Does the Movement Assessment Battery for Children-2 at 3 years of age predict developmental coordination disorder at 4.5 years of age in children born very preterm? |
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| Institution: | 1. Department of Occupational Science & Occupational Therapy, University of British Columbia, Vancouver, Canada;2. Neonatal Follow-Up Program, British Columbia’s Women’s Hospital, Vancouver, Canada;3. BC Children’s Hospital Research Institute, Vancouver, Canada;4. Department of Pediatrics, University of British Columbia, Vancouver, Canada;5. Sunny Hill Health Centre for Children, Vancouver, Canada;1. University of Groningen, Faculty of Behavioural and Social Sciences, Special Needs Education and Youth Care Unit, Grote Rozenstraat 38, 9712 TJ, Groningen, The Netherlands;2. University of Groningen, University Medical Centre Groningen, Centre for Human Movement Sciences, Huispostnummer 23, PO Box 196, 9700 AD, Groningen, The Netherlands;2. Department of Health & Rehabilitation Sciences, University of Cape Town, South Africa;3. Department of Physiotherapy, University of Ghana, Accra, Ghana;1. Department of Kinesiology, McMaster University, Hamilton, ON, Canada;2. Department of Family Medicine, McMaster University, Hamilton, ON, Canada;3. Offord Centre for Child Studies, McMaster University, Hamilton, ON, Canada;4. CanChild Centre for Childhood Disability Research, Canada;5. School of Rehabilitation Sciences, McMaster University, Hamilton, ON, Canada;6. Departments of Psychiatry and Behavioral Neurosciences and Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, ON, Canada;1. Department of Developmental and Social Psychology, Sapienza University of Rome, Via dei Marsi 78, 00185 Rome, Italy;2. Melograno Clinical Psychology and Rehabilitation Association, Via Domodossola 23, 00183 Rome, Italy;3. Child Neuropsychiatry Unit, C. Mondino National Neurological Institute, Via Mondino 2, 27100, Pavia, Italy;4. Child Neuropsychiatry Unit, Department of Brain and Behavioral Sciences, University of Pavia, Via Bassi 21, 27100 Pavia, Italy |
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| Abstract: | BackgroundVery preterm children (VPT) are at high risk for developmental coordination disorder (DCD). The Movement Assessment Battery for Children-2 (MABC-2) Test is commonly used to identify children with DCD, but little is known about the predictive validity of this assessment in this population.AimsThe aims of this study were to determine if MABC-2 scores at 3 years can predict DCD at 4.5 years and if DCD can be reliably identified in VPT children at 3 years.Methods and proceduresIn a retrospective sample of 165 VPT children, logistic regression was used to determine if the MABC-2 score at 3 years is predictive of DCD at 4.5 years. Cross-tabulations were used to determine the relationship between scores at 3 years and DCD at 4.5 years.Outcomes and resultsMABC-2 scores at age 3 were a significant predictor (OR = 0.82, p = 0.001) of DCD diagnosis at 4.5 years. The MABC-2 has excellent sensitivity (90%), moderate specificity (69%), small to moderate positive predictive value (38%) and high negative predictive value (97%).Conclusions and implicationsThe MABC-2 is highly sensitive in identifying VPT children with DCD, but also has many false positives. MABC-2 scores can reliably predict VPT children who are not at risk of DCD. |
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| Keywords: | Developmental coordination disorder Movement Assessment Battery for Children-2 Predictive validity Very preterm children |
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