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Parental questionnaire as a screening instrument for motor function at age five.

Kirsten Nordbye-Nielsen1, Ulrik Schiøler Kesmodel

  • 1Ortopædkirurgi, Kirurgisk Børneafsnit, Aarhus Universitetshospital, Nørrebrogade 44, 8000 Aarhus C, Denmark. kirstennordbye@clin.au.dk.

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Summary

A parental questionnaire can help identify children without motor function difficulties. While it has reasonable specificity, its sensitivity for detecting motor problems in five-year-olds is low.

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Area of Science:

  • Pediatrics
  • Developmental Pediatrics
  • Child Health

Background:

  • No standardized method exists for assessing child motor function in Danish general practice.
  • Early identification of motor function issues is crucial for timely intervention.
  • This study addresses the need for a reliable screening tool in primary care settings.

Purpose of the Study:

  • To evaluate the correlation between a parental questionnaire and the Movement Assessment Battery for Children (M-ABC) for assessing motor function in five-year-olds.
  • To determine if specific questions from the questionnaire can effectively screen for motor problems.
  • To provide a practical tool for general practitioners in Denmark.

Main Methods:

  • A parental questionnaire with ten questions was administered to 755 children.
  • The Movement Assessment Battery for Children (M-ABC) served as the gold standard for motor function assessment.
  • Statistical analyses included Mann-Whitney rank sum test, Pearson's chi-squared test, logistic regression, and sensitivity/specificity calculations.

Main Results:

  • A combination of six questionnaire items demonstrated the highest screening performance with 39.8% sensitivity and 87.1% specificity.
  • A single question regarding health professional concern about motor development showed 17.0% sensitivity and 93.9% specificity.
  • The questionnaire shows potential for identifying children with typical motor development.

Conclusions:

  • Parental questionnaires can offer reasonable specificity in screening for childhood motor problems.
  • The current questionnaire exhibits low sensitivity, indicating a potential to miss some children with motor difficulties.
  • A six-question subset effectively identifies children without motor function issues, aiding in early detection and intervention planning.