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.
%0 Journal Article
%1 Kleine2006
%A Kleine, Martin J K De
%A Sanden, Maria W G Nijhuis-Van Der
%A Ouden, A. Lya Den
%D 2006
%J Acta Paediatr
%K Cerebral Palsy; Child, Preschool; Developmental Disabilities; Follow-Up Studies; Gestational Age; Humans; Infant, Newborn; Premature; Very Low Birth Weight; Male; Motor Skills; Musculoskeletal Equilibrium; Ped; Physical Examination; Sensitivity and Specificity; iatrics
%N 10
%P 1202--1208
%R 10.1080/08035250500525301
%T Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?
%U http://dx.doi.org/10.1080/08035250500525301
%V 95
%X 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.
@article{Kleine2006,
abstract = {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.},
added-at = {2014-07-19T20:38:13.000+0200},
author = {Kleine, Martin J K De and Sanden, Maria W G Nijhuis-Van Der and Ouden, A. Lya Den},
biburl = {https://www.bibsonomy.org/bibtex/27156c59a3c146c5ae18b2f96a640577b/ar0berts},
doi = {10.1080/08035250500525301},
groups = {public},
interhash = {c226584f34f67050bf2c4c51f3d0d217},
intrahash = {7156c59a3c146c5ae18b2f96a640577b},
journal = {Acta Paediatr},
keywords = {Cerebral Palsy; Child, Preschool; Developmental Disabilities; Follow-Up Studies; Gestational Age; Humans; Infant, Newborn; Premature; Very Low Birth Weight; Male; Motor Skills; Musculoskeletal Equilibrium; Ped; Physical Examination; Sensitivity and Specificity; iatrics},
month = Oct,
number = 10,
pages = {1202--1208},
pii = {P6187116406636G5},
pmid = {16982490},
timestamp = {2014-07-19T20:38:13.000+0200},
title = {Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?},
url = {http://dx.doi.org/10.1080/08035250500525301},
username = {ar0berts},
volume = 95,
year = 2006
}