Performance on the NSMDA during the first and second year of life to predict functional ability at the age of 4 in children with cerebral palsy

Macdonald, J. A. and Burns, Y. R. (2005) Performance on the NSMDA during the first and second year of life to predict functional ability at the age of 4 in children with cerebral palsy. Hong Kong Physiotherapy Journal, 23 40-45. doi:10.1016/S1013-7025(09)70058-2


Author Macdonald, J. A.
Burns, Y. R.
Title Performance on the NSMDA during the first and second year of life to predict functional ability at the age of 4 in children with cerebral palsy
Journal name Hong Kong Physiotherapy Journal   Check publisher's open access policy
ISSN 1013-7025
Publication date 2005-01-01
Sub-type Article (original research)
DOI 10.1016/S1013-7025(09)70058-2
Open Access Status DOI
Volume 23
Start page 40
End page 45
Total pages 6
Editor G. Cheing
Place of publication Hong Kong
Publisher Elsevier
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730204 Child health
Abstract Cerebral palsy (CP) is a common cause of motor deficiency in children born prematurely. The present study explored the effect of biographical factors on study measures; determined whether performance on neurosensory motor developmental assessment (NSMDA) at 8, 12 and 24 months in prematurely born children with CP predicted performance at the age of 4 years; and investigated the percentage of children within each NSMDA classification at each test age who were walking independently at the age of 4 years. Forty-three children born prematurely and diagnosed with CP by the age of 4 years were assessed on NSMDA. Regression analyses showed that NSMDA at 8 months was predictive of classification at 12 months (χ = 10.3, p = 0.001, OR = 2.6, 95% CI = 1.45, 4.66); at 12 months predicted classification at 2 years (χ = 12.2, p = 0.000, OR = 4.15, 95% CI = 1.86, 9.2); and at 2 years predicted classification at 4 years (χ = 8.2, p = 0.004, OR 4.7, 95% CI = 1.63, 13.87). All children with normal, minimal and mild NSMDA classifications at 12 months were independently walking at 4 years. NSMDA provides useful information regarding the outcome of children with CP from 8 months.
Keyword Cerebral palsy
Early childhood
Motor performance
Neuro-sensory motor developmental assessment
Q-Index Code C1
Institutional Status UQ

 
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Created: Wed, 15 Aug 2007, 16:37:34 EST