Print Email Facebook Twitter Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate? Title Is paediatric assessment of motor development of very preterm and low-birthweight children appropriate? Author de Kleine, M.J.K. van der Nijhuis-Sanden, M.W.G. den Ouden, A.L. TNO Kwaliteit van Leven Publication year 2006 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. © 2006 Taylor & Francis. Subject HealthJeugd en GezondheidLow-birthweight childrenMotor developmentOutcome assessmentPreterm childrenControlled studyInfantLow birth weightMajor clinical studyMedical practiceMotor dysfunctionNeurologic diseasePeurologic examinationPediatricianPrematurityScreeningCerebral PalsyChild, PreschoolDevelopmental DisabilitiesFollow-Up StudiesGestational AgeHumansInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightMaleMotor SkillsMusculoskeletal EquilibriumPediatricsPhysical ExaminationSensitivity and Specificity To reference this document use: http://resolver.tudelft.nl/uuid:796c8c2b-6408-4859-a580-d44dfac5609a DOI https://doi.org/10.1080/08035250500525301 TNO identifier 239495 ISSN 0803-5253 Source Acta Paediatrica, International Journal of Paediatrics, 95 (10), 1202-1208 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.