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Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?

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Author: Kleine, M.J.K. de · Nijhuis-Sanden, M.W.G. van der · Ouden, A.L. den
Institution: TNO Kwaliteit van Leven
Source:Acta Paediatrica, International Journal of Paediatrics, 10, 95, 1202-1208
Identifier: 239495
doi: doi:10.1080/08035250500525301
Keywords: Health · Jeugd en Gezondheid · Low-birthweight children · Motor development · Outcome assessment · Preterm children · Controlled study · Infant · Low birth weight · Major clinical study · Medical practice · Motor dysfunction · Neurologic disease · Peurologic examination · Pediatrician · Prematurity · Screening · Cerebral Palsy · Child, Preschool · Developmental Disabilities · Follow-Up Studies · Gestational Age · Humans · Infant, Newborn · Infant, Premature · Infant, Very Low Birth Weight · Male · Motor Skills · Musculoskeletal Equilibrium · Pediatrics · Physical Examination · Sensitivity and Specificity


Aim: To determine whether paediatricians that examine, in regular clinical practice, very preterm and very-low-birthweight children at 5 y of age detect neurological impairments and functional motor problems in these children. Methods: We compared a paediatric judgement, a standardized neurological examination (Touwen examination) and a screening of motor development (Denver Developmental Screening Test; DDST) with the Movement ABC in 396 5-y-old very preterm and low-birthweight children. Results: The Movement ABC detected clinically important motor disorders in 20.5% and borderline disturbances in 22.5% of the children. Compared to the Movement ABC, the sensitivity of the paediatric judgement was 0.19, Touwen examination 0.62 and DDST 0.52; the negative predictive values were 0.61, 0.74 and 0.69, respectively. Conclusion: Paediatric assessment of motor development in 5-y-old very preterm and low-birthweight children generally is not sensitive enough to detect functional motor problems. The Movement ABC should be added to the assessment of the motor development of very preterm and low-birthweight children at 5 y of age. © 2006 Taylor & Francis.