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Motor-related health care for 5-year-old children born extremely preterm with movement impairments.

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posted on 2022-06-08, 10:13 authored by Raquel Costa, Adrien M Aubert, Anna-Veera Seppänen, Ulrika Ådén, Lemke Sarrechia, Michael Zemlin, Marina Cuttini, Mairi Männamaa, Véronique Pierrat, Arno van Heijst, Henrique Barros, Samantha Johnson, Jennifer Zeitlin, SHIPS research group

Aim

To (1) determine the proportion of 5-year-old children born extremely preterm (EPT) with movement difficulties including cerebral palsy (CP) and the proportion of these children receiving motor-related health care (MRHC), and (2) describe factors associated with receiving MRHC.


Method

Children born before 28 weeks’ gestation in 2011 to 2012 in 11 European countries were assessed with the Movement Assessment Battery for Children, Second Edition (MABC-2) at 5 years of age. Information on family characteristics, child health including CP diagnosis, and health care use were collected using parent-report questionnaires. MRHC was defined as visits in the previous year with health care providers (physical and occupational therapists) specialized in assessing/treating motor problems. We analysed receipt of MRHC and associated factors among children at risk of movement difficulties (MABC-2 score 6th–15th centiles), with significant movement difficulties (SMD; ≤5th centile) or with CP.


Results

Of 807 children assessed at 5 years 7 months (SD 4 months; 4 years 7 months–7 years 1 month), 412 were males (51.1%), 170 (21.1%) were at risk of movement difficulties, 201 (24.9%) had SMD, and 92 (11.4%) had CP. Those who received MRHC comprised 89.1% of children with CP, 42.8% with SMD, and 25.9% at risk of movement difficulties. MRHC for children with SMD varied from 23.3% to 66.7% between countries. Children were more likely to receive MRHC if they had other developmental problems or socioemotional, conduct, or attention difficulties.


Interpretation

Efforts are needed to increase MRHC for 5-year-old children born EPT with movement difficulties.

Funding

European Social Fund. Grant Number: SFRH/BPD/117597/2016

Medicinska Forskningsrådet. Grant Number: 2017-03043

Fundação para a Ciência e a Tecnologia. Grant Numbers: SFRH/BPD/117597/2016, UIDB/04750/2020

Polish Ministry of Science and Higher Education

French National Institute of Public Health Research

regional agreement on medical training and clinical research between Stockholm County Council and Karolinska Institutet. Grant Number: ALF SLL 20170243

Horizon 2020 Framework Programme. Grant Number: 633724

PremUp Foundation

Seventh Framework Programme. Grant Number: 259882

National Research Agency through the French EQUIPEX program of investments for the future. Grant Number: ANR-11-EQPX-0038

History

Citation

Developmental medicine and child neurology, 2022, https://doi.org/10.1111/dmcn.15202

Author affiliation

Department of Health Sciences, University of Leicester

Version

  • AM (Accepted Manuscript)

Published in

Developmental medicine and child neurology

Publisher

Wiley

issn

0012-1622

eissn

1469-8749

Acceptance date

2022-02-11

Copyright date

2022

Available date

2023-03-17

Spatial coverage

England

Language

eng

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