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Developmental coordination disorder in school-aged children born very preterm and/or at very low birth weight: a

Jessica Edwards1, Michelle Berube, Kelcey Erlandson

  • 1Department of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.

Journal of Developmental and Behavioral Pediatrics : JDBP
|September 9, 2011
PubMed

Insights

Infants born very preterm or with very low birth weight (VLBW) have a significantly higher risk of developmental coordination disorder (DCD) by school age. Early identification and intervention are crucial for these children.

Area of Science:

  • Pediatrics
  • Developmental Psychology
  • Neurology

Background:

  • Developmental Coordination Disorder (DCD) affects motor skills in children.
  • Infants born very preterm and/or with very low birth weight (VLBW) are a population at risk for neurodevelopmental challenges.

Purpose of the Study:

  • To systematically review and synthesize literature on the association between very preterm/VLBW birth and DCD at school age.

Main Methods:

  • Systematic search of seven databases for studies on very preterm/VLBW infants (5-18 years) with a comparison group.
  • Inclusion criteria required formal motor impairment measures; exclusion of infants small for gestational age or with cerebral palsy.
  • Two independent reviewers conducted screening, data extraction, and quality assessment.

Main Results:

  • Sixteen articles were included; 7 studies contributed to two meta-analyses.
  • Meta-analyses revealed a significantly increased likelihood of DCD in very preterm/VLBW children (ORs 6.29-8.66).
  • The odds of DCD were substantially higher compared to full-term/normal birth weight controls.

Conclusions:

  • DCD is more prevalent in the VLBW/very preterm population than in full-term/normal birth weight children.
  • Children born very preterm/VLBW have significantly greater odds of developing DCD.
  • Clinical practice should prioritize early DCD identification and intervention; research should explore underlying mechanisms in this population.
Abstract

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