Department of Paediatric Neurology, Catholic University, Rome, Italy.
Early Hum Dev. 2013 Oct;89(10):809-14. doi: 10.1016/j.earlhumdev.2013.07.001. Epub 2013 Jul 17.
Several studies report a high percentage of premature infants presenting perceptual motor difficulties at school age. The new version of the Movement Assessment Battery for Children allows the assessment of perceptual-motor abilities in children from the age of 3years.
To evaluate early perceptual-motor abilities in prematurely born children below the age of 4years.
The Movement Assessment Battery for Children 2nd edition was administered to 105 low-risk prematurely born children (<32weeks gestation) and in a control group of 105 term-born children matched for age and sex. All children were assessed between the age of 3years and 3years-11months.
63 children (60%) had total scores above the 15th percentile, 15 (14.3%) had scores between the 5th and the 15th percentile, and 13 (12.4%) below the 5th percentile. The remaining 14 children (13.3%) refused to perform or to complete the test. The difference between preterm and control group was significant for total scores, Manual Dexterity and Aiming and Catching scores. In the preterm group there was a correlation between age at testing, total scores and Aiming and Catching subscores. The Movement ABC-2 subscores were significantly lower in children born below 29weeks.
Perceptual-motor difficulties can already be detected on the assessment performed before the age of 4years. Prematurely born children assessed between 3years and 3years-3months appeared to have more difficulties in performing the test than the older ones or their age matched term-born peers. These findings support the possibility of a delayed maturation in the younger age group.
多项研究报告指出，在学龄期，早产儿出现感知运动困难的比例较高。儿童运动评估测验（新版）可评估 3 岁及以上儿童的感知运动能力。
评估年龄在 4 岁以下的早产儿的早期感知运动能力。
对 105 名低危早产儿（<32 周妊娠）和 105 名同期足月出生、年龄和性别匹配的对照组儿童进行儿童运动评估测验（新版）评估。所有儿童的评估年龄在 3 岁至 3 岁 11 个月之间。
63 名儿童（60%）的总分高于第 15 百分位，15 名儿童（14.3%）的得分在第 5 百分位至第 15 百分位之间，13 名儿童（12.4%）的得分低于第 5 百分位。其余 14 名儿童（13.3%）拒绝进行或完成测试。在总得分、手眼协调和瞄准与接球方面，早产儿组与对照组之间的差异具有统计学意义。在早产儿组中，测试年龄与总得分和瞄准与接球子得分之间存在相关性。在胎龄<29 周的儿童中，运动 ABC-2 子得分明显较低。
在 4 岁之前进行的评估中，已经可以检测到感知运动困难。在 3 岁至 3 岁 3 个月之间接受评估的早产儿在完成测试时似乎比年龄较大的早产儿或同期足月出生的同龄人更困难。这些发现支持了年龄较小的早产儿运动发育可能存在延迟的可能性。
