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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Developmental coordination disorder in "apparently normal" schoolchildren born extremely preterm.

T-A Goyen¹, K Lui

¹Department of Newborn Care, Royal Hospital for Women, Barker Street, Randwick, New South Wales, Australia 2031.

Archives of Disease in Childhood

|October 8, 2008

Summary

Children born extremely prematurely or with extremely low birth weight have a high risk of developmental coordination disorder (DCD) persisting into school age. Early motor skill assessments at age 3 can effectively predict DCD.

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Area of Science:

Developmental Pediatrics
Neuroscience
Motor Control

Background:

Developmental Coordination Disorder (DCD) affects a significant proportion of children born extremely preterm or with extremely low birth weight.
Motor dysfunction in these high-risk populations can persist into school age, impacting daily activities and academic performance.

Purpose of the Study:

To determine the prevalence of DCD in extremely premature or low birth weight children at 8 years of age.
To identify early predictors of DCD in this high-risk cohort.

Main Methods:

A cohort of 50 extremely premature/low birth weight children (born <29 weeks or <1000 g) and matched full-term controls were assessed at 8 years using the Movement Assessment Battery for Children (MABC).
Previous motor assessments at 1, 3, and 5 years (Griffith's Scales, Peabody Motor Scales) were analyzed for predictive accuracy.

Main Results:

The prevalence of DCD was significantly higher in the study group (42%) compared to controls (8%).
Severe DCD was also significantly more common in the high-risk group (30% vs 0%).
Peabody Fine Motor Scales at 3 years (cutoff <27th centile) demonstrated the best predictive ability for DCD (AUC 78%).

Conclusions:

Children born extremely preterm or with extremely low birth weight are at high risk for motor dysfunction into school years.
Early motor assessments, particularly at age 3, can identify most children at risk for DCD.