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https://hdl.handle.net/2440/119498
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Type: | Journal article |
Title: | Predictive value of the Movement Assessment Battery for Children - Second Edition at 4 years, for motor impairment at 8 years in children born preterm |
Author: | Griffiths, A. Morgan, P. Anderson, P.J. Doyle, L.W. Lee, K.J. Spittle, A.J. |
Citation: | Developmental Medicine and Child Neurology, 2017; 59(5):490-496 |
Publisher: | Wiley; Mac Keith Press |
Issue Date: | 2017 |
ISSN: | 0012-1622 1469-8749 |
Statement of Responsibility: | Alison Griffiths, Prue Morgan, Peter J Anderson, Lex W Doyle, Katherine J Lee, Alicia J Spittle |
Abstract: | AIM To assess the predictive validity at 4 years of the Movement Assessment Battery for Children - Second Edition (MABC-2) for motor impairment at 8 years in children born preterm. We also aimed to determine if sex, cognition, medical, or social risks were associated with motor impairment at 8 years or with a change in MABC-2 score between 4 years and 8 years. METHOD Ninety-six children born at less than 30 weeks’ gestation were assessed with the MABC-2 at 4 years and 8 years of age. Motor impairment was defined as less than or equal to the 5th centile. The Differential Ability Scales - Second Edition (DAS-II) was used to measure General Conceptual Ability (GCA) at 4 years, with a score <90 defined as ‘below average’. RESULTS There was a strong association between the MABC-2 total standard scores at 4 years and 8 years (59% variance explained, regression coefficient=0.80, 95% confidence interval [CI] 0.69–0.91, p<0.001). The MABC-2 at 4 years had high sensitivity (79%) and specificity (93%) for predicting motor impairment at 8 years. Below average cognition and higher medical risk were associated with increased odds of motor impairment at 8 years (odds ratio [OR]=15.3, 95% CI 4.19–55.8, p<0.001, and OR=3.77, 95% CI 1.28–11.1, p=0.016 respectively). Sex and social risk did not appear to be associated with motor impairment at 8 years. There was little evidence that any variables were related to change in MABC-2 score between 4 years and 8 years. INTERPRETATION The MABC-2 at 4 years is predictive of motor functioning in middle childhood. Below average cognition and higher medical risk may be predictors of motor impairment. |
Keywords: | Humans Cerebral Palsy Movement Disorders Premature Birth Severity of Illness Index Sensitivity and Specificity Retrospective Studies Predictive Value of Tests Developmental Disabilities Gestational Age Movement Child Child, Preschool Female Male |
Rights: | © 2017 Mac Keith Press |
DOI: | 10.1111/dmcn.13367 |
Grant ID: | http://purl.org/au-research/grants/nhmrc/284512 http://purl.org/au-research/grants/nhmrc/546519 http://purl.org/au-research/grants/nhmrc/110871 http://purl.org/au-research/grants/nhmrc/1081288 |
Published version: | http://dx.doi.org/10.1111/dmcn.13367 |
Appears in Collections: | Aurora harvest 8 Paediatrics publications |
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