%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 }