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Biomedical subjects

J S Gallenstein

Publications and source records attributed to J S Gallenstein.

3 recordsLinked to original sources

The infant motor screen.

The authors describe the Infant Motor Screen, which is a brief evaluation of the quality of motor patterns of preterm infants from four to 16 months of age. It was developed for use with an assessment of motor milestones as part of a developmental screening program for high-risk infants. 111 infants were tested at four months and 58 at eight months. The predictive validity for cerebral palsy was high: sensitivity and specificity, respectively, were 0.93 and 0.89 at four months and 1.00 and 0.96 at eight months. Inter-observer agreement was between 0.82 and 0.87 for item scoring and between 0.93 and 1.00 for test rating.

Cerebral Palsy↗

Developmental prognosis for infants with benign enlargement of the subarachnoid spaces.

The development of nine infants with enlarged subarachnoid spaces identified by specific CT-scan criteria was prospectively followed to two to three years of age. Infants with intracranial hemorrhage, CNS anomaly, microcephaly or other factors of potentially major negative impact on their development were excluded. All study infants had normal or only minimally increased ventricular size and none developed hydrocephalus. Head circumference was greater than or equal to 90th percentile in all cases, and six fathers also had a head circumference greater than or equal to 90th percentile. Six infants had gross motor delay and mild hypotonia in the first year. One, born at 30 weeks gestational age, had transient dystonia. At follow-up all the infants were developing normally, apart from four with minor concerns. Infants with macrocephaly or rapid head-growth, CT-scan findings of enlarged subarachnoid spaces and normal to minimally increased ventricular size, and who have a parent with macrocephaly, have a good developmental prognosis and a characteristic pattern of neuromotor development in the first year.

Cephalometry↗

Effects of electromyographic feedback training on motor control in spastic cerebral palsy.

Electromyographic feedback training may play a special role in increasing active range of motion in spastic cerebral palsied individuals. The effects of electromyographic feedback training were documented on four persons with spastic diplegic cerebral palsy within a single subject design. Subjects received immediate auditory and visual feedback twice daily during ten consecutive days. Electromyographic feedback training resulted in increases in the active range of motion of the ankle joint of from 20 percent to 500 percent in the limbs trained during the first five days with electromyographic feedback and of from 33 percent to 450 percent in the limbs trained in the last five days. The acquired active range of motion was maintained by two of the subjects over intervals of from four to nine weeks.

Adolescent↗