Premium
Predictive value of the Movement Assessment Battery for Children ‐ Second Edition at 4 years, for motor impairment at 8 years in children born preterm
Author(s) -
Griffiths Alison,
Morgan Prue,
Anderson Peter J,
Doyle Lex W,
Lee Katherine J,
Spittle Alicia J
Publication year - 2017
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13367
Subject(s) - confidence interval , odds ratio , movement assessment , motor impairment , medicine , pediatrics , motor skill , psychology , physical medicine and rehabilitation , psychiatry
Aim To assess the predictive validity at 4 years of the Movement Assessment Battery for Children ‐ Second Edition ( MABC ‐2) for motor impairment at 8 years in children born preterm. We also aimed to determine if sex, cognition, medical, or social risks were associated with motor impairment at 8 years or with a change in MABC ‐2 score between 4 years and 8 years. Method Ninety‐six children born at less than 30 weeks’ gestation were assessed with the MABC ‐2 at 4 years and 8 years of age. Motor impairment was defined as less than or equal to the 5th centile. The Differential Ability Scales ‐ Second Edition ( DAS ‐ II ) was used to measure General Conceptual Ability ( GCA ) at 4 years, with a score <90 defined as ‘below average’. Results There was a strong association between the MABC ‐2 total standard scores at 4 years and 8 years (59% variance explained, regression coefficient=0.80, 95% confidence interval [ CI ] 0.69–0.91, p <0.001). The MABC ‐2 at 4 years had high sensitivity (79%) and specificity (93%) for predicting motor impairment at 8 years. Below average cognition and higher medical risk were associated with increased odds of motor impairment at 8 years (odds ratio [ OR ]=15.3, 95% CI 4.19–55.8, p <0.001, and OR =3.77, 95% CI 1.28–11.1, p =0.016 respectively). Sex and social risk did not appear to be associated with motor impairment at 8 years. There was little evidence that any variables were related to change in MABC ‐2 score between 4 years and 8 years. Interpretation The MABC ‐2 at 4 years is predictive of motor functioning in middle childhood. Below average cognition and higher medical risk may be predictors of motor impairment.