ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

The purposes of this study were 1) to assess the relationship (concurrent validity) of scores at three months of age on a new scale, the Test of Infant Motor Performance (TIMP), with those on the Alberta Infant Motor Scale (AIMS) at the same age and 2) to determine the sensitivity and specificity of TIMP scores for classifying infants as above or below the 10th percentile on the AIMS (ie, agreement between the tests on low-scoring vs high-scoring infants). Ninety pairs of tests were performed on infants (n = 90) from nine to 18 weeks of age; 90% of the tests were completed within three days of each other. Eleven raters tested infants; 53% of the two tests on a given infant were conducted by different raters. The Pearson product moment correlation coefficient was used to assess the relationship between TIMP and AIMS raw scores or percentile ranks. The correlation between raw scores on the TIMP and the AIMS was 0.64 (p < 0.0001) and that between the TIMP raw scores and the AIMS percentile ranks was 0.60 (p < 0.0001). An analysis of the sensitivity and specificity of various TIMP cutoff scores for comparison with AIMS scores above and below the 10th percentile revealed that the best TIMP score that identified 80% of the infants correctly was a cutoff of —0.50 standard deviation below the mean. Chance-corrected agreement (kappa coefficient) between the two tests was 0.41. We conclude that TIMP items have much in common with those of the AIMS at three months of age and that both tests identify a similar group of infants as having low motor performance. Combined with the fact that the TIMP is sensitive to change with age and is relevant to daily life interactions, these results provide support for the validity of the TIMP as a tool for assessing motor performance in infants.

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

Many children examined by pediatrie physical therapists present with generalized hypotonia, joint laxity, and motor delay. These signs are assumed to coexist and to be causally related. The objectives of this study were to determine 1) whether a relationship exists between hypotonia and early motor development and 2) whether infants presenting with joint laxity differ from infants without joint laxity in gross motor scores or initial age of ambulation. A secondary analysis was conducted using a longitudinal data set of 180 singletons born at full term; complete data for 141 infants were available for this investigation. Muscle tone and motor development at seven, 10, and 15 months were assessed using the French Angles Factor of the Infant Neurological International Battery and the Alberta Infant Motor Scale, respectively. Motor development was also assessed at 15 months using the Gross Motor Scale of the Peabody Developmental Motor Scales, and joint laxity was assessed at 18 months using the method of Beighton et al. No statistically significant or clinically meaningful relationships between hypotonia and motor development were found. No significant differences in motor development or average age of initial ambulation were found between children with and without joint laxity. The belief that hypotonia and joint laxity are causally related to motor delay was not supported by the results of this investigation. This information assists in the rational evaluation of early neuromotor examinations by giving a new perspective on the role of these variables in motor development and contributes to planning by suggesting that targeting change in muscle tone might not be a rational focus for intervention if the goal is to enhance motor abilities.

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

In this study, we compared the predictive power of the Alberta Infant Motor Scale (AIMS) and the Movement Assessment of Infants (MAI) administered at four and seven months for detection of gross motor delays at 15 months in a group of infants exposed in utero to multiple drugs, including cocaine. Gross motor delay was defined at 15 months as —1 standard deviation (12 subjects) or —2 standard deviations (seven subjects) below the mean on the Gross Motor Scale of the Peabody Developmental Motor Scales (PDMS-GM). The sample comprised 39 infants: 21 exposed and 18 unexposed. Sensitivity, specificity, and positive and negative predictive values were calculated for a range of percentiles on the AIMS and for more than four and more than nine risk points on the MAI. For both the MAI and the AIMS, the best combination of sensitivity and specificity values was at seven months. A cutoff value of more than nine risk points on the MAI and the second percentile on the AIMS offered the best combination of predictive values when predicting scores at —2 standard deviations below the mean on the PDMS-GM. Use of either the MAI or the AIMS alone is insufficient for correct prediction. The MAI overidentifies infants with motor problems in comparison to the AIMS, but neither test adequately identifies infants who go on to have poor motor scores on the PDMS-GM. The most prudent clinical course may be repeated testing over time if referral is not desired or if the criteria for referral are not clear.

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

摘要:

A new evaluative measure of motor and sensory function was developed for children with epilepsy aged six to 16 years. The bases for the measure were theories of normal motor development and motor control, and the conceptual framework was the World Health Organization's International Classification of Impairments, Disabilities, and Handicaps. The assessment protocol has 59 items, including gross motor function, gait, balance, coordination, strength, range of motion, velocity, fine motor function, sensation, perception, and performance on neurological tests. The quality and level of sensorimotor function were scored. Classification of handicap was included in the test. Intrarater and interrater reliability were evaluated and found to be good (rs≥ 0.9). The test was administered to 274 children, and evidence of good content validity, criterion-based/ concurrent validity, construct validity, and responsiveness to change was found. The test was found to be a useful measure of motor and sensory function in this heterogeneous population of children with epilepsy involved in an epilepsy surgery program.

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID

ISSN:0898-5669    

出版商:OVID    

年代:2000

数据来源: OVID