婴儿运动能力检查对早产儿运动发育异常的早期诊断价值文献回顾
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摘要
目的评估新生儿神经行为评分(neonatal behavioral neurological assessment,NBNA)与婴儿运动能力检查(the test of infant motor performance,TIMP)对早产儿运动发育异常的早期诊断价值。方法检索Pubmed、Embase、Cochrane Library、万方、中国知网数据库,查询从建库至2017-05-20有关早产儿中使用NBNA或者TIMP进行神经行为或运动评估的文献,使用基于共识选择健康测量工具的标准清单(the consensus-based standards forselection of measurement instruments checklist,COSMIN)进行方法学质量评价,并分析NBNA与TIMP的预测效度。结果最终获得16篇符合标准的文献,其中,5篇关于NBNA在早产儿随访中的应用研究,均存在明显威胁研究的方法学质量的因素;11篇关于TIMP在早产儿随访中的应用研究,其中9篇研究结果示TIMP对纳入早产儿半岁后的神经发育评分有良好的预测效度(灵敏度:0.50～1.00;特异度:0.68～1.00)或相关度(r:0.36～0.44),故TIMP有助于早期诊断。结论 TIMP作为一种功能性运动的评估方法,对早产儿远期神经发育结局具有良好的预测效度。
Objective To investigate the application of NBNA and TIMP in the follow-up of preterm infants,and to as?sess the value of them in early diagnosis of abnormal motor development of preterms. Methods Databases including Pubmed,Embase and Cochrane Library,China National knowledge internet,and Wanfang data were searched for studies about neuro-behavior or motor assessments with NBNA or TIMP. The methodological quality of the included studies was assessed with COSMIN checklist,then the predictive validity of NBNA and TIMP were compared. Results Ultimately,16 studies were included,5 of which were about the application of NBNA in follow-up of preterm infants. But many fac?tors might pose threat to methodological quality. As for TIMP,11 studies were included,9 of which showed that with a satisfying predictive validity(sensitivity:0.50 to 1.00;specificity:0.68 to 1.00)or moderate correlation(r:0.36 to 0.44)for the neurodevelopmental scores after half a year old. TIMP is helpful in making early diagnosis for neurodevelopmental disability. Conclusion With satisfying predictive validity for long-term neurological development outcomes of the pre?term infants,TIMP is considered as an alternative method of assessing functional movements in preterms.
Objective To investigate the application of NBNA and TIMP in the follow-up of preterm infants,and to as?sess the value of them in early diagnosis of abnormal motor development of preterms. Methods Databases including Pubmed,Embase and Cochrane Library,China National knowledge internet,and Wanfang data were searched for studies about neuro-behavior or motor assessments with NBNA or TIMP. The methodological quality of the included studies was assessed with COSMIN checklist,then the predictive validity of NBNA and TIMP were compared. Results Ultimately,16 studies were included,5 of which were about the application of NBNA in follow-up of preterm infants. But many fac?tors might pose threat to methodological quality. As for TIMP,11 studies were included,9 of which showed that with a satisfying predictive validity(sensitivity:0.50 to 1.00;specificity:0.68 to 1.00)or moderate correlation(r:0.36 to 0.44)for the neurodevelopmental scores after half a year old. TIMP is helpful in making early diagnosis for neurodevelopmental disability. Conclusion With satisfying predictive validity for long-term neurological development outcomes of the pre?term infants,TIMP is considered as an alternative method of assessing functional movements in preterms.
引文
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[23]Kolobe TH,Bulanda M,Susman L.Predicting motor outcome at preschool age for infants tested at 7,30,60,and 90 days after term age using the test of infant motor performance[J].Phys Ther,2004,84(12):1144-1156.
[24]Manacero SA,Marschik PB,Nunes ML,et al.Is it possible to predict the infant's neurodevelopmental outcome at 14 months of age by means of a single preterm assessment of General Movements?[J].Early Hum Dev,2012,88(1):39-43.
[25]Nuysink J,van Haastert IC,Eijsermans MJ,et al.Prediction of gross motor development and independent walking in infants born very preterm using the Test of Infant Motor Performance and the Alberta infant motor scale[J].Early Hu Dev,2013,89(9):693-697.
[26]Cokerbolt P,Woodbury ML,Perkel J,et al.Identifying prema?ture infants at high and low risk for motor delays using motor performance testing and MRS[J].J Pediatr Rehabil Med,2014,7(3):219-232.
[27]Kolobe TH,Bulanda M,Susman L.Predicting motor outcome at preschool age for infants tested at 7,30,60,and 90 days af?ter term age using the test of infant motor performance[J].Phys Ther,2004,84(12):1144-1156.
[28]邵肖梅,叶鸿瑁,邱小汕.实用新生儿学[M].北京:人民卫生出版社,2010:210-216
[29]Campbell S.Test-retest reliability of the test of infant motor performance[J].Pediatr Phys Ther,1999,11(2):60-66.
[30]Murney ME,Campbell SK.The ecological relevance of the test of infant motor performance elicited scale items[J].Phys Ther,1998,78(5):479.
[31]张晓燕,芦红茹,宋红霞,等.20项新生儿行为神经测定评分法对早产儿脑发育及脑损伤的评价[J].中国儿童保健杂志,2010,18(2):159-162.
[32]贺莉,陈艳妮.婴儿运动能力测试临床应用[J].中国实用儿科杂志,2017,32(11):813-816.
[33]贺莉,邵冬冬,杜慧莹,等.婴儿运动能力测试对早产儿纠正胎龄8-9周及12-13周运动能力评估的作用[J].中国儿童保健杂志,2014,22(3):252-254.
[2]Anderson P,Doyle LW.Neurobehavioral outcomes of schoolage children born extremely low birth weight or very preterm in the 1990s[J].JAMA,2003,289(24):3264-3272.
[3]Cheong JL,Doyle LW,Burnett AC,et al.Association between moderate and late preterm birth and neurodevelopment and so?cial-emotional development at age 2 years[J].JAMA Pediatr,2017,171(4):e164805.
[4]Spittle A,Orton J,Anderson PJ,et al.Early developmental inter?vention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants[J].Cochrane Database Syst Rev,2015,(11):CD005495.
[5]鲍秀兰,虞人杰,李着算,等.应用20项新生儿行为神经测定预测窒息儿预后[J].中华儿科杂志,1994,2(3):204.
[6]Campbell SK,Kolobe TH,Osten ET,et al.Construct validity of the test of infant motor performance[J].Phys Ther,1995,75(7):585-596.
[7]Peyton C,Yang E,Kocherginsky M,et al.Abnormal neuromotor performance at 10-15 weeks post-term on the Test of Infant Mo?tor Performance and the General Movement Assessments predict2-year adverse neurodevelopmental outcomes in very preterm infants[J].DMCN,2016,58(S5):9.
[8]Campbell SK,Levy P,Zawacki L,et al.Population-based age standards for interpreting results on the test of motor infant per?formance[J].Pediatr Phys Ther,2006,18(2):119-125.
[9]Barbosa VM,Campbell SK,Smith E,et al.Comparison of test of infant motor performance(TIMP)item responses among chil?dren with cerebral palsy,developmental delay,and typical devel?opment[J].Am J Occup Ther,2005,59(4):446-456.
[10]Mokkink LB,Terwee CB,Patrick DL,et al.The COSMINchecklist for assessing the methodological quality of studies on measurement properties of health status measurement instru?ments:an international Delphi study[J].Qual Life Res,2010,19(4):539-549.
[11]邢珊,刘俐,李改莲,等.NBNA评分在评价早产儿脑发育、脑损伤及预后中的应用[J].中国儿童保健杂志,2016,24(2):191-194.
[12]吴文坚,王桃.20项(NANB)神经测试对早产儿脑损伤和脑发育的评价[J].中外医疗,2012,31(23):29-30
[13]李着算,杨执庸,杨颖欣.危重早产儿行为神经测定与幼儿期智能测验[J].中国新生儿科杂志,1998,13(1):6-8.
[14]邱金花,孟令丹,马良,等.早产儿不安运动与新生儿行为神经测定一致性研究[J].中国妇幼保健,2014,29(28):4574-4576.
[15]王桃,吴文坚,余冰.新生儿神经行为测定对评估早产儿脑损伤的应用价值分析[J].临床合理用药杂志,2013,6(19):128-129.
[16]Coker-Bolt P,Woodbury ML,Perkel J,et al.Identifying pre?mature infants at high and low risk for motor delays using mo?tor performance testing and MRS[J].J Pediatr Rehabil Med,2014,7(3):219-232.
[17]Flegel J,Kolobe TH.Predictive validity of the test of infant mo?tor performance as measured by the Bruininks-Oseretsky test of motor proficiency at school age[J].Pediatr Phys Ther,2003,15(2):137.
[18]Campbell,Suzann K,Kolobe,et al.Validity of the test of infant motor performance for prediction of 6-,9-and 12-month scores on the alberta infant motor scale[J].DMCN,2002,44(4):263-272.
[19]Kim SA,Jin LY,Gyun LY.Predictive value of test of infant mo?tor performance for infants based on correlation between timp and bayley scales of infant development[J].Ann Rehabil Med,2011,35(6):860-866.
[20]Kim SA.P337 validity of the test of infant motor performance for early intervention and correlation with Bayley scales of infant development[J].Eur J Paediatr Neuro,2009,13(1):S125.
[21]Snider L,Majnemer A,Mazer B,et al.Prediction of motor and functional outcomes in infants born preterm assessed at term[J].Pediatr Phys Ther,2008,21(1):2.
[22]Gon?alves H,Restiffe AP,Gherpelli JLD.Accuracy of test of infant motor performance and cranial ultrasound in the neuro?logical prognosis of the high risk preterm infants[J].Physio?therapy,2011,97(e):S422.
[23]Kolobe TH,Bulanda M,Susman L.Predicting motor outcome at preschool age for infants tested at 7,30,60,and 90 days after term age using the test of infant motor performance[J].Phys Ther,2004,84(12):1144-1156.
[24]Manacero SA,Marschik PB,Nunes ML,et al.Is it possible to predict the infant's neurodevelopmental outcome at 14 months of age by means of a single preterm assessment of General Movements?[J].Early Hum Dev,2012,88(1):39-43.
[25]Nuysink J,van Haastert IC,Eijsermans MJ,et al.Prediction of gross motor development and independent walking in infants born very preterm using the Test of Infant Motor Performance and the Alberta infant motor scale[J].Early Hu Dev,2013,89(9):693-697.
[26]Cokerbolt P,Woodbury ML,Perkel J,et al.Identifying prema?ture infants at high and low risk for motor delays using motor performance testing and MRS[J].J Pediatr Rehabil Med,2014,7(3):219-232.
[27]Kolobe TH,Bulanda M,Susman L.Predicting motor outcome at preschool age for infants tested at 7,30,60,and 90 days af?ter term age using the test of infant motor performance[J].Phys Ther,2004,84(12):1144-1156.
[28]邵肖梅,叶鸿瑁,邱小汕.实用新生儿学[M].北京:人民卫生出版社,2010:210-216
[29]Campbell S.Test-retest reliability of the test of infant motor performance[J].Pediatr Phys Ther,1999,11(2):60-66.
[30]Murney ME,Campbell SK.The ecological relevance of the test of infant motor performance elicited scale items[J].Phys Ther,1998,78(5):479.
[31]张晓燕,芦红茹,宋红霞,等.20项新生儿行为神经测定评分法对早产儿脑发育及脑损伤的评价[J].中国儿童保健杂志,2010,18(2):159-162.
[32]贺莉,陈艳妮.婴儿运动能力测试临床应用[J].中国实用儿科杂志,2017,32(11):813-816.
[33]贺莉,邵冬冬,杜慧莹,等.婴儿运动能力测试对早产儿纠正胎龄8-9周及12-13周运动能力评估的作用[J].中国儿童保健杂志,2014,22(3):252-254.