NeuroMotion smartphone application for remote General Movements Assessment: a feasibility study in Nepal

ObjectivesTo evaluate the feasibility of using the NeuroMotion smartphone application for remote General Movements Assessment for screening infants for cerebral palsy in Kathmandu, Nepal.MethodThirty-one term-born infants at risk of cerebral palsy due to birth asphyxia or neonatal seizures were recr...

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Bibliographic Details
Published in:BMJ open 2024-03, Vol.14 (3), p.e080063-e080063
Main Authors: Kukka, Antti Juhani, Sundelin, Heléne E K, Basnet, Omkar, Paudel, Prajwal, Upadhyay Subedi, Kalpana, Svensson, Katarina, Brown, Nick, Litorp, Helena, Gurung, Rejina, Bhattarai, Pratiksha, Wrammert, Johan, KC, Ashish
Format: Article
Language:English
Subjects:
Age
Cerebral palsy
Children & youth
COVID-19
Developmental neurology & neurodisability
Early intervention
eHealth
Families & family life
Feasibility Studies
Follow-Up Studies
general movements assessment
Hospitals
low- and middle income countries
Medical research
Medicin och hälsovetenskap
neonatal follow-up
NEONATOLOGY
Nepal
Newborn babies
Paediatrics
Pandemics
Parents & parenting
Pediatrics
Pediatrik
pilot projects
Rehabilitation
Smartphones
Usability
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Summary:ObjectivesTo evaluate the feasibility of using the NeuroMotion smartphone application for remote General Movements Assessment for screening infants for cerebral palsy in Kathmandu, Nepal.MethodThirty-one term-born infants at risk of cerebral palsy due to birth asphyxia or neonatal seizures were recruited for the follow-up at Paropakar Maternity and Women’s Hospital, 1 October 2021 to 7 January 2022. Parents filmed their children at home using the application at 3 months’ age and the videos were assessed for technical quality using a standardised form and for fidgety movements by Prechtl’s General Movements Assessment. The usability of the application was evaluated through a parental survey.ResultsTwenty families sent in altogether 46 videos out of which 35 had approved technical quality. Sixteen children had at least one video with approved technical quality. Three infants lacked fidgety movements. The level of agreement between assessors was acceptable (Krippendorf alpha 0.781). Parental answers to the usability survey were in general positive.InterpretationEngaging parents in screening of cerebral palsy with the help of a smartphone-aided remote General Movements Assessment is possible in the urban area of a South Asian lower middle-income country.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2023-080063