General Movements Assessment
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General Movements Assessment
A general movements assessment is a type of medical assessment used in the diagnosis of cerebral palsy, and is particularly used to follow up high-risk neonatal cases. The general movements assessment involves measuring movements that occur spontaneously among those less than four months of age and appears to be most accurate test for the condition. These include the tonic neck reflex, grasp reflex, Moro reflex, tongue thrust reflex and rooting reflexes. The quality of the child's general movements gives information about how the brain connects, particularly the periventricular white matter White matter refers to areas of the central nervous system (CNS) that are mainly made up of myelinated axons, also called tracts. Long thought to be passive tissue, white matter affects learning and brain functions, modulating the distributi .... The GMA is best performed 3 months post-term (if the child was born prematurely, the assessment date is not at three months old, but is ...
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Cerebral Palsy
Cerebral palsy (CP) is a group of movement disorders that appear in early childhood. Signs and symptoms vary among people and over time, but include poor coordination, stiff muscles, weak muscles, and tremors. There may be problems with sensation, vision, hearing, and speaking. Often, babies with cerebral palsy do not roll over, sit, crawl or walk as early as other children of their age. Other symptoms include seizures and problems with thinking or reasoning, which each occur in about one-third of people with CP. While symptoms may get more noticeable over the first few years of life, underlying problems do not worsen over time. Cerebral palsy is caused by abnormal development or damage to the parts of the brain that control movement, balance, and posture. Most often, the problems occur during pregnancy, but they may also occur during childbirth or shortly after birth. Often, the cause is unknown. Risk factors include preterm birth, being a twin, certain infections during pr ...
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Developmental Disabilities Research Reviews
''Developmental Disabilities Research Reviews'' (titled ''Mental Retardation and Developmental Disabilities Research Reviews'' before 2008) is a peer reviewed quarterly review journal published by John Wiley and Sons since 1995. It addresses itself to "neuroscientists, geneticists, neurodevelopmental pediatricians, and behavioral scientists interested in clinical or basic science research in aspects of brain development and function." The review is abstracted in the major relevant indices, including Medline and ERIC The given name Eric, Erich, Erikk, Erik, Erick, or Eirik is derived from the Old Norse name ''Eiríkr'' (or ''Eríkr'' in Old East Norse due to monophthongization). The first element, ''ei-'' may be derived from the older Proto-Norse ''* ain .... Quarterly journals Developmental disabilities {{neurology-journal-stub ...
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Medical Journal Of Australia
The ''Medical Journal of Australia'' is a peer-reviewed medical journal published 22 times a year. It is the official journal of the Australian Medical Association, published by Wiley on behalf of the Australasian Medical Publishing Company. The journal publishes editorials, original research, guideline summaries, narrative reviews, perspectives, medical education, reflections, and letters. The full text of every issue since January 2002 is available online. History Early origins The journal was established in 1856, when communication between Australian states and other English-speaking nations entailed long delays. The journal was both a platform for Australian medical research, as well as educational reviews summarising research done overseas. It has since been renamed several times: *''Australian Medical Journal'' (1856–1895) *''Intercolonial Quarterly Journal of Medicine and Surgery'' (1895–1896) *''Intercolonial Medical Journal of Australasia'' (1896–1909) *''Australian ...
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Primitive Reflexes
Primitive reflexes are reflex actions originating in the central nervous system that are exhibited by normal infants, but not neurologically intact adults, in response to particular stimuli. These reflexes are suppressed by the development of the frontal lobes as a child transitions normally into child development. These primitive reflexes are also called infantile, infant or newborn reflexes. Older children and adults with atypical neurology (e.g., people with cerebral palsy) may retain these reflexes and primitive reflexes may reappear in adults. Reappearance may be attributed to certain neurological conditions including dementia (especially in a rare set of diseases called frontotemporal degenerations), traumatic lesions, and strokes. An individual with cerebral palsy and typical intelligence can learn to suppress these reflexes, but the reflex might resurface under certain conditions (i.e., during extreme startle reaction). Reflexes may also be limited to those areas affected ...
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Developmental Medicine And Child Neurology
''Developmental Medicine and Child Neurology'' is a monthly peer-reviewed medical journal covering pediatric neurology and developmental medicine. The journal is published by Mac Keith Press and distributed on their behalf by Wiley-Blackwell. It is an official journal of both the American Academy for Cerebral Palsy and Developmental Medicine, the British Paediatric Neurology Association, the British Academy of Childhood Disability, the European Academy of Childhood Disability and the Academia Mexicana para la Paralisis Cerebral y Transtornos del Neurodesarollo. It was established in 1958 and the editor-in-chief is Bernard Dan. The North American Editor is Peter Rosenbaum. According to the ''Journal Citation Reports'', the journal has a 2020 impact factor The impact factor (IF) or journal impact factor (JIF) of an academic journal is a scientometric index calculated by Clarivate that reflects the yearly mean number of citations of articles published in the last two years in a g ...
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Tonic Neck Reflex
The asymmetrical tonic neck reflex (ATNR) is a primitive reflex found in newborn humans that normally vanishes around 6 months of age. It is also known as the bow and arrow or "fencing reflex" because of the characteristic position of the infant's arms and head, which resembles that of a Fencing, fencer. When the face is turned to one side, the arm and leg on that side extend, and the arm and leg on the opposite side flex. It is more likely to be seen in premature infants than full-term babies. It is rare in newborns but can be stimulated from infants to up to 3 months old. It is believed to help develop hand-eye coordination and help with awareness of both sides of the body The presence of the ATNR, as well as other primitive reflexes, such as the tonic labyrinthine reflex (TLR), beyond the first six months of life may indicate that the child has developmental delays, at which point the reflex is atypical or abnormal. For example, in children with cerebral palsy, the reflexes m ...
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Grasp Reflex
Palmar grasp reflex (or grasp reflex) is a primitive and involuntary reflex found in infants of humans and most primates. When an object, such as an adult finger, is placed in an infant's palm, the infant's fingers reflexively grasp the object. Placement of the object triggers a spinal reflex, resulting from stimulation of tendons in the palm, that gets transmitted through motor neurons in the median and ulnar sensory nerves. The reverse motion can be induced by stroking the back or side of the hand. A fetus exhibits the reflex ''in utero'' by 28 weeks into gestation (sometimes, as early as 16 weeks), and persists until development of rudimentary fine motor skills between two to six months of age. Evolutionary significance Biologists have found that the reflex is significantly more frequent in infants of fur carrying primate species. It is theorized that the grasping reflex evolved as it is essential to survival in species, usually primates, where the young are carried in the fur. ...
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Moro Reflex
The Moro reflex is an infantile reflex that develops between 28 and 32 weeks of gestation and disappears at 3–6 months of age. It is a response to a sudden loss of support and involves three distinct components: # spreading out the arms ( abduction) # pulling the arms in (adduction) # crying (usually) It is distinct from the startle reflex. Unlike the startle reflex, the Moro reflex does not decrease with repeated stimulation. The primary significance of the Moro reflex is in evaluating integration of the central nervous system. Eliciting the Moro reflex Ernst Moro elicited the Moro reflex by slapping the pillow on both sides of the infant's head. Other methods have been used since then, including rapidly lowering the infant (while supported) to a sudden stop and pinching the skin of the abdomen. Today, the most common method is the head drop, where the infant is supported in both hands and tilted suddenly so the head is a few centimeters lower than the level of the body. ...
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Tongue Thrust Reflex
Tongue thrust (also called reverse swallow or immature swallow) is a pseudo-pathological name of what is either considered a normal adaptive lip seal mechanism, whereby normal nasal breathing or normal swallowing can occur. Or, it is seen as an oral myofunctional disorder - a tongue muscle pattern that is perceived as clinically abnormal and in which the tongue protrudes anteriorly to seal otherwise incompetent lips. Tongue thrusting is only seen during speech, swallowing or eating, and in order to close otherwise incompetent lips on background of an almost ubiquitous small lower jaw and anterior open bite. The behaviour is apparent only during a normal awake state, and whilst the tongue (and rest of the body) is in normal resting tone. By descriptive inference, tongue thrusting is impossible during deep sleep, or non-tone phases; or in particular during non-conscious states. Nearly all infants exhibit a swallowing pattern involving forward tongue tip push as part of infant suc ...
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Rooting Reflex
Primitive reflexes are reflex actions originating in the central nervous system that are exhibited by normal infants, but not neurologically intact adults, in response to particular stimuli. These reflexes are suppressed by the development of the frontal lobes as a child transitions normally into child development. These primitive reflexes are also called infantile, infant or newborn reflexes. Older children and adults with atypical neurology (e.g., people with cerebral palsy) may retain these reflexes and primitive reflexes may reappear in adults. Reappearance may be attributed to certain neurological conditions including dementia (especially in a rare set of diseases called frontotemporal degenerations), traumatic lesions, and strokes. An individual with cerebral palsy and typical intelligence can learn to suppress these reflexes, but the reflex might resurface under certain conditions (i.e., during extreme startle reaction). Reflexes may also be limited to those areas affected ...
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Periventricular
Periventricular means around the ventricle and may refer to: *Periventricular leukomalacia, a disease characterized by the death of the white matter near the cerebral ventricles *Periventricular nucleus The periventricular nucleus is a thin sheet of small neurons located in the wall of the third ventricle, a composite structure of the hypothalamus. It functions in analgesia. It is located in the rostral, intermediate, and caudal regions of t ...
, a composite structure of the hypothalamus {{disambig ...
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