Article

AIM: To determine whether Bayley Scales of Infant and Toddler Development (3rd
edition) (Bayley-III) motor scores and neurological examination at 2 years
corrected age predict motor difficulties at 4.5 years corrected age. METHOD: A
prospective cohort study of children born at risk of neonatal hypoglycaemia in
Waikato Hospital, Hamilton, New Zealand. Assessment at 2 years was performed
using the Bayley-III motor scale and neurological examination, and at 4.5 years
using the Movement Assessment Battery for Children (2nd edition) (MABC-2).
RESULTS: Of 333 children, 8 (2%) had Bayley-III motor scores below 85, and 50
(15%) had minor deficits on neurological assessment at 2 years; 89 (27%) scored
less than or equal to the 15th centile, and 54 (16%) less than or equal to the
5th centile on MABC-2 at 4.5 years. Motor score, fine and gross motor subtest
scores, and neurological assessments at 2 years were poorly predictive of motor
difficulties at 4.5 years, explaining 0 to 7% of variance in MABC-2 scores. A Bayley-III motor score below 85 predicted MABC-2 scores less than or equal to the
15th centile with a positive predictive value of 30% and a negative predictive
value of 74% (7% sensitivity and 94% specificity). INTERPRETATION: Bayley-III
motor scale and neurological examination at 2 years were poorly predictive of
motor difficulties at 4.5 years.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS