{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:57:01Z","timestamp":1790060221702,"version":"4.0.1"},"reference-count":35,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2004,5,1]],"date-time":"2004-05-01T00:00:00Z","timestamp":1083369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2004,5]]},"abstract":"<jats:p> Objective: To evaluate the reliability of assessing infants' general movements (GMs) using a new classification and its validity in predicting complex minor neurological dysfunction (MND) at toddler and at school age. <\/jats:p><jats:p> Design: Prospective study of two groups of infants, each consisting of a mix of low-risk and high-risk infants. <\/jats:p><jats:p> Setting: University Hospital Groningen, the Netherlands. <\/jats:p><jats:p> Subjects: Group A consisted of 16 low-risk and 21 high-risk infants; group B of 28 low-risk and 24 high-risk infants. <\/jats:p><jats:p> Main outcome measures: Between term age and four months post term: multiple assessments of neurological condition by means of (a) assessment of GMs, and (b) a traditional neurological examination. GMs were classified into four classes using a standardized qualitative description: two classes of normal movements (normal-optimal and normal-suboptimal) and two classes of abnormal movements (mildly and definitely abnormal movements). Follow-up neurological examination with special attention to presence of MND was carried out in group A at 1% years, in group B at 4-9 years. <\/jats:p><jats:p> Results: GMs could be assessed reliably. They were stable over age in about 60% of the infants. Both the condition of the GMs and the infant neurological condition were significantly related to neurological condition at follow-up. Best prediction of complex MND was achieved when both types of infant assessment at the age of 2-4 months post term were combined. <\/jats:p><jats:p> Conclusions: The assessment of GMs is a valuable tool, in particular when combined with the traditional neurological examination, to predict at early age the development of complex MND. <\/jats:p>","DOI":"10.1191\/0269215504cr730oa","type":"journal-article","created":{"date-parts":[[2004,4,26]],"date-time":"2004-04-26T22:25:36Z","timestamp":1083018336000},"page":"287-299","source":"Crossref","is-referenced-by-count":99,"title":["Quality of general movements and the development of minor neurological dysfunction at toddler and school age"],"prefix":"10.1177","volume":"18","author":[{"given":"Mijna","family":"Hadders-Algra","sequence":"first","affiliation":[{"name":"Department of Neurology, University of Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annelies MC","family":"Mavinkurve-Groothuis","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, St. Radboud University Medical Centre, Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabina E","family":"Groen","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, University Hospital Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabeth F","family":"Stremmelaar","sequence":"additional","affiliation":[{"name":"Beatrix Children's Hospital, University Hospital Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Albert","family":"Martijn","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Hospital Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillipa R","family":"Butcher","sequence":"additional","affiliation":[{"name":"Department of Developmental and Experimental Clinical Psychology, University of Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,5,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-9457(01)00027-6"},{"key":"atypb2","unstructured":"American Psychiatric Association. 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