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Clinical Pediatrics
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The Diagnostic Value of the Neurodevelopmental Examination

Jon Matthew Farber

Division of Clinical Research, The John F. Kennedy Institute for Handicapped Children, 707 North Broadway, Baltimore, MD 21205

Bruce K. Shapiro

From the Department of Pediatrics, The Johns Hopkins Medical Institutions and The John F. Kennedy Institute for Handicapped Children, Baltimore, Maryland. This study was supported by Project 917, Maternal and Child Health.

Frederick B. Palmer

From the Department of Pediatrics, The Johns Hopkins Medical Institutions and The John F. Kennedy Institute for Handicapped Children, Baltimore, Maryland. This study was supported by Project 917, Maternal and Child Health.

Arnold J. Capute

From the Department of Pediatrics, The Johns Hopkins Medical Institutions and The John F. Kennedy Institute for Handicapped Children, Baltimore, Maryland. This study was supported by Project 917, Maternal and Child Health.

The neurodevelopmental examination is a pediatric approach to developmental diagnosis that relies on evaluation of multiple streams of development. The value of the neurodevelopmental examination for the early diagnosis of cerebral palsy and mental retardation was studied by a retrospective analysis of prospectively (longitudinally) collected data. Both conditions were found to be accurately diagnosed in the first year of life. For cerebral palsy, sensitivity was 0.81 and specificity 1.00; for mental retardation, sensitivity was 0.56 and specificity 0.96. The trained pediatrician can make early diagnoses of developmental disabilities.

Clinical Pediatrics, Vol. 24, No. 7, 367-372 (1985)
DOI: 10.1177/000992288502400701
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