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Using motor milestones as a multistep process to screen preterm infants for cerebral palsy
Author(s) -
Allen Marilee C.,
Alexander Grey R
Publication year - 1997
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/j.1469-8749.1997.tb08198.x
Subject(s) - cerebral palsy , developmental milestone , supine position , milestone , medicine , gestational age , pediatrics , motor skill , physical medicine and rehabilitation , psychology , anesthesia , pregnancy , psychiatry , genetics , archaeology , biology , history
Pediatricians often informally use motor milestones to screen infant motor development, and one advantage is that they can be used during sequential office visits, as a multistep screening process. In this study we evaluated six motor milestones (roll prone to supine, roll supine to prone, sit with support, sit without support, crawl and cruise) as a multi‐step process in screening for cerebral palsy in 173 high‐risk preterm infants (<33 weeks gestational age) who had been followed with sequential developmental assessments for at least 18 months. At the 18 to 24 month evaluation, 31 (18%) had cerebral palsy. We found that using the motor milestones as serial screening tests for cerebral palsy was more effective in terms of positive predictive value than any individual milestone alone. Limited community resources can be more efficiently used if preterm infants with delays in more than four motor milestones are referred for further evaluation and early intervention services.