Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/129379
Citations | ||
Scopus | Web of Science® | Altmetric |
---|---|---|
?
|
?
|
Type: | Journal article |
Title: | Does the Bayley-III Motor Scale at 2 years predict motor outcome at 4 years in very preterm children? |
Author: | Spittle, A.J. Spencer-Smith, M.M. Eeles, A.L. Lee, K.J. Lorefice, L.E. Anderson, P.J. Doyle, L.W. |
Citation: | Developmental Medicine and Child Neurology, 2013; 55(5):448-452 |
Publisher: | Wiley-Blackwell |
Issue Date: | 2013 |
ISSN: | 0012-1622 1469-8749 |
Statement of Responsibility: | Alicia J Spittle, Megan M Spencer-Smith, Abbey L Eeles, Katherine J Lee, Lucy E Lorefice, Peter J Anderson, Lex W Doyle |
Abstract: | AIM: To assess the predictive validity of the Bayley Scales of Infant and Toddler Development - Third Edition (Bayley-III) for later motor outcome. METHOD: Ninety-six infants (49 males, 47 females) born at less than 30 weeks' gestation admitted to two tertiary hospitals in Melbourne, Australia, were assessed with the Bayley-III Motor Scale at 2 years' corrected age and were classified as suspect or definite motor impairment if they scored less than -1 or -2 standard deviations respectively, relative to the test mean. At 4 years' corrected age, children completed Movement Assessment Battery for Children - Second Edition (MABC-2); for the total motor score, cut-offs of not more than the 15th were used to classify motor development and cut-offs of not more than the 15th centile were classified as having a significant movement difficulty. RESULTS: Of the 96 children assessed at both ages, at 2 years 9% had suspect and 4% had definite motor impairment; however, by 4 years, rates had increased to 22% and 19% respectively. The specificity of the Bayley-III for motor impairments for later motor outcome was excellent (ranging from 94 to 100% for cerebral palsy [CP] and 97 to 100% for motor impairment), although the sensitivity was low (ranging from 67 to 83% for CP and 18 to 37% for motor impairment); many children with later impairment were not identified by the Bayley-III. INTERPRETATION: The Bayley-III Motor Scale at 2 years underestimates later rates of motor impairment, particularly in the absence of CP at 4 years on the MABC-2 total motor score in children born at less than 30 weeks' gestational age. |
Keywords: | Humans Movement Disorders Neurologic Examination Sensitivity and Specificity Longitudinal Studies Predictive Value of Tests Developmental Disabilities Neuropsychological Tests Gestational Age Child, Preschool Australia Female Male Infant, Extremely Premature |
Rights: | © The Authors. Developmental Medicine & Child Neurology © 2012 Mac Keith Press. |
DOI: | 10.1111/dmcn.12049 |
Grant ID: | ALE - 491309 |
Published version: | http://dx.doi.org/10.1111/dmcn.12049 |
Appears in Collections: | Aurora harvest 8 Medicine publications |
Files in This Item:
There are no files associated with this item.
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.