Predictive value of the Movement Assessment Battery for Children ‐ Second Edition at 4 years, for motor impairment at 8 years in children born preterm

Griffiths, Alison; Morgan, Prue; Anderson, Peter J.; Doyle, Lex W.; Lee, Katherine J.; Spittle, Alicia J

doi:10.1111/dmcn.13367

Cited by 33 publications

(30 citation statements)

References 25 publications

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“…14,16,17 In particular, the MABC-2 at 4 years has been shown to be predictive of motor functioning in middle childhood. 26 Fourth, WMI volume, which is a key contributor to neurodevelopment in preterm newborns, was systematically accounted for. 21 Fifth, we took a conservative approach in our analysis by setting a ceiling to CBH volume so as not to skew the results.…”

Section: Discussionmentioning

confidence: 99%

“…Motor impairment was defined as a total MABC-2 score of <5th percentile. 26 Psychology personnel administered the Beery-Buktenica Developmental Test of Visual-Motor Integration, 6th Edition (Beery VMI-6) 27 and WPPSI-III. 28 Overall indices of the Beery VMI-6 and WPPSI-III full-scale intelligence quotient (FSIQ) are standard scores with mean (standard deviation [SD]) of 100 (15), and impairment was defined as a score < 1 SD below the mean.…”

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

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Location and Size of Preterm Cerebellar Hemorrhage and Childhood Development

Garfinkle

Guo

Synnes

et al. 2020

Annals of Neurology

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Objective: To examine the association between cerebellar hemorrhage (CBH) size and location and preschool-age neurodevelopment in very preterm neonates. Methods: Preterm magnetic resonance images of 221 very preterm neonates (median gestational age = 27.9 weeks) were manually segmented for CBH quantification and location. Neurodevelopmental assessments at chronological age 4.5 years included motor (Movement Assessment Battery for Children, 2nd Edition [MABC-2]), visuomotor integration (Beery-Buktenica Developmental Test of Visual-Motor Integration, 6th Edition), cognitive (Wechsler Primary and Preschool Scale of Intelligence, 3rd Edition), and behavioral (Child Behavior Checklist) outcomes. Multivariable linear regression models examined the association between CBH size and 4.5-year outcomes accounting for sex, gestational age, and supratentorial injury. Probabilistic maps assessed CBH location and likelihood of a lesion to predict adverse outcome. Results: Thirty-six neonates had CBH: 14 (6%) with only punctate CBH and 22 (10%) with ≥1 larger CBH. CBH occurred mostly in the inferior aspect of the posterior lobes. CBH total volume was independently associated with MABC-2 motor scores at 4.5 years (β = −0.095, 95% confidence interval = −0.184 to −0.005), with a standardized β coefficient (−0.16) that was similar to that of white matter injury volume (standardized β = −0.22). CBH size was similarly associated with visuomotor integration and externalizing behavior but not cognition. Voxelwise odds ratio and lesionsymptom maps demonstrated that CBH extending more deeply into the cerebellum predicted adverse motor, visuomotor, and behavioral outcomes. Interpretation: CBH size and location on preterm magnetic resonance imaging were associated with reduced preschool motor and visuomotor function and more externalizing behavior independent of supratentorial brain injury in a dose-dependent fashion. The volumetric quantification and localization of CBH, even when punctate, may allow opportunity to improve motor and behavioral outcomes by providing targeted intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Magnetic Resonance Imagingmentioning

confidence: 99%

Location and Size of Preterm Cerebellar Hemorrhage and Childhood Development

Garfinkle

Guo

Synnes

et al. 2020

Annals of Neurology

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“…Recent work by Lee and colleagues failed to find similar cerebellar volume associations with 4-year outcomes (17), suggesting the consequences of early cerebellar deficits may not be evident until later in childhood. While some aspects of development and performance at age 4 years should be reasonably aligned with performance at age 7, such as for example motor performance and related developmental coordination disorders (55), differences within IQ, language complexity and attention are more likely to be detected later in childhood, coinciding with the expanded and increasing academic and cognitive demands associated with school age. Importantly, assessment of these aspects of development is limited in early childhood.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal Preterm Cerebellar Volume: Perinatal and Neurodevelopmental Outcome Associations

et al. 2018

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Impaired cerebellar development is an important determinant of adverse motor and cognitive outcomes in very preterm (VPT) infants. However, longitudinal MRI studies investigating cerebellar maturation from birth through childhood and associated neurodevelopmental outcomes are lacking. We aimed to compare cerebellar volume and growth from term-equivalent age (TEA) to 7 years between VPT (< 30 weeks' gestation or < 1250 g) and full-term children; and to assess the association between these measures, perinatal factors, and 7-year outcomes in VPT children, and whether these relationships varied by sex. In a prospective cohort study of 224 VPT and 46 full-term infants, cerebellar volumes were measured on MRI at TEA and 7 years. Useable data at either time-point were collected for 207 VPT and 43 full-term children. Cerebellar growth from TEA to 7 years was compared between VPT and full-term children. Associations with perinatal factors and 7-year outcomes were investigated in VPT children. VPT children had smaller TEA and 7-year volumes and reduced growth. Perinatal factors were associated with smaller cerebellar volume and growth between TEA and 7 years, namely, postnatal corticosteroids for TEA volume, and female sex, earlier birth gestation, white and deep nuclear gray matter injury for 7-year volume and growth. Smaller TEA and 7-year volumes, and reduced growth were associated with poorer 7-year IQ, language, and motor function, with differential relationships observed for male and female children. Our findings indicate that cerebellar growth from TEA to 7 years is impaired in VPT children and relates to early perinatal factors and 7-year outcomes.

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“…In addition to its value as a measure of current difficulties, the MABC-2 Test has also been shown to have good predictive value. For instance, Griffiths et al (2017) found that the Test results of preterm children, examined at 4 years of age, accurately predicted their motor status at 8 years. One of the reasons for the popularity of the MABC-2 Test is that its structure and mode of administration make it easy to use and enjoyable for children to perform.…”

Section: Introductionmentioning

confidence: 99%

An evaluation of the Movement ABC-2 Test for use in Italy: A comparison of data from Italy and the UK

Zoia

Biancotto

Guicciardi

et al. 2019

Research in Developmental Disabilities

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Predictive value of the Movement Assessment Battery for Children ‐ Second Edition at 4 years, for motor impairment at 8 years in children born preterm

Abstract: The MABC-2 at 4 years is predictive of motor functioning in middle childhood. Below average cognition and higher medical risk may be predictors of motor impairment.

Cited by 33 publications

References 25 publications

Location and Size of Preterm Cerebellar Hemorrhage and Childhood Development

Location and Size of Preterm Cerebellar Hemorrhage and Childhood Development

Longitudinal Preterm Cerebellar Volume: Perinatal and Neurodevelopmental Outcome Associations

An evaluation of the Movement ABC-2 Test for use in Italy: A comparison of data from Italy and the UK

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