Evidence map›Paper›PMID 33549070›Full record

ArticleBMC pediatrics2021

Concurrent and predictive validity of the infant motor profile in infants at risk of neurodevelopmental disorders.

Riccardo Rizzi, Valentina Menici, Maria Luce Cioni, Alessandra Cecchi, Veronica Barzacchi, Elena Beani, Matteo Giampietri, Giovanni Cioni, Giuseppina Sgandurra, Clinical CareToy-R Consortium

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01990183 nacompletednot on this map

CareToy - A Modular Smart System for Infants' Rehabilitation at Home Based on Mechatronic Toys

TypeinterventionalSponsorIRCCS Fondazione Stella MarisRan2013 to 2015Enrolled44ConditionsPreterms at Risk for Developmental DisordersArmsCareToy, Standard Care
NCT03234959 nacompletednot on this map

CareToy: a Smart System for Early Home-based Intervention in Infants at High Risk for Cerebral Palsy

TypeinterventionalSponsorIRCCS Fondazione Stella MarisRan2017 to 2020Enrolled38ConditionsCerebral PalsyArmsCareToy intervention, Infant Massage
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Riccardo RizziTuscan PhD Programme of Neuroscience, University of Florence, Pisa and Siena, Florence, Italy.
Valentina MeniciDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy.
Maria Luce CioniNeonatal Intensive Care Unit, Children's Hospital A. Meyer, Florence, Italy.
Alessandra CecchiDivision of Neonatology, Careggi University Hospital, University of Florence, Florence, Italy.
Veronica BarzacchiDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy.
Elena BeaniDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy.
Matteo GiampietriNeonatal Intensive Care Unit, Pisa University Hospital Santa Chiara, Pisa, Italy.
Giovanni CioniDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy.
Giuseppina SgandurraDepartment of Developmental Neuroscience, IRCCS Fondazione Stella Maris, Pisa, Italy. gsgandurra@fsm.unipi.it.ORCID 0000-0003-1081-1766
Clinical CareToy-R Consortium
Fondazione Stella Maris · ITUniversity of Pisa · ITMeyer Children's Hospital · ITUniversity of Florence · IT

Funding

Ministero della Salute (IT) RC2019Ministero della Salute (IT) RF-2013-02358095
6 · The paper itself

Abstract

backgroundPreterm infants and infants with perinatal brain injury show a higher incidence of neurodevelopmental disorders (NDD). The Infant Motor Profile (IMP) is a clinical assessment which evaluates the complexity of early motor behaviour. More data are needed to confirm its predictive ability and concurrent validity with other common and valid assessments such as the Alberta Infant Motor Scale (AIMS) and Prechtl's General Movement Assessment (GMA). The present study aims to evaluate the concurrent validity of the IMP with the AIMS, to assess its association with the GMA, to evaluate how the IMP reflects the severity of the brain injury and to compare the ability of the IMP and the AIMS to predict an abnormal outcome in 5-month-old infants at risk of NDD.

methods86 infants at risk of NDD were retrospectively recruited among the participants of two clinical trials. Preterm infants with or without perinatal brain injury and term infants with brain injury were assessed at 3 months corrected age (CA) using the GMA and at 5 months CA using the IMP and the AIMS. The neurodevelopmental outcome was established at 18 months.

resultsResults confirm a solid concurrent validity between the IMP Total Score and the AIMS (Spearman's ρ 0.76; p < .001) and a significant association between IMP Total Score and the GMA. Unlike the AIMS, the IMP Total score accurately reflects the severity of neonatal brain injury (p < .001) and proves to be the strongest predictor of NDD (p < .001). The comparison of areas under receiver operating characteristic curves (AUC) confirms that the IMP Total score has the highest diagnostic accuracy at 5 months (AUC 0.92). For an optimal IMP Total Score cut-off value of 70, the assessment shows high sensitivity (93%) and specificity (81%) (PPV 84%; NPV 90%).

conclusionsEarly motor behaviour assessed with the IMP is strongly associated with middle-term neurodevelopmental outcome. The present study confirms the concurrent validity of the IMP with the AIMS, its association with the GMA and its ability to reflect brain lesion load, hence contributing to the construct validity of the assessment.

trial registrationNCT01990183 and NCT03234959 (clinicaltrials.gov).

Indexed as

Infant, PrematureNeurodevelopmental DisordersAlbertaChildChild DevelopmentDevelopmental DisabilitiesHumansInfantInfant, NewbornRetrospective StudiesAlberta infant motor scaleInfant motor profileNeurodevelopmental disorder, general movement assessment

Identifiers

PMID33549070
PMCPMC7866878
OpenAlexW3103944532

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.