Abstract：
OBJECTIVE: To describe fidgety movements and co-occurring movements and postures in infants with myelomeningocele (MMC) and their association with mobility at preschool ages.
METHODS: A retrospective cohort with early assessment via general movement assessment, followed by mobility assessment between 36 and 70 months of age.
RESULTS: Twelve infants were included; 12 of 12 had fidgety movements in the upper limbs, with seven exhibiting them also in the hips and three in both the hips and ankles. The presence of fidgety movements in the lower limbs, kicking, a non-flat posture, a non-monotonous movement character, and a non-absent age-adequate movement repertoire were independently associated with mobility using the Hoffer modified classification and functional mobility scale (FMS) at 5 and 50 m. An optimality score was calculated based on leg movements and postures, ranging from 0 to 10 points. Infants who scored at least 4 points achieved household ambulation and FMS (5 m) of at least level 4. Community ambulation and an FMS (50 m) of level 5 were achieved with a score of at least 7.5.
CONCLUSIONS: Assessing fidgety movements with other leg movements and postures in infants with MMC provided relevant information that could potentially predict mobility at preschool age and thus could be used for early intervention planning.
METHODS: A retrospective cohort with early assessment via general movement assessment, followed by mobility assessment between 36 and 70 months of age.
RESULTS: Twelve infants were included; 12 of 12 had fidgety movements in the upper limbs, with seven exhibiting them also in the hips and three in both the hips and ankles. The presence of fidgety movements in the lower limbs, kicking, a non-flat posture, a non-monotonous movement character, and a non-absent age-adequate movement repertoire were independently associated with mobility using the Hoffer modified classification and functional mobility scale (FMS) at 5 and 50 m. An optimality score was calculated based on leg movements and postures, ranging from 0 to 10 points. Infants who scored at least 4 points achieved household ambulation and FMS (5 m) of at least level 4. Community ambulation and an FMS (50 m) of level 5 were achieved with a score of at least 7.5.
CONCLUSIONS: Assessing fidgety movements with other leg movements and postures in infants with MMC provided relevant information that could potentially predict mobility at preschool age and thus could be used for early intervention planning.
摘要：
目的：描述患有脊髓脊膜膨出（MMC）的婴儿的躁动运动和同时发生的运动和姿势，以及它们与学龄前活动的关系。
方法：回顾性队列，通过全身运动评估进行早期评估，随后是36至70月龄之间的流动性评估。
结果：包括12名婴儿；12名婴儿中有12名上肢烦躁，七个也在臀部展示，三个在臀部和脚踝展示。下肢有烦躁的动作，踢,不平坦的姿势，一个非单调的运动角色，并且使用Hoffer修改的分类和5和50m的功能移动性量表（FMS），非缺席的年龄适当的运动方式与移动性独立相关。根据腿部运动和姿势计算最佳得分，范围从0到10分。得分至少4分的婴儿实现了家庭步行和FMS（5m）至少4级。社区步行和5级FMS（50m）的得分至少为7.5。
结论：用其他腿部运动和姿势评估MMC婴儿的烦躁不安运动提供了相关信息，可以潜在地预测学龄前儿童的活动能力，因此可用于早期干预计划。
方法：回顾性队列，通过全身运动评估进行早期评估，随后是36至70月龄之间的流动性评估。
结果：包括12名婴儿；12名婴儿中有12名上肢烦躁，七个也在臀部展示，三个在臀部和脚踝展示。下肢有烦躁的动作，踢,不平坦的姿势，一个非单调的运动角色，并且使用Hoffer修改的分类和5和50m的功能移动性量表（FMS），非缺席的年龄适当的运动方式与移动性独立相关。根据腿部运动和姿势计算最佳得分，范围从0到10分。得分至少4分的婴儿实现了家庭步行和FMS（5m）至少4级。社区步行和5级FMS（50m）的得分至少为7.5。
结论：用其他腿部运动和姿势评估MMC婴儿的烦躁不安运动提供了相关信息，可以潜在地预测学龄前儿童的活动能力，因此可用于早期干预计划。
