![]() La première étude décrit longitudinalement les GMs au moyen de trois résultats. Cette thèse présente deux études sur la constitution et la validation d’une base de données des GMs qui, en tant que mesure neuromotrice, permettra le développement d’un outil automatique destiné au nouveau-né prématuré. Cependant, deux problèmes ne favorisent pas l’utilisation de cet outil : la forte implication de la subjectivité de l’évaluateur et le manque d’études de validation pour le nouveau-né prématuré. ![]() L’analyse des mouvements généraux (GMs) est l’outil le plus adapté, car il reflète l’intégrité du système nerveux sans manipuler l’enfant. L’estimation du risque nécessite des outils d’évaluation neuromotrice qui orientent un suivi précoce et adapté aux contraintes de la prématurité. Le nouveau-né prématuré présente un risque neurologique dont la gravité augmente avec des complications cliniques. We suggest further studies for the accurate modification of the detection criteria in DDST-II and the Bayley-III for preterm babies. ![]() The detection rate also increased when applying the modified criteria in both the Bayley-III and DDST-II.Īccurate neurologic examination is more important for detection of preterm babies with neurodevelopmental impairment. The detection rates were highest when performed after 12 months corrected age, being 100% in DDST II. In DDST-II, detection rates rose from 50% to 68.6% using modified criteria. Detection rates increased by applying abnormal criteria that specified as less than 11 points in the Bayley-III scaled score. When applying conventional criteria, 22 infants and 35 infants were detected as preterm babies with neurodevelopmental impairment, as per the Bayley-III and DDST-II evaluation, respectively. Then detection rates of each corrected age group were verified using conventional criteria. The detection rate of DDST-II was identified by regarding more than 1 caution as an abnormality. ![]() Detection rate of neurodevelopmental impairment in preterm babies were investigated by modulating scaled score of the Bayley-III. ![]() Retrospective medical chart reviews which included the Bayley-III and DDST-II, were conducted for 69 preterm babies. To identify the usefulness of both the Bayley Scales of Infant and Toddler Development, 3rd edition (Bayley-III) and Denver Developmental Screening Test II (DDST-II) in preterm babies with neurodevelopmental impairment, considering the detection rate as regulation of criteria. ![]()
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