participants in the Initial stage, (47-59.5%) in the Emergents Elementary stage and (6-7.6%) in the Proficient stage. There was a high incidence in the Emergentes Elemental stage (47-59.5%), which suggests that motor development for vertical jump is not adequate for the age group. The results differ from those suggested by the Gallahue Theory, since, for the age group of the participants of this study, they should present consistent and proficient fundamental movement patterns. This disagreement with the Gallahue Theory may be associated with the quantity and quality of the stimuli present in this phase that comprises study participants, directly influencing the development, these factors were not controlled by this study. (AU)
Sujets)
Humains , Mâle , Femelle , Enfant , Adolescent , Étudiants , Techniques d'exercices physiques , Croissance et développement , Aptitudes motrices , Anthropométrie , MouvementRésumé
RESUMEN La educación infantil es el primer eslabón por el cual el niño empieza con la formación en el aula; este trabajo evidencia la recopilación y análisis sistemático de fuentes académicas especializadas sobre la importancia de la Educación Física escolar y su aporte al desarrollo integral de la motricidad en población infantil. La contribución al aprendizaje mediante la exploración, el juego, la lúdica y la educación corporal, brinda una educación integral en el ámbito motriz a los infantes. El objetivo de este artículo fue realizar una revisión bibliográfica-sistémica en bases de datos especializadas: Scopus, Ebsco, Dialnet, Redalyc, ente otras sobre la importancia y relevancia de la motricidad en la población infantil además de analizar, sistematizar la postura de diferentes referentes académicos especialistas del tema en la contribución de la Educación Física en los procesos de desarrollo motriz en las etapas infantiles y como estos aporta de manera transversal en las áreas integrales de aprendizaje se visualizó además los factores determinantes para el desarrollo adecuado del niño, mediante la enseñanza y pedagogía de la Educación Física y sus diferentes áreas. La metodología desarrollada fue cualitativa y de diseño revisión bibliográfica-sistémica teniendo en cuenta los criterios de inclusión y exclusión a través de matrices categoriales y heurísticas para el respectivo análisis de la información. Los resultados ilustran que la formación de Educación Física escolar es determinante e influyente en los procesos de desarrollo motriz y cognitivo infantil, influyendo de manera positiva en dichos procesos. Como principal conclusión del estudio se puede inferir que el enfoque pedagógico de la Educación Física abarca un sin número de métodos y herramientas, no solo brindando la posibilidad de promover hábitos de vida saludable, sino optimizando los procesos de desarrollo motriz en edades escolares.
RESUMO A educação infantil é o primeiro elo através do qual a criança começa com a formação na sala de aula; este trabalho mostra a recolha e análise sistemática de fontes académicas especializadas sobre a importância da Educação Física escolar e o seu contributo para o desenvolvimento integral das capacidades motoras nas crianças. A contribuição para a aprendizagem através da exploração, jogo, brincadeira e educação corporal, proporciona uma educação abrangente no campo das capacidades motoras aos bebés. O objetivo deste artigo foi realizar uma revisão bibliográfica-sistémica em bases de dados especializadas sobre a importância e relevância das capacidades motoras na população infantil, bem como analisar, sistematizar a posição de diferentes referências académicas especializadas no assunto sobre a contribuição da Educação Física nos processos de desenvolvimento motor na fase infantil e como estes contribuem de forma transversal nas áreas integrais de aprendizagem. Também se visualizaram os fatores determinantes para o desenvolvimento adequado da criança, através do ensino e pedagogia da Educação Física e das suas diferentes áreas. A metodologia desenvolvida foi uma concepção qualitativa de revisão bibliográfica-sistémica tendo em conta os critérios de inclusão e exclusão através de matrizes categóricas e heurísticas para a respectiva análise da informação. Os resultados ilustram que a formação da Educação Física escolar é determinante e influente nos processos de desenvolvimento motor e cognitivo das crianças, influenciando de uma forma positiva nestes processos. Como conclusão principal do estudo, pode inferir-se que a abordagem pedagógica da Educação Física engloba uma série de métodos e ferramentas, não só proporcionando a possibilidade de promover hábitos de vida saudáveis, mas também otimizando os processos de desenvolvimento motor na idade escolar.
ABSTRACT Early childhood education is the first link through which the child begins with classroom training. This work will show the systematic compilation and analysis of specialized academic sources on the importance of school Physical Education and its contribution to the comprehensive development of motor skills in children. The contribution to learning through exploration, the game, the ludic and physical education, provides a comprehensive education in the motor field to infants. The objective of this article was to carry out a bibliographic-systemic review in specialized databases such as; Scopus, Ebsco, Dialnet, Redalyc, among others, on the importance and relevance of motor skills in the child population, visualizing the determining factors for the adequate development of the child, through the teaching and pedagogy of Physical Education and its different areas. The methodology developed was qualitative and its design is a bibliographic-systemic review, considering inclusion and exclusion criteria through categorical and heuristic matrices for the respective analysis of the information. The results illustrate that the training of school Physical Education is decisive and influential in the processes of motor and cognitive development of children, positively influencing these processes. As the main conclusion of the study, it can be inferred that the pedagogical approach of Physical Education encompasses a number of methods and tools, not only offering the possibility of promoting healthy lifestyle habits, but also optimizing motor development processes at school age.
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INTRODUÇÃO: Crianças com transtornos do neurodesenvolvimento apresentam uma variedade de condições que, em geral, possuem comprometimento da função cognitiva, bem como limitações para realizar atividades motoras grossas e finas decorrentes do déficit de equilíbrio e da coordenação motora. OBJETIVO: O presente estudo teve por objetivo verificar se a função cognitiva está associada e pode predizer desfechos do desenvolvimento motor grosso em crianças com transtornos do neurodesenvolvimento entre 5 e 10 anos de idade. MATERIAIS E MÉTODOS: Foi realizado um estudo transversal exploratório com 24 crianças com transtornos do neurodesenvolvimento, entre 5-10 anos de idade, capazes de deambular independente. Para avaliar a função cognitiva e as habilidades motoras grossas das crianças foram utilizados o MiniExame do Estado Mental e o Teste de Desenvolvimento Motor Grosso segunda edição, respectivamente. Análise de regressão linear simples foi realizada e o tamanho do efeito calculado. RESULTADOS: Quinze (60%) eram meninos, com idade média de 7,81 (± 1,90), sete com deficiência intelectual, oito com transtorno do espectro autista, cinco com transtorno do déficit de atenção e hiperatividade, dois com transtornos de comunicação e três com transtornos específicos de aprendizagem. A pontuação do Mini-Exame do Estado Mental foi significativamente associada e capaz de explicar a variabilidade das habilidades de locomoção (R2=0,25; p=0,006), das habilidades de controle de objetos (R2=0,29; p=0,003) e do quociente motor grosso (R2=0,40; p=0,0001). CONCLUSÃO: A função cognitiva está associada e pode explicar o desenvolvimento motor grosso de crianças com transtornos do neurodesenvolvimento entre 5 e 10 anos de idade. Esses resultados podem contribuir para um melhor entendimento da influência da função cognitiva no desenvolvimento das habilidades motoras grossas dessa população.
INTRODUCTION: Children with neurodevelopmental disorders have a variety of conditions that, in general, cause cognitive impairments, as well as, limitations to perform gross and fine motor activities resulting from deficits in balance and motor coordination. OBJECTIVE: This study verified whether the cognitive function is associated and could predict outcomes of gross motor development in children with neurodevelopmental disorders between 5 and 10 years of age. METHODS: We carried out an exploratory cross-sectional study with 25 children with neurodevelopmental disorders, between 5-10 years of age, able to walk independently. The children's version of the Mini-Mental State Examination and the Gross Motor Development Test - second edition-evaluated the cognitive function and gross motor abilities. A simple linear regression analysis was performed, and the effect size was calculated. RESULTS: Fifteen (60%) were male, with a mean age of 7.81 (± 1.90), seven with intellectual disability, eight with autism spectrum disorder, five with attention deficit hyperactivity disorder, two with communication disorders, and three with specific learning disorders. The Mini-Exam State Examination score was significantly associated and explained the variability of locomotion skills (R2=0.25; p=0.006), object control skills (R2= 0.29; p=0.003), and the gross motor quotient (R2=0.40; p=0.0001). CONCLUSION: We concluded that cognitive function is associated with gross motor skills and could explain their development in children with neurodevelopmental disorders between 5 and 10 years of age. These results might contribute to a better understanding of the influence of cognitive function on the development of gross motor skills in this population.
Sujets)
Troubles du développement neurologique , Enfant , CognitionRésumé
O objetivo do presente estudo foi investigar o volume de prá-tica em ginástica artística no desempenho de habilidades motoras fun-damentais. Para tal, 22 ginastas (idade média=8,9 ±1,54) foram divididas em grupo escola de esportes e grupo equipe. A avaliação do desempe-nho motor foi realizada pelo TGMD-2. Os resultados, analisados pelos testes de Mann-Whitney e a análise qui-quadrado, indicaram desempe-nho superior do grupo equipe em habilidades fundamentais locomoto-ras, bem como no quociente motor. Conclui-se que o volume de prática de ginástica artística pode beneficiar o desempenho de habilidades fun-damentais locomotoras, mas não de controle de objetos. Assim, parece haver uma relação de especificidade quanto às categorias de habilida-des praticadas na ginástica artística versus habilidades fundamentais desenvolvidas.
The aim of the present study was to investigate the volume of practice in artistic gymnastics on the motor performance of fundamental skills. For this, 22 gymnasts (mean age = 8.9 ± 1.54) were divided into a sports school group and a team group. The assessment of motor performance was performed by TGMD-2. The results, analyzed by the Mann-Whitney tests and the chi-square analysis, indicated superior performance of the team group in fundamental locomotor skills, as well as in the motor quotient. As conclusion, the volume of practice in artistic gymnastics may benefit the performance of locomotor fundamental skills, but not object control skills. Thus, there seems to be a relationship of specificity regarding the categories of skills practiced in artistic gymnastics versus fundamental skills developed.
El objetivo del presente estudio fue investigar el volumen de práctica en gimnasia artística sobre el rendimiento motor de habilidades fundamentales. Para ello, 22 gimnastas (edad media = 8,9 ± 1,54) se dividieron en un grupo de escuela deportiva y un grupo de equipo. La evaluación del rendimiento motor fue realizada por TGMD-2. Se concluye que el volumen de práctica de gimnasia artística puede beneficiar el desempeño de las habilidades locomotoras fundamentales, pero no el control de objetos. Por lo tanto, parece haber una relación de especificidad con respecto a las categorías de habilidades practicadas en gimnasia artística versus habilidades fundamentales desarrolladas.
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RESUMO A prematuridade é fator de risco para atraso do desenvolvimento motor, e recomenda-se o acompanhamento desses lactentes nos primeiros dois anos de vida. Verificar a confiabilidade intra e interexaminadores da Escala Motora Infantil de Alberta (EMIA) em ambulatório de seguimento de recém-nascidos de risco de uma maternidade pública. Estudo prospectivo realizado em ambulatório de seguimento de recém-nascidos de risco. As avaliações do desenvolvimento motor foram realizadas por meio da EMIA, por dois avaliadores previamente treinados. O Coeficiente de Correlação Intraclasse (CCI) foi utilizado para análise das confiabilidades. Para a comparação entre as avaliações intraexaminadores foi realizado o Teste T pareado ou Teste de Wilcoxon. O Teste T independente foi utilizado para comparar as avaliações interexaminadores. A correlação entre as variáveis foi analisada a partir do Teste de Pearson ou Spearman. Para avaliar a concordância entre os escores foi realizada análise de Bland Altman. Foram avaliados 31 recém-nascidos pré-termo (RNPT) com idade corrigida média de 8,47 ± 4,49. Não houve diferença significativa entre as avaliações intraexaminadores e interexaminadores. Os valores de CCI se mantiveram acima de 0,88 para a confiabilidade intraexaminadores e interexaminadores. Os escores apresentaram alta concordância, analisada por meio do teste de Bland Altman. EMIA apresentou adequada confiabilidade intra e interexaminadores para avaliação e acompanhamento de RNPT até 18 meses em ambulatório de seguimento de lactentes de risco.
RESUMEN La prematuridad es un factor de riesgo de retraso en el desarrollo motor de los lactantes y se recomienda la monitorización de ellos durante los dos primeros años de vida. Verificar la fiabilidad intraevaluadores e interevaluadores de la Escala Motora Infantil de Alberta (EMIA) en un seguimiento ambulatorio de recién nacidos de riesgo en una maternidad pública brasileña. Estudio prospectivo realizado en un seguimiento ambulatorio de recién nacidos de riesgo. Para evaluar el desarrollo motor, la EMIA fue empleada por dos evaluadores previamente capacitados. Se utilizó el coeficiente de correlación intraclase (CCI) para analizar la fiabilidad. Para comparar las evaluaciones intraevaluadores, se utilizó la prueba T pareada o la prueba de Wilcoxon. La prueba T independiente se utilizó para comparar las evaluaciones interevaluadores. La correlación entre las variables se analizó mediante la prueba de Pearson o Spearman. Para evaluar la concordancia entre los puntajes, se aplicó el análisis de Bland Altman. Se evaluaron a 31 recién nacidos pretérmino (RNPT) con un promedio de edad media corregida de 8,47 ± 4,49. No hubo diferencias significativas entre las evaluaciones intraevaluadores e interevaluadores. Los valores de CCI se mantuvieron por encima de 0,88 para la fiabilidad intraevaluadores e interevaluadores. Los puntajes mostraron un alto nivel de concordancia, que se analizó mediante el Bland Altman. La EMIA apuntó una adecuada fiabilidad intra e interevaluadores para evaluar y monitorear los RNPT hasta 18 meses en seguimiento ambulatorio de lactantes de riesgo.
ABSTRACT Prematurity is a risk factor for delayed motor development, and it is recommended to monitor these infants in the first two years of life. To verify the properties of intra and inter-examiner measurements of AIMS in an outpatient follow-up clinic for newborns at risk in a public maternity hospital. Prospective study conducted in an outpatient follow-up of high-risk newborns. The Intraclass Correlation Coefficient (ICC) was used to analyze reliability. To compare the intra-examiner evaluations, the paired T-test or Wilcoxon test was performed. The independent T-test was used to compare inter-examiner assessments. The correlation between variables was analyzed using the Pearson or Spearman test. The Bland Altman test was performed to assess the concordance between the scores. 31 preterm infants with 8,47 ± 4,49 of corrected age were evaluated. There was no significant difference between the evaluations intra and inter-examiner. The ICC values remained above 0.88 for both intra and inter-examiner evaluation. The scores showed high agreement. AIMS has intra- and inter-examiner reliability for assessing and monitoring preterm newborns for up to 18 months in a follow-up clinic.
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Objective:To study the predictive values of the general movements (GMs) assessment combined total bilirubin for motor development outcomes in infants with severe neonatal jaundice.Methods:From June of 2014 to June of 2019, infants with severe neonatal jaundice in Chenzhou First People′s Hospital were enrolled in the study. Inclusion criteria included , the serum total bilirubin was measured at the time of admission, corrected gestational age of 37 to 48 weeks. General assessment were carried out when the infant was stable. The patients were regularly followed-up until the age of 12months to evaluate the predictive values.Results:A total of 204 patients with severe neonatal jaundice were enrolled in the study, with mean serum total bilirubin value (485.4±109.6)μmol/L. They were divided into two groups according to the outcome of motor development. The total bilirubin value, the proportion of abnormal GMs and dangerous total bilirubin level in the abnormal group were significantly higher than those in the normal group (all P<0.05). 13 cases (6.4%) were normal in the torsion stage of GMs; 191 cases (93.6%) were abnormal, including 164 cases (85.9%) of poor repertoire (PR) and 27 cases (14.1%) of cramped-synchronized (CS). Abnormal GMs and total bilirubin were the risk factors of abnormal motor development ( OR=4.651, 1.017, P<0.05). The predictive values of abnormal GMs for abnormal motor development outcomes were as following: sensitivity 100%, specificity 8.4%, negative predictive value (NPV) 100%. The predictive values of CS for cerebral palsy were as following: sensitivity 63.2%, specificity 97.8%, NPV 96.0%. Receiver operating characteristic (ROC) curve showed that the area under the curve predicted by GMs and total bilirubin was 0.765 and 0.757, respectively. The area under the curve of motor dysplasia predicted by combining the two was 0.854. Conclusions:The evaluation of general movement assessment combined total bilirubin has certain clinical predictive value for the outcomes of motor development in infants with severe neonatal jaundice.