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A parent‐reported standardised checklist is not sensitive to screen for motor problems at school age following neonatal critical illness
Author(s) -
ToussaintDuyster Leontien C. C.,
Cammenvan Zijp Monique H. M.,
Tibboel Dick,
Gischler Saskia,
Rosmalen Joost,
IJsselstijn Hanneke
Publication year - 2020
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.15192
Subject(s) - checklist , medicine , pediatrics , percentile , test (biology) , movement assessment , motor skill , physical therapy , psychiatry , psychology , paleontology , statistics , mathematics , cognitive psychology , biology
Aim As nowadays more children survive neonatal critical illness, evaluation of long‐term morbidities becomes more important. We determined whether the parent‐reported Movement Assessment Battery for Children‐Second Edition (MABC‐2) Checklist is a proper tool to screen for motor problems in school‐aged children born with severe anatomical anomalies and/or treated with neonatal extracorporeal membrane oxygenation. Methods We analysed data of 190/253 children (60.0% male) participating in our multidisciplinary follow‐up programme who were routinely assessed at the ages of five, eight and/or 12 years. Parents completed the Checklist prior to assessment of the child's actual motor performance by a physical therapist using the MABC‐2 Test. The sensitivity and specificity of the Checklist with a cut‐off point of the 16th percentile were determined. Results The sensitivity of the MABC‐2 Checklist was 57.1%, which implies that 42.9% of the children at risk for motor problems were not identified. The specificity was 79.1%. Conclusion The low sensitivity of the MABC‐2 Checklist suggests that this instrument does not suffice to screen for motor problems in children who survived neonatal critical illness. Yet, it may help to gain insight in parental perceptions of the child's motor performance and to provide tailored advice on lifestyle.