USING GROSS MOTOR MILESTONES TO IDENTIFY VERY PRETERM INFANTS AT RISK FOR CEREBRAL PALSY

The authors evaluated the efficacy of 10 gross motor milestones to screen for cerebral palsy in 173 high‐risk, very preterm infants (≤32 weeks gestation) followed for 18 to 24 months. Correcting for preterm birth and using population norms led to a better improvement in specificity and positive predictive values; race‐specific norms did not contribute significantly. Incorporating a history of milestone attainment into the routine during sequential office visits will help health‐care providers to monitor the development of high‐risk infants.

[1]  R. Palisano.  USE OF CHRONOLOGICAL AND ADJUSTED AGES TO COMPARE MOTOR DEVELOPMENT OF HEALTHY PRETERM AND FULLTERM INFANTS , 1986, Developmental medicine and child neurology.

[2]  M. Geber,et al.  Gesell tests on African children. , 1957, Pediatrics.

[3]  M. D. Jones,et al.  Medical complications of prematurity. , 1986, Obstetrics and gynecology.

[4]  Pascal Louis Trohanis,et al.  Policy implementation and PL 99-457 : planning for young children with special needs , 1989 .

[5]  A. Johnson,et al.  Is late walking a marker of morbidity? Steering Committee, Oxford Region Child Development Project. , 1990, Archives of disease in childhood.

[6]  E. H. Back,et al.  Gross Motor Development in Jamaican Infants , 1971, Developmental medicine and child neurology.

[7]  F. B. Palmer,et al.  NORMAL GROSS MOTOR DEVELOPMENT: THE INFLUENCES OF RACE, SEX AND SOCIO‐ECONOMIC STATUS , 1985, Developmental medicine and child neurology.

[8]  P. Rosenbaum,et al.  Decreased disability rate among 3-year-old survivors weighing 501 to 1000 grams at birth and born to residents of a geographically defined region from 1981 to 1984 compared with 1977 to 1980. , 1989, The Journal of pediatrics.

[9]  A. Fanaroff,et al.  Outcomes of extremely-low-birth-weight infants between 1982 and 1988. , 1989, The New England journal of medicine.

[10]  P. Rosenbaum,et al.  Corrected and uncorrected Bayley scores: Longitudinal developmental patterns in low and high birth weight preterm infants , 1987 .

[11]  G. Alexander,et al.  Gross motor milestones in preterm infants: correction for degree of prematurity. , 1990, The Journal of pediatrics.

[12]  P. Blasco.  Preterm Birth: To Correct or Not To Correct , 1989 .