Development of a Developmental Prognostic Tool for the Premature Child Based on Automated Spontaneous Motor Analysis

Centre Hospitalier Universitaire de Saint Etienne129 enrolled

Overview

Prematurity is a major risk factor for poor neurodevelopmental outcomes. The clinical and neuroradiological evaluations proposed during the neonatal period to assess the developmental prognosis of children born prematurely are not sensitive and nor specific. The analysis of spontaneous motor activity by Prechtl's method has a better predictive value but is currently unfeasible in clinical routine. The study's principal objective is to describe the standardized values of complexity, variability, and fluidity of general movements.

Study Type

OBSERVATIONAL

Enrollment

129

Conditions

Premature Birth

Interventions

AcquisitionsOTHER

Three acquisitions of 1 hours during hospitalization will be realized: * a few days after hospitalization, * in the middle of the hospitalization, * a few days before hospital discharge. The child will be lying on his back in a heated cradle and filmed with a specific camera. The signal will be obtained by 2k ZED 2 stereo camera in order to obtain a three-dimensional location of the child

Medical Language ↔ Plain English

Inclusion Criteria: * Birth before 33 week of amenorrhea; * Hospitalization in the Neonatal Department of the Saint-Étienne University Hospital * Patient affiliated or entitled to a social security scheme; * Authorization to shoot the holders of parental authority; * Consent to participate in the study by the holders of parental authority Exclusion Criteria: * Need for ventilatory support; * Difficulty of thermal regulation contraindicating the use of a heating cradle; * Refusal of authorization to shoot by holders of parental authority; * Refusal of participation in the study of holders of parental authority.

Outcomes

Primary Outcomes

Automatized quantification of complexity of general movements (spatial variation).

Measured by analyze of all acquisitions.

Time frame: Year: 3

Automatized quantification of variability of general movements (temporal variations)

Measured by analyze of all acquisitions.

Time frame: Year: 3

Automatized quantification of fluidity of general movements (uniform distribution)

Measured by analyze of all acquisitions.

Time frame: Year: 3

Secondary Outcomes

Comparison between our quantitative analysis and qualitative analysis according to the reference method of Pretchl

Measured by analyze of all acquisitions.

Time frame: Year: 3

Development of a Developmental Prognostic Tool for the Premature Child Based on Automated Spontaneous Motor Analysis

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes