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Introducing Sendd

System for Early Neurological Deviation Detection


SEND US FIDGETY MOVEMENTS IN OUR EFFORTS IN EARLY NEUROLOGICAL DEVIATION DETECTION IN SMALL CHILDREN


  • Mother with child consulting a pediatrician

ABOUT THE METHOD

During infancy, the child acquires more and more skills, e.g. begins to reach for objects and grasp, turn from the back to the abdominal position and sit independently. In those periods of infancy neuropediatricians can estimate whether a child deviates from the norm in acquiring a particular skill by age and a sufficient quality level in it. In the neurological assessment in early infancy (first 3-4 months) reactions in certain positions, uprightness, control of the head, tone, reflexes, contact… are assessed, but in spontaneous movements the first 3 months of life are dominated by infant fidgeting.

GENERAL MOVEMENTS ASSESSMENT

The amount (quantity) of fidgety movements does not provide great diagnostic and prognostic significance, but the quality of fidgety movements does and can be assessed. The assessment of the quality of spontaneous movements (general movements assessment) is a method of observing the function of the motor part of a young infant’s brain in development based on the assessment of recorded of variety fidgety movements . As a method, it began to be researched 30 years ago and has since been repeatedly proven to be one of the most reliable methods of outcome assessment, especially in the group of neurorisk children.

METHOD CHARACTERISTICS

Progress in video recording technology opens up the possibility of recording high-quality video in a home environment (e.g. high-resolution cameras on smartphones) and processing the image with advanced computer vision algorithms of artificial intelligence systems

1.

Simple, early available and repeatable

The brain in early development during spontaneous movements constantly tries different combinations of signals from the brain that result in random movements of the whole body. A healthy brain continuously produces new complex and diverse movements spatially and temporally. Early diagnosis which includes assessment of the quality of spontaneous movements is important for early detection of neurodevelopmental disorders

2.

Completely harmless and non-invasive

The procedure is completely non-invasive, the child is not exposed to a stressful environment or situations. It takes place in a very simple way: a video of a child lying on the back on a flat surfacer without additional external stimuli is recorded, the recording lasts ten minutes while the child is optimally distributed. The doctor then analyzes the video, assesses the quality of the movement and classifies the movement into one of four categories.

3.

Reliable, standardized and evidence based proven

Thirty years ago, scientists discovered that the quality of fidgety or spontaneous movements could be analyzed and linked to the development of deviations in mobility later in life. The more diverse and complex the flutter, the better, and if it is less variable, even uniform, stereotypical, it means that we can expect deviations in motor development.

CONTRIBUTION

If you are interested in participating in this project by voluntarily providing a video of your child’s fidgeting and receiving a free assessment of the quality of spontaneous movements. In the SENDD project, we include children in the age range of 1.5-3.5 months, optimally 2-3 months of age. Here are some of the requirements you need to fulfill to participate in this project. You will find more detailed requirements during the video submission process.

TECHNICAL REQUIREMENTS

  • High resolution mobile camera
  • Good lighting
  • Monotonous environment
  • Recordings must be from a bird’s eye view

CHILD'S CONDITIONS

  • Child should be lying on the back on a flat surface
  • Child shoud be lightly dressed
  • No external influences on behavior
  • Multiple unique recordings during the child’s first 2-3 months

RESEARCH PAPERS ABOUT THIS METHOD

  • The Journal of Pediatrics

    The assessment of the quality of GMs is a sensitive tool to evaluate brain functions in your infants.

    — MIJNA HADDERS-ALGRA,MD,PHD, GENERAL MOVEMENTS: A WINDOW FOR EARLY IDENTIFICATION OFCHILDREN AT HIGH RISK FOR DEVELOPMENTAL DISORDERS

  • Early Human Development journal

    The qualitative assessment of general movements is a powerful diagnostic procedure of a truly non-intrusive nature.

    — H.F.E. Prechtl, Early Human Development

  • Assesment of general movements review

    Beside a sensitivity and specificity of 95% each, the assessment of GMs is quick, noninvasive, and cost-effective compared with other techniques, e.g., magnetic resonance imaging, brain ultrasound, and traditional neurological examination

    — Christa Einspieler, Heinz F. R. Prechtl, Prechtl's assessment of general movements: A diagnostic tool for the functional assessment of the young nervous system

  • Pediatric neurology journal

    The results of this systematic review indicate that the qualitative assessment of general movements, especially during the fidgety movements period, can be used as a prognostic tool to identify infants with neurodevelopmental disabilities

    — Marlette Burger, Quinette A. Louw, The predictive validity of general movements

ABOUT SENDD

In several places in the world, research teams are already working on the development of a digital system for early detection of potential neurodevelopmental disorders in infants, we have embarked on a significant research and development project that will be applicable in diagnostics and globally available. Through the cooperation of the Polyclinic dr. Sabol and the IT company TIS-Objektni informacijski sustavi, a joint project called SENDD (System for Early Neurological Deviation Detection) was started, partly funded by European funds for research and development.


TIS

For 30 years we develop, implement and maintain innovative ICT solutions that touch millions of users

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POLYCLINIC DR. SABOL

The first private pediatric health institution in the Republic of Croatia, founded in 1993.

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