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Neurocognitive test profiles of extremely low birth weight five-year-old children differ according to neuromotor status

Korkman, Marit; Mikkola, Kaija; Ritari, Niina; Tommiska, Viena; Salokorpi, Teija; Haataja, Leena; Tammela, Outi; Paakkonen, Leena; Olsen, Paivi and Fellman, Vineta LU (2008) In Developmental Neuropsychology 33(5). p.637-655
Abstract
The neurocognitive outcome of children born with extremely low birth weight (ELBW) is highly variable due to the complexity of morbidity. So far, no study has compared comprehensive neuropsychological test profiles in groups with different neuromotor status. In a national cohort of ELBW children neuropsychological test profiles were assessed in 4 groups defined according to a neurological examination at 5 years of age: normal neuromotor status (N = 56). motor coordination problems (N = 32), Multiple Subtle neuromotor signs including, both motor coordination problems and deviant reflexes (N = 20), and spastic diplegia (N = 12). The neurocognitive assessment included a test of intelligence. the Wechsler Primary and Preschool Scale of... (More)
The neurocognitive outcome of children born with extremely low birth weight (ELBW) is highly variable due to the complexity of morbidity. So far, no study has compared comprehensive neuropsychological test profiles in groups with different neuromotor status. In a national cohort of ELBW children neuropsychological test profiles were assessed in 4 groups defined according to a neurological examination at 5 years of age: normal neuromotor status (N = 56). motor coordination problems (N = 32), Multiple Subtle neuromotor signs including, both motor coordination problems and deviant reflexes (N = 20), and spastic diplegia (N = 12). The neurocognitive assessment included a test of intelligence. the Wechsler Primary and Preschool Scale of Intelligence-Revised (WPPSI-R) and 14 subtests of attention and executive functions, verbal functions, Manual motor functions, visuoconstructional functions and verbal learning (NEPSY). The children with normal neuromotor status performed within the average range: children with motor coordination problems had widespread impairment and children with spastic diplegia and children with multiple minor neuromotor(Or Signs had uneven test profiles with stronger verbal results but weaknesses in attention and executive functions, and in manual motor and visuoconstructional tasks. In conclusion, very preterm children with neuromotor signs, including motor coordination problems, are at risk for neurocognitive impairment. in spite of average intelligence. More impaired children have more irregular test profiles. Follow-up and neuropsychological assessment of very preterm children with minor neuromotor signs are therefore indicated. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Developmental Neuropsychology
volume
33
issue
5
pages
637 - 655
publisher
Psychology Press
external identifiers
  • wos:000259676800005
  • scopus:51649116482
ISSN
8756-5641
DOI
10.1080/87565640802254471
language
English
LU publication?
yes
id
9bd95681-1a0f-4704-9eab-0aa9cc1cd8a2 (old id 1286069)
date added to LUP
2009-02-04 09:57:54
date last changed
2017-09-10 03:53:52
@article{9bd95681-1a0f-4704-9eab-0aa9cc1cd8a2,
  abstract     = {The neurocognitive outcome of children born with extremely low birth weight (ELBW) is highly variable due to the complexity of morbidity. So far, no study has compared comprehensive neuropsychological test profiles in groups with different neuromotor status. In a national cohort of ELBW children neuropsychological test profiles were assessed in 4 groups defined according to a neurological examination at 5 years of age: normal neuromotor status (N = 56). motor coordination problems (N = 32), Multiple Subtle neuromotor signs including, both motor coordination problems and deviant reflexes (N = 20), and spastic diplegia (N = 12). The neurocognitive assessment included a test of intelligence. the Wechsler Primary and Preschool Scale of Intelligence-Revised (WPPSI-R) and 14 subtests of attention and executive functions, verbal functions, Manual motor functions, visuoconstructional functions and verbal learning (NEPSY). The children with normal neuromotor status performed within the average range: children with motor coordination problems had widespread impairment and children with spastic diplegia and children with multiple minor neuromotor(Or Signs had uneven test profiles with stronger verbal results but weaknesses in attention and executive functions, and in manual motor and visuoconstructional tasks. In conclusion, very preterm children with neuromotor signs, including motor coordination problems, are at risk for neurocognitive impairment. in spite of average intelligence. More impaired children have more irregular test profiles. Follow-up and neuropsychological assessment of very preterm children with minor neuromotor signs are therefore indicated.},
  author       = {Korkman, Marit and Mikkola, Kaija and Ritari, Niina and Tommiska, Viena and Salokorpi, Teija and Haataja, Leena and Tammela, Outi and Paakkonen, Leena and Olsen, Paivi and Fellman, Vineta},
  issn         = {8756-5641},
  language     = {eng},
  number       = {5},
  pages        = {637--655},
  publisher    = {Psychology Press},
  series       = {Developmental Neuropsychology},
  title        = {Neurocognitive test profiles of extremely low birth weight five-year-old children differ according to neuromotor status},
  url          = {http://dx.doi.org/10.1080/87565640802254471},
  volume       = {33},
  year         = {2008},
}