Clinical Implications of the General Movement Optimality Score: Beyond the Classes of Rasch Analysis

Overview

Journal J Clin Med

Specialty General Medicine

Date 2021 Apr 3

PMID 33806626

Citations 2

Authors

Vanessa Maziero Barbosa

Christa Einspieler

Everett Smith

Arend F Bos

Giovanni Cioni

Fabrizio Ferrari

Hong Yang

Berndt Urlesberger

Peter B Marschik

Dajie Zhang

Affiliations

Soon will be listed here.

Abstract

This article explores the clinical implications of the three different classes drawn from a Rasch analysis of the general movements optimality scores (GMOS) of 383 infants. Parametric analysis of the class membership examines four variables: age of assessment, brain injury presence, general movement patterns, and 2-year-old outcomes. GMOS separated infants with typical (class 3) from atypical development, and further separated cerebral palsy (class 2) from other neurodevelopmental disorders (class 1). Each class is unique regarding its quantitative and qualitative representations on the four variables. The GMOS has strong psychometric properties and provides a quantitative measure of early motor functions. The GMOS can be confidently used to assist with early diagnosis and predict distinct classes of developmental outcomes, grade motor behaviors, and provide a solid base to study individual general movement developmental trajectories.

Citing Articles

The General Movement Optimality Score-Revised (GMOS-R) with Socioeconomically Stratified Percentile Ranks.

Einspieler C, Bos A, Spittle A, Bertoncelli N, Burger M, Peyton C J Clin Med. 2024; 13(8).

PMID: 38673533 PMC: 11050782. DOI: 10.3390/jcm13082260.

Mobile Solutions for Clinical Surveillance and Evaluation in Infancy-General Movement Apps.

Marschik P, Kwong A, Silva N, Olsen J, Schulte-Ruther M, Bolte S J Clin Med. 2023; 12(10).

PMID: 37240681 PMC: 10218843. DOI: 10.3390/jcm12103576.

References

Barbosa V, Smith E, Bos A, Cioni G, Ferrari F, Guzzetta A . Psychometric Properties of the General Movement Optimality Score using Rasch Measurement. J Appl Meas. 2020; 21(1):17-37. View

Einspieler C, Marschik P, Pansy J, Scheuchenegger A, Krieber M, Yang H . The general movement optimality score: a detailed assessment of general movements during preterm and term age. Dev Med Child Neurol. 2015; 58(4):361-8. PMC: 5951275. DOI: 10.1111/dmcn.12923. View

PRECHTL H, Einspieler C, Cioni G, Bos A, Ferrari F, Sontheimer D . An early marker for neurological deficits after perinatal brain lesions. Lancet. 1997; 349(9062):1361-3. DOI: 10.1016/S0140-6736(96)10182-3. View

Einspieler C, Prechtl H . Prechtl's assessment of general movements: a diagnostic tool for the functional assessment of the young nervous system. Ment Retard Dev Disabil Res Rev. 2005; 11(1):61-7. DOI: 10.1002/mrdd.20051. View

Ustad T, Evensen K, Bertoncelli N, Frassoldati R, Ferrari F . Validity of the General Movement Optimality List in Infants Born Preterm. Pediatr Phys Ther. 2017; 29(4):315-320. DOI: 10.1097/PEP.0000000000000445. View

PRECHTL H . The optimality concept. Early Hum Dev. 1980; 4(3):201-5. DOI: 10.1016/0378-3782(80)90026-2. View

Einspieler C, Bos A, Libertus M, Marschik P . The General Movement Assessment Helps Us to Identify Preterm Infants at Risk for Cognitive Dysfunction. Front Psychol. 2016; 7:406. PMC: 4801883. DOI: 10.3389/fpsyg.2016.00406. View

Roescher A, Timmer A, Hitzert M, de Vries N, Verhagen E, Erwich J . Placental pathology and neurological morbidity in preterm infants during the first two weeks after birth. Early Hum Dev. 2013; 90(1):21-5. DOI: 10.1016/j.earlhumdev.2013.11.004. View

Novak I, Morgan C, Adde L, Blackman J, Boyd R, Brunstrom-Hernandez J . Early, Accurate Diagnosis and Early Intervention in Cerebral Palsy: Advances in Diagnosis and Treatment. JAMA Pediatr. 2017; 171(9):897-907. PMC: 9641643. DOI: 10.1001/jamapediatrics.2017.1689. View

10.

Butcher P, van Braeckel K, Bouma A, Einspieler C, Stremmelaar E, Bos A . The quality of preterm infants' spontaneous movements: an early indicator of intelligence and behaviour at school age. J Child Psychol Psychiatry. 2009; 50(8):920-30. DOI: 10.1111/j.1469-7610.2009.02066.x. View

11.

Ferrari F, Plessi C, Lucaccioni L, Bertoncelli N, Bedetti L, Ori L . Motor and Postural Patterns Concomitant with General Movements Are Associated with Cerebral Palsy at Term and Fidgety Age in Preterm Infants. J Clin Med. 2019; 8(8). PMC: 6723626. DOI: 10.3390/jcm8081189. View

12.

Morgan C, Romeo D, Chorna O, Novak I, Galea C, Del Secco S . The Pooled Diagnostic Accuracy of Neuroimaging, General Movements, and Neurological Examination for Diagnosing Cerebral Palsy Early in High-Risk Infants: A Case Control Study. J Clin Med. 2019; 8(11). PMC: 6912336. DOI: 10.3390/jcm8111879. View

13.

Nakajima Y, Einspieler C, Marschik P, Bos A, Prechtl H . Does a detailed assessment of poor repertoire general movements help to identify those infants who will develop normally?. Early Hum Dev. 2005; 82(1):53-9. DOI: 10.1016/j.earlhumdev.2005.07.010. View

14.

Hempenius M, Verhagen E, Tanis J, Einspieler C, Bos A . Early neonatal morbidities and neurological functioning of preterm infants 2 weeks after birth. J Perinatol. 2018; 38(11):1518-1525. DOI: 10.1038/s41372-018-0211-y. View

15.

Ferrari F, Cioni G, Einspieler C, Roversi M, Bos A, Paolicelli P . Cramped synchronized general movements in preterm infants as an early marker for cerebral palsy. Arch Pediatr Adolesc Med. 2002; 156(5):460-7. DOI: 10.1001/archpedi.156.5.460. View

16.

Ferrari F, Cioni G, PRECHTL H . Qualitative changes of general movements in preterm infants with brain lesions. Early Hum Dev. 1990; 23(3):193-231. DOI: 10.1016/0378-3782(90)90013-9. View

17.

Einspieler C, PRECHTL H, Ferrari F, Cioni G, Bos A . The qualitative assessment of general movements in preterm, term and young infants--review of the methodology. Early Hum Dev. 1998; 50(1):47-60. DOI: 10.1016/s0378-3782(97)00092-3. View

18.

Raith W, Marschik P, Sommer C, Maurer-Fellbaum U, Amhofer C, Avian A . General Movements in preterm infants undergoing craniosacral therapy: a randomised controlled pilot-trial. BMC Complement Altern Med. 2016; 16:12. PMC: 4710971. DOI: 10.1186/s12906-016-0984-5. View

19.

Pansy J, Baik N, Schwaberger B, Scheuchenegger A, Pichler-Stachl E, Avian A . Cerebral hypoxia during immediate transition after birth and short term neurological outcome. Early Hum Dev. 2017; 110:13-15. DOI: 10.1016/j.earlhumdev.2017.04.009. View