Share this article on:

Validity of the General Movement Optimality List in Infants Born Preterm

Ustad, Tordis PT, PhD; Evensen, Kari Anne I. PT, PhD; Bertoncelli, Natascia PT; Frassoldati, Rossella MD; Ferrari, Fabrizio MD, PhD

doi: 10.1097/PEP.0000000000000445
Research Reports

Purpose: To examine concurrent and predictive validity of the optimality list “Detailed Assessment of General Movements (GMs) During Preterm and Term Age.”

Methods: Video clips of general movements were analyzed for 20 infants born preterm without severe brain lesions. Concurrent validity of the optimality list compared with the General Movement Assessment (GMA) was examined. The General Movement Optimality Scores (GMOSs) between infants with normal and poor repertoire GMA were examined. Estimates of diagnostic accuracy were calculated.

Results: The GMOS correlated with the GMA and differed between infants with normal and poor repertoire GMA. The area under the curve was below 0.53 with respect to normal or abnormal general movements at 3 months' corrected age.

Conclusions: Concurrent validity of the optimality list was moderate to high compared with the GMA, but its predictive validity for general movements at 3 months' corrected age was low.

To examine concurrent and predictive validity of the optimality list detailed assessment of General Movements during preterm and term age.

Department of Clinical Services (Dr Ustad), St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway; Department of Laboratory Medicine (Drs Ustad and Evensen), Children's and Women's Health, and Department of Public Health and Nursing (Dr Evensen), Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Department of Physiotherapy (Dr Evensen), Trondheim Municipality, Trondheim, Norway; Institute of Pediatrics and Neonatal Medicine and NICU (Ms Bertoncelli and Drs Frassoldati and Ferrari), Modena University Hospital, Modena, Italy.

Correspondence: Tordis Ustad, PT, PhD, Department of Clinical Services, St Olavs Hospital, Trondheim University Hospital, PB 3250 Sluppen, N-7006 Trondheim, Norway (tordis.ustad@stolav.no).

Grant Support: This study was supported by The Norwegian ExtraFoundation for Health and Rehabilitation (project number 0223).

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (www.pedpt.com).

At the time this article was written, Tordis Ustad was a PhD candidate at the Norwegian University of Science and Technology, Department of Laboratory Medicine, Children's and Women's Health, Trondheim, Norway.

The authors declare no conflicts of interests.

Copyright © 2017 Wolters Kluwer Health, Inc. and Section on Pediatrics of the American Physical Therapy Association. All rights reserved.