Article
Longitudinal follow-up of gross motor function in children with congenital Zika virus syndrome from a cohort in Rio de Janeiro, Brazil
Registro en:
HAMANAKA, Tatiana et al. Longitudinal follow-up of gross motor function in children with congenital Zika virus syndrome from a cohort in Rio de Janeiro, Brazil. Viruses, v. 14, n. 6, p. 1-9, 28 May 2022.
1999-4915
10.3390/v14061173
1999-4915
Autor
Hamanaka, Tatiana
Ribeiro, Carla Trevisan Martins
Pone, Sheila
Gomes Junior, Saint Clair
Nielsen-Saines, Karin
Brickley, Elizabeth B.
Moreira, Maria Elisabeth
Pone, Marcos
Resumen
RO1/ AI140718/AI/NIAID NIH HHS/United States R01 AI140718/AI/NIAID NIH HHS/United States WT_/Wellcome Trust/United Kingdom 205377/Z/16/Z/WT_/Wellcome Trust/United Kingdom 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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