| Objective To evaluate the value of general movements scale (GMs scale) in the prediction of neurodevelopmental outcome in high-risk children with premature brain injury. Methods A total of 112 cases of high-risk children with premature brain injury admitted to our hospital from June 2015 to June 2016 were selected as the subjects. The GMs scale was used to evaluate the body motion quality of the writhing stage and the restless motor phase. The follow-up to 12 months of age was followed by 52 neuromotor examinations and the Gesell developmental scale was applied to examine the motor development outcomes (assessed using the Gesell Development Scale)of high risk infants with premature brain injury. Then the sensitivity, specificity, positive predictor, and negative predictor of the GMs scale and 52 neural motion tests were assessed, using neurological outcome as criteria. Results In writhing stage, the sensitivity by GMs scale was 72.73%, the specificity was 81.11%, the positive predictor was 48.48% and the negative predictor was 92.40%, while in restless motor stage, the sensitivity by GMs scale was 59.09%, the specificity was 94.44%, the positive predictor was 72.22% and negative predictor was 90.43%. The sensitivity, specificity, positive predictor, and negative predictor by 52 neural motion tests was 54.55%, 68.69%, 30.99%, and 86.11%, respectively. During restless motor stage, the specific and positive predictors of GMS scale were greater than those of 52 neurological exercises, and the difference was statistically significant (P<0.05). Conclusion GMs scale can be more accurate, effective and with high specificity in the prediction of high-risk children with premature brain injury, thus it is worth clinical promotion. |
