A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life

Spittle, Alicia J; Doyle, Lex W; Boyd, Roslyn N

doi:10.1111/j.1469-8749.2008.02025.x

Cited by 372Infant Development and Preterm CareChildren's Physical and Motor DevelopmentCerebral Palsy and Movement Disorders

A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life

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Spittle, Alicia J, Doyle, Lex W, Boyd, Roslyn N·2008·Developmental Medicine & Child Neurology

DOI 10.1111/j.1469-8749.2008.02025.x

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Abstract

This systematic review evaluates assessments used to discriminate, predict, or evaluate the motor development of preterm infants during the first year of life. Eighteen assessments were identified; nine met the inclusion criteria. The Alberta Infant Motor Scale (AIMS), Bayley Scale of Infant and Toddler Development ‐ Version III, Peabody Developmental Motor Scales ‐ Version 2, Test of Infant Motor Performance (TIMP), and Toddler and Infant Motor Examination have good discriminative validity when examined in large populations. The AIMS, Prechtl's Assessment of General Movements (GMs), Neuro Sensory Motor Development Assessment (NSMDA), and TIMP were designed for preterm infants and are able to detect more subtle changes in movement quality. The best predictive assessment tools are age dependent: GMs, the Movement Assessment of Infants, and TIMP are strongest in early infancy (age 4mo or less) and the AIMS and NSMDA are better at older ages (8‐12mo). The TIMP is the only tool that has demonstrated a difference between groups in response to intervention in two randomized controlled trials. The AIMS, TIMP, and GMs demonstrated the highest levels of overall reliability (interrater and intrarater intraclass correlation coefficient or κ>0.85). Selection of motor assessment tools during the first year of life for infants born preterm will depend on the intended purpose of their use for discrimination, prediction, and/or evaluation.

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New international clinical practice guidelines aim to shift detection of infants at high risk of CP earlier, to 12 to 24 weeks corrected age, which is significantly earlier than previous diagnosis windows in Australia at 19 months.
“New international clinical practice guidelines exist for identifying infants at high risk of cerebral palsy (CP) earlier: between 12 to 24 weeks corrected age, significantly earlier than previous diagnosis windows in Australia at 19 months.”
From Early Parenting Acceptance and Commitment Therapy ‘Early PACT’ for parents of infants with cerebral palsy: a study protocol of a randomised controlled trial (2020) · cites this paper as [4]
The Conclusion (page not supplied) says general movements assessments can predict cerebral palsy in the early months and recommends assessment in early infancy. It does not describe new international clinical practice guidelines, specify a 12–24-week corrected-age detection window, or report a previous Australian diagnosis window of 19 months. (LLM, conf=0.84)
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Authors: Spittle, A. J., Doyle, L. W., & Boyd, R. N.
Affiliations: Murdoch Children's Research Institute (AU)
The University of Melbourne (AU)
ORCID: Spittle, Alicia J
Doyle, Lex W
Boyd, Roslyn N
Venue: Developmental Medicine & Child Neurology
Publisher: Wiley
Published: 2008-01-08
Volume: 50
Issue: 4
Pages: 254-266
ISSN: 0012-1622 (ISSN-L)
1469-8749
DOI: 10.1111/j.1469-8749.2008.02025.x
OpenAlex: W2095499440
Cited by: 372
References: 72
Citations by year: 2026: 19 · 2025: 19 · 2024: 19 · 2023: 18 · 2022: 16 · 2021: 34 · 2020: 29 · 2019: 17 · 2018: 24 · 2017: 20 · 2016: 36 · 2015: 14 · 2014: 17 · 2013: 26 · 2012: 20
FWCI: 1.90
Type: journal article
Language: en
Update notices: erratum (2008-09-17)
Open access: bronze
doi.org
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Developmental Medicine & Child Neurology (publishedVersion)
PubMed (publishedVersion)
eSpace (Curtin University) (submittedVersion)
Funders: National Health and Medical Research Council (284512)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
Keywords: preterm infants, neuromotor assessment, motor development, clinimetric properties, discriminant validity, predictive validity, inter-rater reliability, Alberta Infant Motor Scale, Test of Infant Motor Performance, General Movements Assessment, Bayley Scales of Infant Development, Peabody Developmental Motor Scales, first year of life
MeSH terms: Brain Damage, Chronic, Cerebral Palsy, Female, Humans, Infant, Infant, Low Birth Weight, Infant, Newborn, Infant, Premature, Diseases, Male, Movement Disorders, Neurologic Examination, Prognosis, Psychomotor Disorders, Reproducibility of Results

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A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life

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