Using the Center of Pressure Movement Analysis in Evaluating Spontaneous Movements in Infants: a Comparative Study with General Movements Assessment

Overview

Journal Ital J Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2023 Dec 21

PMID 38124131

Authors

Halil Ibrahim Celik

Ayse Yildiz

Ramazan Yildiz

Akmer Mutlu

Ruhi Soylu

Kivilcim Gucuyener

Aysu Duyan-Camurdan

Esin Koc

Eray Esra Onal

Bulent Elbasan

Affiliations

Soon will be listed here.

Abstract

Background: Researchers have attempted to automate the spontaneous movement assessment and have sought quantitative and objective methods over the past decade. The purpose of the study was to present a quantitative assessment method of spontaneous movement using center-of-pressure (COP) movement analysis.

Methods: A total of 101 infants were included in the study. The infants were placed in the supine position on the force plate with the cranial-caudal orientation. In this position, the recording of video and COP movement data were made simultaneously for 3 min. Video recordings were used to observe global and detailed general movement assessment (GMA), and COP time series data were used to obtain quantitative movement parameters.

Results: According to the global GMA, 13 infants displayed absent fidgety movements (FMs) and 88 infants displayed normal FMs. The binary logistic regression model indicated significant association between global GMA and COP movement parameters (chi-square = 20.817, p < 0.001). The sensitivity, specificity, and overall accuracy of this model were 85% (95% CI: 55-98), 83% (95% CI: 73-90), and 83% (95% CI: 74-90), respectively. The multiple linear regression model showed a significant association between detailed GMA (motor optimality score-revised/MOS-R) and COP movement parameters (F = 10.349, p < 0.001). The MOS-R total score was predicted with a standard error of approximately 1.8 points (6%).

Conclusions: The present study demonstrated the possible avenues for using COP movement analysis to objectively detect the absent FMs and MOS-R total score in clinical settings. Although the method presented in this study requires further validation, it may complement observational GMA and be clinically useful for infant screening purposes, particularly in clinical settings where access to expertise in observational GMA is not available.

Citing Articles

A systematic review of portable technologies for the early assessment of motor development in infants.

Deng W, OBrien M, Andersen R, Rai R, Jones E, Jayaraman A NPJ Digit Med. 2025; 8(1):63.

PMID: 39870826 PMC: 11772671. DOI: 10.1038/s41746-025-01450-3.

References

Ortqvist M, Einspieler C, Aden U . Early prediction of neurodevelopmental outcomes at 12 years in children born extremely preterm. Pediatr Res. 2021; 91(6):1522-1529. DOI: 10.1038/s41390-021-01564-w. View

Heinze F, Hesels K, Breitbach-Faller N, Schmitz-Rode T, Disselhorst-Klug C . Movement analysis by accelerometry of newborns and infants for the early detection of movement disorders due to infantile cerebral palsy. Med Biol Eng Comput. 2010; 48(8):765-72. DOI: 10.1007/s11517-010-0624-z. View

Waldmeier S, Grunt S, Delgado-Eckert E, Latzin P, Steinlin M, Fuhrer K . Correlation properties of spontaneous motor activity in healthy infants: a new computer-assisted method to evaluate neurological maturation. Exp Brain Res. 2013; 227(4):433-46. DOI: 10.1007/s00221-013-3504-6. 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

Kulvicius T, Zhang D, Nielsen-Saines K, Bolte S, Kraft M, Einspieler C . Infant movement classification through pressure distribution analysis. Commun Med (Lond). 2023; 3(1):112. PMC: 10432534. DOI: 10.1038/s43856-023-00342-5. View

Dusing S, Mercer V, Yu B, Reilly M, Thorpe D . Trunk position in supine of infants born preterm and at term: an assessment using a computerized pressure mat. Pediatr Phys Ther. 2005; 17(1):2-10. DOI: 10.1097/01.pep.0000154106.52134.80. View

Einspieler C, Bos A, Krieber-Tomantschger M, Alvarado E, Barbosa V, Bertoncelli N . Cerebral Palsy: Early Markers of Clinical Phenotype and Functional Outcome. J Clin Med. 2019; 8(10). PMC: 6833082. DOI: 10.3390/jcm8101616. 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

Zang F, Yang H, Han Q, Cao J, Tomantschger I, Krieber M . Very low birth weight infants in China: the predictive value of the motor repertoire at 3 to 5months for the motor performance at 12months. Early Hum Dev. 2016; 100:27-32. PMC: 5010039. DOI: 10.1016/j.earlhumdev.2016.03.010. View

10.

Spittle A, Spencer-Smith M, Cheong J, Eeles A, Lee K, Anderson P . General movements in very preterm children and neurodevelopment at 2 and 4 years. Pediatrics. 2013; 132(2):e452-8. DOI: 10.1542/peds.2013-0177. View

11.

Salavati S, Einspieler C, Vagelli G, Zhang D, Pansy J, Burgerhof J . The association between the early motor repertoire and language development in term children born after normal pregnancy. Early Hum Dev. 2017; 111:30-35. PMC: 5951278. DOI: 10.1016/j.earlhumdev.2017.05.006. View

12.

Einspieler C, Prayer D, Marschik P . Fetal movements: the origin of human behaviour. Dev Med Child Neurol. 2021; 63(10):1142-1148. DOI: 10.1111/dmcn.14918. View

13.

Miyagishima S, Asaka T, Kamatsuka K, Kozuka N, Kobayashi M, Igarashi L . Spontaneous movements of preterm infants is associated with outcome of gross motor development. Brain Dev. 2018; 40(8):627-633. DOI: 10.1016/j.braindev.2018.04.007. View

14.

Adde L, Helbostad J, Jensenius A, Langaas M, Stoen R . Identification of fidgety movements and prediction of CP by the use of computer-based video analysis is more accurate when based on two video recordings. Physiother Theory Pract. 2013; 29(6):469-75. DOI: 10.3109/09593985.2012.757404. View

15.

Silva N, Zhang D, Kulvicius T, Gail A, Barreiros C, Lindstaedt S . The future of General Movement Assessment: The role of computer vision and machine learning - A scoping review. Res Dev Disabil. 2021; 110:103854. PMC: 7910279. DOI: 10.1016/j.ridd.2021.103854. View

16.

Bultmann C, Orlikowsky T, Hausler M, Trepels-Kottek S, Disselhorst-Klug C, Schoberer M . Spontaneous movements in the first four months of life: An accelerometric study in moderate and late preterm infants. Early Hum Dev. 2019; 130:1-9. DOI: 10.1016/j.earlhumdev.2019.01.002. 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.

Yang H, Einspieler C, Shi W, Marschik P, Wang Y, Cao Y . Cerebral palsy in children: movements and postures during early infancy, dependent on preterm vs. full term birth. Early Hum Dev. 2012; 88(10):837-43. PMC: 3437561. DOI: 10.1016/j.earlhumdev.2012.06.004. View

19.

Hitzert M, Roze E, van Braeckel K, Bos A . Motor development in 3-month-old healthy term-born infants is associated with cognitive and behavioural outcomes at early school age. Dev Med Child Neurol. 2014; 56(9):869-76. DOI: 10.1111/dmcn.12468. View

20.

Dusing S, Izzo T, Thacker L, Galloway J . Postural complexity differs between infant born full term and preterm during the development of early behaviors. Early Hum Dev. 2014; 90(3):149-56. PMC: 3950939. DOI: 10.1016/j.earlhumdev.2014.01.006. View