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Association of birth factors with subsequent developmental disability: effectiveness in predicting severity as

Dayle C Armstrong1, Donna Redman-Bentley, Gary Gugelchuk

  • 1Western University of Health Science, Physical Therapy Education, 309 E. Second Street, Pomona, CA 97166, USA. darmstrong@westernu.edu

Developmental Neurorehabilitation
|November 2, 2010
PubMed

Insights

Birth factors like gestational age and Apgar scores may predict functional deficits in children with sensory processing disorders. This research aids in early identification and intervention for developmental disabilities.

Area of Science:

  • Developmental Pediatrics
  • Neuroscience
  • Child Psychology

Background:

  • Predicting developmental disabilities early is crucial for timely intervention.
  • Birth factors are increasingly recognized as potential indicators of later functional outcomes.
  • The Paediatric Evaluation of Disability Inventory (PEDI) is a key tool for assessing childhood functional abilities.

Purpose of the Study:

  • To investigate the predictive relationship between specific birth factors and functional performance in children.
  • To assess the severity of self-care, mobility, and social function using the PEDI.
  • To identify potential predictors of disability in children with typical development, sensory processing disorders, and physical disabilities.

Main Methods:

  • A cross-sectional study utilizing retrospective birth record data and concurrent PEDI scores.
  • Sixty children were categorized into three groups: typical development, sensory processing disorders, and physical disability (20 per group).
  • Statistical analyses included univariate ANOVA and forward logistic regression to compare birth factors and PEDI scores.

Main Results:

  • Significant differences were observed among the groups for both PEDI scores and birth factors.
  • Gestational age and 5-minute Apgar scores emerged as significant predictors of PEDI scores.
  • These birth factors demonstrated predictive value specifically within the group of children with sensory processing deficits.

Conclusions:

  • Two birth factors, gestational age and 5-minute Apgar scores, are associated with later functional performance.
  • This association was primarily evident in children diagnosed with sensory processing deficits.
  • The findings highlight the importance of considering birth history in understanding functional outcomes in specific pediatric populations.
Abstract

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