The Importance of Follow-Up Visits for Children at Risk of Developmental Delay—A Review

Author:

Malak Roksana1ORCID,Kaczmarek Ada2ORCID,Fechner Brittany1ORCID,Samborski Włodzimierz1,Kwiatkowski Jacek3ORCID,Komisarek Oskar4ORCID,Tuczyńska Maria5,Tuczyńska Magdalena6ORCID,Mojs Ewa2

Affiliation:

1. Department and Clinic of Rheumatology, Rehabilitation and Internal Medicine, Poznań University of Medical Sciences, 61-701 Poznań, Poland

2. Department of Clinical Psychology, Poznań University of Medical Sciences, 61-701 Poznań, Poland

3. SSC of Maxillofacial Orthopaedics and Orthodontics, University of Medical Sciences, 60-812 Poznań, Poland

4. Department of Plastic, Reconstructive and Aesthetic Surgery, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, 85-821 Bydgoszcz, Poland

5. SSC of Clinical Physiotherapy, Poznań University of Medical Sciences, 61-701 Poznań, Poland

6. Department of Social Sciences and the Humanities, Poznan University of Medical Sciences, 61-701 Poznań, Poland

Abstract

Structured follow-up visits should be accessible for children at risk for developmental delay. Follow-up visits should include a serial neuromotor assessment in the first two years of life (e.g., 3–6, 12, 24 months corrected age), which are repeated during the transition to school. The diagnosis of neuromotor development may be prognostic for important skills later in life. The early diagnosis of a child’s general movements can be helpful in planning appropriately for proper treatment and intervention. These diagnostic assessments should be conducted by qualified healthcare professionals. The evaluation of neuromotor developmental health is specified in the national guidelines and funded by either a national government or public or private healthcare insurance and based on standardized assessment scales. The aim of this study is to show what elements of follow-up visits are recommended. Objectives: The group of patients for whom the structured follow-up systems are intended were children born very preterm (<32 weeks gestation) or full-term born children with severe neonatal complications. Material and methods: The methods for monitoring neurodevelopment include the following: The General Movements Assessment (GMA), the Ages and Stages Questionnaire (ASQ-3), the Bayley Scales of Infant and Toddler Development (BSID-4), and the Parent Report of Children’s Abilities-Revised (PARCA-R). Results: The results of follow-up visits should be registered. Conclusions: The benefits of follow-up neuromotor development assessments can be observed at school age and even in adulthood.

Publisher

MDPI AG

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