Longitudinal Follow-Up of Gross Motor Function in Children with Congenital Zika Virus Syndrome from a Cohort in Rio de Janeiro, Brazil

被引:6
作者
Hamanaka, Tatiana [1 ]
Ribeiro, Carla Trevisan M. [1 ]
Pone, Sheila [1 ]
Gomes, Saint Clair [1 ]
Nielsen-Saines, Karin [2 ]
Brickley, Elizabeth B. [3 ]
Moreira, Maria Elisabeth [1 ]
Pone, Marcos [1 ]
机构
[1] Oswaldo Cruz Fdn IFF Fiocruz, Natl Inst Women Children & Adolescents Hlth Ferna, BR-22250020 Rio De Janeiro, Brazil
[2] Univ Calif Los Angeles, David Geffen Sch Med, 10833 Le Conte Ave, Los Angeles, CA 90095 USA
[3] London Sch Hyg & Trop Med, Keppel St, London WC1E 7HT, England
来源
VIRUSES-BASEL | 2022年 / 14卷 / 06期
基金
欧盟地平线“2020”; 英国惠康基金;
关键词
zika virus; congenital zika virus syndrome; motor development; CEREBRAL-PALSY;
D O I
10.3390/v14061173
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Knowledge of how congenital Zika syndrome (CZS) impacts motor development of children longitudinally is important to guide management. The objective of the present study was to describe the evolution of gross motor function in children with CZS in a Rio de Janeiro hospital. In children with CZS without arthrogryposis or other congenital osteoarticular malformations who were followed in a prospective cohort study, motor performance was evaluated at two timepoints using the Gross Motor Function Classification System (GMFCS) and the Gross Motor Function Measurement test (GMFM-88). Among 74 children, at the baseline evaluation, the median age was 13 (8-24) months, and on follow-up, 28 (24-48) months. According to GMFCS at the second timepoint, 6 children were classified as mild, 11 as moderate, and 57 as severe. In the GMFM-88 assessment, children in the severe group had a median score of 10.05 in the baseline evaluation and a follow-up score of 12.40, the moderate group had median scores of 25.60 and 29.60, and the mild group had median scores of 82.60 and 91.00, respectively. Although a small developmental improvement was observed, the motor impairment of children was mainly consistent with severe cerebral palsy. Baseline motor function assessments were predictive of prognosis.
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页数:9
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