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Listening to parents' concerns: three case examples of infants with developmental motor delays
1Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z3. susan.harris@ubc.ca
Insights
Parental concerns regarding infant motor delays align with clinical assessments. Both the Harris Infant Neuromotor Test (HINT) and Bayley-II Motor Scale identified significant delays in infants, validating parental observations.
Area of Science:
- Pediatric neurology
- Developmental pediatrics
- Clinical assessment
Background:
- Parental concerns are crucial indicators of potential infant developmental issues.
- Standardized motor assessments are vital for diagnosing developmental delays.
Observation:
- Three infants with suspected motor delays were evaluated.
- Parental concerns were compared against results from the Harris Infant Neuromotor Test (HINT) and the Bayley-II Motor Scale.
Findings:
- All infants exhibited significant motor delays, confirming parental concerns.
- The HINT categorized all infants as significantly delayed (>2 SD above the mean).
- The Bayley-II Motor Scale also indicated significantly delayed motor performance (>2 SD below the mean).
Implications:
- Pediatric physical therapists should validate and assess parental concerns about infant motor delays.
- Early intervention services are recommended for infants identified with motor delays.
- This study highlights the concordance between parental perception and objective testing in identifying infant motor delays.
Purpose:
The primary purpose of this clinical report was to compare parents' concerns about their infants' suspected motor delays with scores on the Harris Infant Neuromotor Test (HINT) and the Bayley-II Motor Scale. The second purpose was to determine whether there was agreement in categorizing the delays on the 2 tests.
Summary Of Key Points:
Three female infants with parent-identified concerns of motor delay were assessed on the HINT and Bayley-II Motor Scale. All showed significant delays, corroborating parental concerns. On the HINT, all scored >2 SD above the mean, being categorized as significantly delayed. On the Bayley-II Motor Scale, all demonstrated significantly delayed motor performance, ie, >2 SD below the mean.
Recommendations For Clinical Practice:
Pediatric physical therapists should listen to parents' concerns about their infants with suspected motor delays and provide assessments to address these concerns. When appropriate, these infants should be referred for early intervention services.
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