Abstract

Preterm birth is associated with increased risks of neurological and motor impairments such as cerebral palsy. The risks are highest in those born at the lowest gestations. Early identification of those most at risk is challenging meaning that a critical window of opportunity to improve outcomes through therapy-based interventions may be missed. Clinically, the assessment of spontaneous general movements is an important tool, which can be used for the prediction of movement impairments in high risk infants. Movement recognition aims to capture and analyze relevant limb movements through computerized approaches focusing on continuous, objective, and quantitative assessment. Different methods of recording and analyzing infant movements have recently been explored in high risk infants. These range from camera-based solutions to body-worn miniaturized movement sensors used to record continuous time-series data that represent the dynamics of limb movements. Various machine learning methods have been developed and applied to the analysis of the recorded movement data. This analysis has focused on the detection and classification of atypical spontaneous general movements. This article aims to identify recent translational studies using movement recognition technology as a method of assessing movement in high risk infants. The application of this technology within pediatric practice represents a growing area of inter-disciplinary collaboration, which may lead to a greater understanding of the development of the nervous system in infants at high risk of motor impairment.

Highlights

  • IntroductionEach year more than 15 million babies worldwide are born preterm (before 37 weeks gestational age) and the number of cases continues to rise [1]

  • Each year more than 15 million babies worldwide are born preterm and the number of cases continues to rise [1]

  • The aim of this article is to briefly summarize the current most evidence based clinical approach to observational movement assessment in high risk infants (Prechtl’s General Movements Assessment) and identify the current studies, which have applied a variety of automated movement recognition technologies to assess infant movement

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Summary

Introduction

Each year more than 15 million babies worldwide are born preterm (before 37 weeks gestational age) and the number of cases continues to rise [1]. Infants born preterm are at higher risk of developing motor impairment than infants born at term [2]. Cerebral palsy (CP) is a common motor impairment [3] for high risk infants (such as those born preterm) and these infants are at high risk of developmental delay and other motor coordination disorders [4]. There are currently no standardized clinical guidelines for the prediction of motor impairment in high risk infants and the identification of those at highest risk typically involves the integration of clinical history, neuroimaging results, different clinical assessments, and experience of health care professionals. The assessment of spontaneous general movements is an important tool, which can be used for the prediction of movement impairments in high risk infants [5]

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