Better Prediction of Neuro - Developmental Outcome in Babies Using Combined Vojta’s Neurokinesiological Examination, Amiel Tison Angles and Head Holding Grades

  • Ashish Jain Department of Neonatology, Maulana Azad Medical College, Delhi, India
  • H Veerabhadrappa Department of Paediatrics, MR Medical College, Gulbarga, Karnataka, India
  • SW Shrikant Department of Paediatrics, MR Medical College, Gulbarga, Karnataka, India
  • Nisha Kumari Department of Paediatrics, Imperial College Healthcare NHS Trust, London, UK
Keywords: Amiel-Tison angles, High risk babies, Trivendrum development screening chart, Vojta's neurokinesiological

Abstract

Introduction: With the advances in medical technology, the survival rate has increased amongst the high-risk neonates. Changes occurring in the neuro-motor function during the first year of life are closely related to the maturation of the central nervous system of babies and the presence or absence of injury to brain. These should be detected as early as possible, so that intervention programmes can be started.

Methods: A prospective study was done in NICU of a teaching hospital, to find the predictive value of combined assessment by three neuro-developmental examinations Viz. Vojta’s Neurokinesiological examination, Amiel-Tison angles and head holding grades. Total 375 babies with various high risk category were included, out of which only 114 infants completed one-year follow-up. On the first visit a detailed neurological examination was performed using Vojtas Neurokinesological postures, Amiel- Tison angles and head holding grades based on Trivandrum Developmental Screening Chart (TDSC). At one year, the milestones attained were plotted against the BSID percentiles and babies assigned as developmentally delayed, if it was below 97% pass level. Sensitivity and specificity were calculated and propositions evaluated by chi-square test.

Results: 23% babies had developmental delay at one year. The important high risk factors were maternal risk factors 39%, HIE with MAS, HIE stage-III, complications during NICU stay.

Conclusions: Vojta’s Neurokinesiological examination is an effective screening test that can be applied to all high-risk neonates. The predictive value could be enhanced to 100%, by using other simple tests, like Amiel-Tison Angles and Head holding grades by TDSC.

Downloads

Download data is not yet available.
Abstract
101
PDF
79
Published
2021-04-24
How to Cite
Jain, A., Veerabhadrappa, H., Shrikant, S., & Kumari, N. (2021). Better Prediction of Neuro - Developmental Outcome in Babies Using Combined Vojta’s Neurokinesiological Examination, Amiel Tison Angles and Head Holding Grades. Journal of Nepal Paediatric Society, 41(1), 17-22. https://doi.org/10.3126/jnps.v41i1.29993
Section
Original Articles