Document Detail


Developmental coordination disorder in "apparently normal" schoolchildren born extremely preterm.
MedLine Citation:
PMID:  18838419     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To determine the prevalence of developmental coordination disorder (DCD) in "apparently normal" extremely premature (<29 weeks) or extremely low birthweight (<1000 g) schoolchildren at 8 years of age and whether motor skill assessments at an earlier age could predict DCD. METHOD: From a neonatal intensive care unit cohort, 50 of the 53 eligible children (IQ >84 and without disabilities at age 5 and residing in Sydney metropolitan) and full-term classroom controls matched for gender and age were assessed with the Movement Assessment Battery for Children (MABC) at school. Previous Griffith's Scales (1 and 3 years) and Peabody Motor Scales (3 and 5 years) results were evaluated for prediction. RESULTS: The prevalence of DCD (MABC impairment scores >1 SD below the norm) was significantly higher in the study group than controls (42% vs 8%, respectively), and severe DCD (scores >1.5 SD) was also significantly higher (30% vs 0%). DCD was independently associated with prolonged rupture of membranes and retinopathy of prematurity but not with parental education or occupation. Motor assessment using Peabody Fine Motor Scales at 3 years with a cut-off of <27th centile was the best predictor of DCD (areas under curve 78%). CONCLUSIONS: Apparently normal high-risk infants are at risk of motor dysfunction into their school years. Most of these could be identified at age 3.
Authors:
T-A Goyen; K Lui
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Publication Detail:
Type:  Journal Article     Date:  2008-10-06
Journal Detail:
Title:  Archives of disease in childhood     Volume:  94     ISSN:  1468-2044     ISO Abbreviation:  Arch. Dis. Child.     Publication Date:  2009 Apr 
Date Detail:
Created Date:  2009-03-24     Completed Date:  2009-05-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372434     Medline TA:  Arch Dis Child     Country:  England    
Other Details:
Languages:  eng     Pagination:  298-302     Citation Subset:  AIM; IM    
Affiliation:
Department of Newborn Care, Royal Hospital for Women, Barker Street, Randwick, New South Wales, Australia 2031.
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MeSH Terms
Descriptor/Qualifier:
Case-Control Studies
Child
Child Development
Child, Preschool
Developmental Disabilities / diagnosis,  epidemiology*
Female
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Male
Motor Skills
Motor Skills Disorders / diagnosis,  epidemiology*
New South Wales / epidemiology
Prevalence
Risk Factors
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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