Early diagnosis of abnormal development of preterm newborns: assessment instruments

Rosana S Santos1, Alexandra P Q C Araújo, Maria Amelia S Porto

  • 1Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. rosana.ft@ig.com.br

Jornal De Pediatria
|August 9, 2008
PubMed

Insights

Early screening psychomotor tests aid in identifying developmental delays, leading to timely interventions and improved outcomes. The DENVER II and Alberta Infant Motor Scale are frequently used, with others showing high sensitivity and specificity.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Neurology

Background:

  • Early identification of developmental problems is crucial for timely intervention.
  • Psychomotor development is a key indicator of a child's overall health and well-being.
  • Various screening tools exist, but their efficacy and applicability vary.

Purpose of the Study:

  • To conduct a literature review on psychomotor screening tests for early detection of developmental issues.
  • To identify commonly used and highly effective screening tools.

Main Methods:

  • Systematic literature search across SciELO, PubMed, and Google Scholar.
  • Keywords included prematurity, developmental delay, cerebral palsy, early diagnosis, and evaluation tests.
  • Inclusion criteria focused on original studies from 1985 onwards, detailing test design, applicability, and psychometric properties.

Main Results:

  • A total of 455 references were identified, with 174 studies selected for review.
  • The DENVER II and Alberta Infant Motor Scale are prevalent in Brazilian studies.
  • Movement Assessment of Infants is gaining traction, while Test of Infant Motor Performance and General Movements are noted for high sensitivity and specificity.

Conclusions:

  • Psychomotor screening tests are vital for initiating early treatment and optimizing developmental outcomes.
  • The selection of appropriate screening tools impacts the effectiveness of early intervention strategies.
  • Continued research and adoption of validated tests like the Test of Infant Motor Performance and General Movements are recommended.
Abstract

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