Establishing an early identification score system for cerebral palsy based on detailed assessment of general movements

Objective This retrospective study aimed to establish an early identification score system of cerebral palsy (CP) in the writhing movement period of high-risk infants by detailed assessment of general movements (GMs). Methods High-risk infants from our hospital during January 2016 to January 2017 were included. GMs were assessed and a detailed score was calculated. The 52-neuromotor examination for 0- to 1-year-olds was performed and follow-up outcome was determined at the 12th month according to CP diagnostic criteria. An early identification score of detailed assessment was established in the writhing movement period of infants. Results The detailed score during the writhing movement period was significantly different among the normal, poor repertoire, and cramped-synchronized groups of GMs ( F = 208.186). Detailed scores were positively related to 52-neuromotor examination scores, with a correlation coefficient of 0.218. The predictive validity of the early identification score was 92.11%, sensitivity was 100%, specificity was 90.00%, the positive predictive value was 72.73%, the negative predictive value was 100%, the false positive rate was 10, and the false negative rate was 0. Conclusion The detailed GM score in the writhing movement period is correlated with 52-neuromotor examination results. The CP early identification score could be useful in clinical practice.