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자료유형
학술저널
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대한재활의학회 Annals of Rehabilitation Medicine Annals of Rehabilitation Medicine 제35권 제6호
발행연도
2011.1
수록면
860 - 866 (7page)

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Objective To assess the relationship of scores on the test of infant motor performance (TIMP), with those on the Bayley scales of infant development (BSID), and to investigate the sensitivity and specifi city of TIMP and the optimal cut-off value of TIMP scores using ROC analysis. Method Seventy-six preterm and term infants were recruited from neonatal intensive care units. Subjects were tested with the TIMP at their initial visit and after 6 months, they were tested by using BSID. Results In the reliability study, TIMP scores showed highly significant correlation with the Bayley physical developmental index (BPDI) (p=0.001) and Bayley mental developmental index (BMDI) (p=0.017). Receiver operator characteristics (ROC) curve analysis was performed to evaluate the TIMP test for screening infant motor development. ROC analysis showed an area under the curve (AUC) of 0.825 (p=0.005) in BPDI and 0.992 (p=0.014) in BMDI,indicating an excellent classifi cation performance of the model. Th e optimal cut-off value where a sensitivity of 86%,and specifi city of 68% were achieved with the TIMP was 1.50 (between average and below average) in BPDI and where a sensitivity of 100%, and specifi city of 66% were achieved with the TIMP was 1.50 in BMDI. Conclusion Our results indicate that the TIMP provides a reliable and valid measurement that can be used for the evaluation of motor function in preterm and term infants. TIMP was highly sensitive and specifi c with the follow-up examination of BSID. Th erefore it can be used as a reliable screening tool for neonates and infants aged <4 months.

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