Yamada K
Department of Pediatrics, Metropolitan Medical Center for the Severely Handicapped, Tokyo.
No To Hattatsu. 1994 Nov;26(6):498-503.
For the purpose of early detection and early habilitation for developmentally handicapped children, we started medical screening for pediatric neurological diseases among children in Sodegaura City, Chiba prefecture, since 1978. We calculated sensitivity, the rate of judging abnormal children to be abnormal, specificity, the rate of judging normal children to be normal and positive predictive values, the rate of judging abnormal children who have abnormal sign, of sitting alone at nine months of age whether an infant is MR or not. The sensitivity was 70.0%, the specificity was 98.3% and the positive predictive value was 26.5%, all of them were high rates. Therefore we conclude that children who can not sit alone until nine months of age are possibly mentally retarded and the capability of sitting alone or not at nine months of age is an useful screening test for the purpose of early detection of mentally retarded children.
为了对发育障碍儿童进行早期发现和早期康复训练,自1978年起,我们开始在千叶县袖浦市的儿童中开展儿科神经疾病的医学筛查。我们计算了敏感度(将异常儿童判断为异常的比率)、特异度(将正常儿童判断为正常的比率)和阳性预测值(判断有异常体征的异常儿童在九个月大时能否独自坐立,无论该婴儿是否为智力迟钝)。敏感度为70.0%,特异度为98.3%,阳性预测值为26.5%,这些都是很高的比率。因此我们得出结论,九个月大时仍不能独自坐立的儿童可能智力发育迟缓,九个月大时能否独自坐立是早期发现智力发育迟缓儿童的一项有用的筛查测试。