General Movements – examination of immature nervous system

Česká verzia

Authors: A. Nogolová
Authors place of work: Oddělení dětského lékařství, Městská nemocnice Ostrava, p. o.
Published in the journal: Čes-slov Pediat 2017; 72 (1): 51-53.
Category: Review

Summary

Long term prognosis and the quality of life of every pre-term and high-risk infant are influenced mostly by neurological diseases such as cerebral palsy, mental retardation or epilepsy. The effort of the neurologist is to diagnose the abnormal development early, define the adequate intervention and assess the prognosis of child´s development. The aim is to minimize the development of the fuction alteration. The problem is that the examinations are not standardized, various methods are incomparable and their utilization is different.

One of the possibilities, how to examine the immature nervous system is the method described by professor Prechtl, so called General Movements. The knowledge of this method gives us the possibility of early prediction of the neurological abnormality. The theoretical precondition is that the spontaneous motoric activity is the best indicator of the functional integrity of the brain. The General Movements method is only one step of the examination, there must also be involved the anamnesis, clinical neurological examination, assessment of the imaging of the brain etc.

KEY WORDS:
General Movements, video recording, full term, pre-term, cerebral palsy

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