Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?
Article first published online: 29 MAR 2007
Volume 95, Issue 10, pages 1202–1208, October 2006
How to Cite
DE Kleine, M. J. K., Van Der Sanden, M. W. G. N. and Den Ouden, A. L. (2006), Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?. Acta Paediatrica, 95: 1202–1208. doi: 10.1080/08035250500525301
- Issue published online: 29 MAR 2007
- Article first published online: 29 MAR 2007
- (Received 10 May 2005; revised 19 September 2005; accepted 14 December 2005)
- Low-birthweight children;
- motor development;
- outcome assessment;
- preterm children
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.