Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?
Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate?
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DOI：
10.1080/08035250500525301
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发表时间：
2006-10-01
期刊：
影响因子：
3.8
通讯作者：
Den Ouden, A. Lya
中科院分区：
文献类型：
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作者：
De Kleine, Martin J. K.;Nijhuis-Van Der Sanden, Maria W. G.;Den Ouden, A. Lya
目的：确定儿科医生在常规临床实践中，对5岁的极早产和极低出生体重儿童进行检查时，是否发现这些儿童存在神经损伤和功能性运动问题。方法：对396例5岁极早产儿和低出生体重儿进行儿科判断、标准化神经学检查（Touwen检查）和运动发育筛查（Denver Developmental screening Test； DDST）与运动ABC进行比较。结果：运动ABC检测出临床上重要的运动障碍为20.5%，边缘障碍为22.5%。与运动ABC法比较，小儿判断敏感性为0.19，Touwen检查敏感性为0.62，DDST敏感性为0.52；阴性预测值分别为0.61、0.74和0.69。结论：小儿对5岁极早产儿和低出生体重儿运动发育的评估通常不够灵敏，无法发现功能性运动问题。运动ABC应该被添加到5岁时非常早产和低出生体重儿童的运动发育评估中。
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 pretermand 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.