%0 Journal Article %1 Barnett2004 %A Barnett, A. L. %A Guzzetta, A. %A Mercuri, E. %A Henderson, S. E. %A Haataja, L. %A Cowan, F. %A Dubowitz, L. %D 2004 %J Arch Dis Child %K Brain Diseases; Cerebral Palsy; Child; Child Development; Child, Preschool; Humans; Infant; Infant, Newborn; Intelligence Tests; Motor Skills Disorders; Neurologic Examination; Neuropsychological Prognosis; Psychomotor Sensitivity and Specificity %N 7 %P 637--643 %R 10.1136/adc.2002.019349 %T Can the Griffiths scales predict neuromotor and perceptual-motor impairment in term infants with neonatal encephalopathy? %U http://dx.doi.org/10.1136/adc.2002.019349 %V 89 %X AIMS: To examine the predictive value of early developmental testing for identifying neuromotor and perceptual-motor impairment at school age in children with neonatal encephalopathy (NE). METHODS: Eighty full term infants with NE were followed longitudinally. Where possible, children were tested on the Griffiths scales at 1 and 2 years and at 5-6 years, on the Touwen Examination, Movement ABC, and WPPSI. The relation between the Griffiths scores and later outcome measures was examined using correlation coefficients and sensitivity and specificity values. RESULTS: By 2 years, 25 children with cerebral palsy were too severely impaired to be formally assessed and remained so at 5-6 years. Abnormal Griffiths scores were obtained by 12\% and 7\% of the children at 1 and 2 years respectively. At 5-6 years, 33\% had poor Movement ABC scores and 15\% poor WPPSI scores. The highest correlation between Griffiths scores and the outcome measures was for the Movement ABC (0.72), although this accounted for only 50\% of the variance. Sensitivity scores for the Movement ABC were below 70\% but specificity was 100\%. CONCLUSIONS: A poor score on the Griffiths scales at 1 and/or 2 years is a good predictor of impairment at school age. However, a normal score in the early years cannot preclude later neurological, perceptual-motor, or cognitive abnormalities.

@article{Barnett2004, abstract = {AIMS: To examine the predictive value of early developmental testing for identifying neuromotor and perceptual-motor impairment at school age in children with neonatal encephalopathy (NE). METHODS: Eighty full term infants with NE were followed longitudinally. Where possible, children were tested on the Griffiths scales at 1 and 2 years and at 5-6 years, on the Touwen Examination, Movement ABC, and WPPSI. The relation between the Griffiths scores and later outcome measures was examined using correlation coefficients and sensitivity and specificity values. RESULTS: By 2 years, 25 children with cerebral palsy were too severely impaired to be formally assessed and remained so at 5-6 years. Abnormal Griffiths scores were obtained by 12\% and 7\% of the children at 1 and 2 years respectively. At 5-6 years, 33\% had poor Movement ABC scores and 15\% poor WPPSI scores. The highest correlation between Griffiths scores and the outcome measures was for the Movement ABC (0.72), although this accounted for only 50\% of the variance. Sensitivity scores for the Movement ABC were below 70\% but specificity was 100\%. CONCLUSIONS: A poor score on the Griffiths scales at 1 and/or 2 years is a good predictor of impairment at school age. However, a normal score in the early years cannot preclude later neurological, perceptual-motor, or cognitive abnormalities.}, added-at = {2014-07-19T17:54:07.000+0200}, author = {Barnett, A. L. and Guzzetta, A. and Mercuri, E. and Henderson, S. E. and Haataja, L. and Cowan, F. and Dubowitz, L.}, biburl = {https://www.bibsonomy.org/bibtex/20f56bbf589d149da925fa8ae487163e7/ar0berts}, doi = {10.1136/adc.2002.019349}, groups = {public}, interhash = {12cd762eb57df0ac60f3d3cdf882ee75}, intrahash = {0f56bbf589d149da925fa8ae487163e7}, journal = {Arch Dis Child}, keywords = {Brain Diseases; Cerebral Palsy; Child; Child Development; Child, Preschool; Humans; Infant; Infant, Newborn; Intelligence Tests; Motor Skills Disorders; Neurologic Examination; Neuropsychological Prognosis; Psychomotor Sensitivity and Specificity}, month = Jul, number = 7, pages = {637--643}, pii = {89/7/637}, pmid = {15210495}, timestamp = {2014-07-19T18:01:48.000+0200}, title = {Can the Griffiths scales predict neuromotor and perceptual-motor impairment in term infants with neonatal encephalopathy?}, url = {http://dx.doi.org/10.1136/adc.2002.019349}, username = {ar0berts}, volume = 89, year = 2004 }