USING MOTOR MILESTONES AS A MULTISTEP PROCESS TO SCREEN PRETERM INFANTS FOR CEREBRAL-PALSY

Pediatricians often informally use motor milestones to screen infant m otor development, and one advantage is that they can be used during se quential office visits, as a multistep screening process, In this stud y we evaluated six motor milestones (roll prone to supine, roll supine to prone, sit with support, sit without support, crawl and cruise) as a multistep process in screening for cerebral palsy in 173 high-risk preterm infants (<33 weeks gestational age) who had been followed with sequential developmental assessments for at least 18 months, At the 1 8 to 24 month evaluation, 31 (18%) had cerebral palsy, We found that u sing the motor milestones as serial screening tests for cerebral palsy was more effective in terms of positive predictive value than any ind ividual milestone alone, Limited community resources can be more effic iently used if preterm infants with delays in more than four motor mil estones are referred for further evaluation and early intervention ser vices.