IKBFU's Vestnik

2016 Issue № 2

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Fetal behavior and the prediction of neuropsychiatric development

Pages
39-50

Abstract

Over the past 30 years, ultrasound examination during pregnancy revealed a surprising variety of fetus movements. It has been proven that the fetal activity begins at the end of the embryo period, week 7—9 of gestation. The analysis of the movemental patterns of the fetus has led to the hypothesis that these patterns directly reflect the development and maturation of the central nervous system. The 2D-4D ultrasound makes it possible to identify measurable parameters for assessing the neurological and behavioural development ofthe fetus. Multicentre studies were performed to identify normal and abnormal movements of the fetus. Having analysed the obtained data, the authorspropose a set of criteria for assessing the fetus neurological behaviour, allowing clinicians to better predict neurological outcome of a high-risk pregnancy.

Reference

1. Vries J. I. P. de, Visser G. H. A., Prechtl H. F. R. The emergence of fetal behaviour. 1. Qualitative· aspects // Early Hum Develop. 1982. Vol. 7. P. 301—322.
2. Vries J. I. P. de, Visser G. H. A., Prechtl H. F. R. The emergence of fetal behaviour. II. Quantitative aspects// Early Hum Develop. 1985. Vol. 12. P. 99—120.
3. Prechtl H. F. R., Nolte R. Motor behaviour of preterm infants //Continuity of neural functions from prenatal to postnatal life / ed. H. F. R. Prechtl. Oxford, 1984. Vol. 94. P. 79—92.
4. Einspieler C., Prechtl H. F. R., Ferrari F. et al. The qualitative assessment of general movements in preterm, term and young infants — review of the methodology // Early Human Development. 1997. Vol. 50. P. 47—60.
5. Amiel-Tisson C., Gosselin J. From neonatal to fetal neurology: some clues for interpreting  fetal findings // Donald School Journal of Ultrasound in Obstetrics and Gynecology. 2008. Vol. 2(3). P. 48—63.
6. DiPietro J. A., Bronstein M. H., Costigan K. A. et al. What does fetal movement  predict about behavior during the first two years of life? // Dev Psychobiol 2002. Vol. 40. P. 358—371.
7. Kurjak A., Tikvica A., Stanojevic M. et al. The assessment of fetal neurobehavior  by three-dimensional and four-dimensional ultrasound // The Journal of Maternal-Fetal and Neonatal Medicine. 2008. Vol. 21(10). P. 675—684.
8. Prechtl H. F. R., Fargel J. W., Weinmann H. M., Bakker H. H. Postures, motility and  respiration of low-risk preterm infants // Developmental Medicine & Child Neurology. 1979. Vol. 21. P. 3—27.
9. Prechtl H. Qualitative changes of spontaneous movements in fetus and preterm  infants are the marker of neurological dyssfuction // Early Human Development. 1990. Vol. 23. P. 151—159.
10. Einspieler C., Prechtl H. F. R., Ferrari F. et al. The qualitative assessment of general movements in preterm, term and young infants — review of the methodology // Early Human Development. 1997. Vol. 50. P. 47—60.
11. Prechtl's Method on the Qualitative Assessment of General Movements in Preterm, Term and Young Infants / Ch. Einspieler, H. F. R. Prechtl, A. F. Bos [et al.]. Cambridge, 2005.
12. Hopkins B., Prechtl H. F. R. A qualitative approach to the development of  movements during early infancy //Continuity of Neural Functions from Prenatal to Postnatal Life / ed. H. F. R. Prechtl. MacKeith Press, 1984. P. 17—97.
13. Hadders-Algra M. General movements: a window for early identification of children  at high risk for developmental disorders // J. Pediatr. 2004. Vol. 145. P. 12—18. 
14. Einspieler C., Marschik P. B., Prechtl H. F. R. Human Motor Behavior Prenatal  Origin and Early Postnatal Development // Journal of Psychology. 2008. Vol. 216(3). P. 148—154.
15. Prechtl H. F. R. Qualitative changes of spontaneous movements in fetus and preterm infants as marker of neurological dysfunction // Early human Dev. 1990. Vol. 23. P. 151—158.
16. Kurjak A., Andonotopo W., Hafner T. et al. Normal standards for fetal neurobehavioral  developments — longitudinal quantification by four-dimensional sonography // J. Perinat. Med. 2006. Vol. 34. P. 56—65.
17. Prechtl H. F. R. General movement assessment as a method of developmental neurology: new paradigms and their consequences // Developmental Medicine & Child Neurology. 2001. Vol. 43. P. 836—842.
18. Groen S. E., de Blecourt A. C., Postema K., Hadders-Algra M. General movements  in early infancy predict neuromotor development at 9—12 years of age // Dev. Med. Child Neurol. 2005. Vol. 47. P. 731—736.
19. Hadders-Algra M. General movements: a window for early identification of  children at high risk of developmental disorders // J. Pediatr. 2004. Vol. 145. P. 12—18.
20. Einspieler C., Marschik P. B., Prechtl H. F. R. Human Motor Behavior Prenatal Origin and Early Postnatal Development // Journal of Psychology 2008. Vol. 216(3). P. 148—154.
21. Feller M. B. Spontaneous correlated activity in developing neural circuits //  Neuron. 1999. Vol. 22. P. 653—656. 
22. O’Donovan M. J. The origin of spontaneous activity in developing networks of the vertebrate nervous system // Current pinion in Neurobiology. 1999. Vol. 9. P. 94—104.
23. Grillner S., Deliagina T., Ekeberg O. E. et al. Neural networks that co-ordinate locomotion and body orientation in lamprey // Trends in Neurosciences. 1995. Vol. 18. P. 270—279.
24. Cazalets J. R., Squalli-Houssaini Y., Clarac F. Activation of the central pattern generators for locomotion by serotonin and excitatory amino acids in neonatal rat // Journal of Physiology. 1992. Vol. 455. P. 187—204.
25. Alexander G. E., Crutcher M. D. Functional architecture of basal ganglia circuits:  neural substrates of parallel processing // Trends in Neurosciences. 1990.Vol. 13. P. 266—271.
26. Hadders-Algra M. The Neuronal Group Selection Theory: a framework to explain variation in normal motor development // Developmental Medicine & Child Neurology. 2000. Vol. 42. P. 566—572.
27. Hadders-Algra M. General movements: a window for early identification of children at high risk of developmental disorders // Journal of Pediatrics. 2004. Vol. 145. P. 12—18.
28. Ferrari F., Cioni G., Prechtl H. F. R. Qualitative changes of general movements in preterm infants with brain lesions // Early Human Development. 1990. Vol. 23. P. 193—233.
29. Prechtl H. F. R., Einspieler C., Cioni G. et al. An early marker for neurological deficits after perinatal brain lesions // Lancet. 1997. Vol. 349. P. 1361—1363. 
30. Prechtl H. F.R,. Ferrari F., Cioni G. Predictive value of general movements in asphyxiated  fullterm infants // Early Human Development. 1993. Vol. 35. P. 91—120.
31. Bos A. F., Martijn A., Okken A., Prechtl H. F. R. Quality of general movements in preterm infants with transient periventricular echodensities // Acta Paediatrica. 1998. Vol. 87. P. 328—335.
32. Einspieler C. Abnormal spontaneous movements in infants with repeated  sleep apnoeas // Early Human Development. 1994. Vol. 36. P. 31—49.
33. Okken A., Prechtl H. F. R. Spontaneous motility in preterm, small for gestational age infants. II. Qualitative aspects // Early Human Development. 1997. Vol. 50. P. 131—147.
34. Bekedam D. J., Visser G. H. A., Vries J. I. P. de, Prechtl H. F. R. Motor behaviour in  the growth retarded fetus // Early Human Development. 1985. Vol. 12. P. 173—182. 
35. Sival D. A., Visser G. H. A., Prechtl H. F. R. The effect of intrauterine growth retardation on the quality of general movements in the human fetus // Early Human  Development. 1992. Vol. 28. P. 119—132.
36. Bos A. F., Einspieler C., Prechtl H. F. R. Intrauterine growth retardation, general  movements and neurodevelopmental outcome — a review // Developmental Medicine& Child Neurology. 2001. Vol. 43. P. 61—68.
37. Bos A. F., Martijn A., Asperen R. M. van et al. Qualitative assessment of general movements in high risk preterm infants with chronic lung disease requiring dexamethasone therapy // Journal of Pediatrics. 1998. Vol. 132. P. 300—306.
38. Bos A. F., Asperen R. M. van, Leeuw D. M. de, Prechtl H. F. R. The influence of septicaemia on spontaneous motility in preterm infants // Early Human Development. 1997. Vol. 50. P. 61—70.
39. Ferrari F., Prechtl H. F. R., Cioni G. et al. Behavioural states, posture and spontaneous movements in infants affected by brain malformation // Early Human Development. 1997. Vol. 50. P. 87—113.
40. Kainer F., Prechtl H. F. R., Engele H., Einspieler C. Prenatal and postnatal assessment of the quality of general movements in infants of women with type-I diabetes mellitus // Early Human Development. 1997. Vol. 50. P. 13—25.
41. Iersela P. A. M. van, Bakkerb S. C. M., Jonkera A. J. H., Hadders-Algrac M. Quality of general movements in term infants with asphyxia// Early Human Development. 2009. Vol. 85 (1). P. 7—12.
42. Hamer E. G., Bos A. F., Hadders-Algra M. Specific characteristics of abnormal general movements are associated with functional outcome at school age// Early Human Development. 2016. Vol. 95. P. 9—13.