Is Segmental Trunk Control Related to Gross Motor Performance in Healthy Preterm and Full-Term Infants?

Abstract

The authors’ aim was to verify the correlation between segmental trunk control and gross motor performance in healthy preterm (PT) and full-term (FT) infants aged 6 and 7?months and to verify if there are differences between groups. All infants were assessed at 6 and 7?months by means of Segmental Assessment of Trunk Control (SATCo) to identify the exact level of segmental trunk control and Alberta Infant Motor Scale (AIMS) to measure gross motor performance. A significant correlation between segmental trunk control and gross motor performance was found in healthy PT infants at 7?months and FT infants at 6?months. PT infants showed a delay on segmental trunk control at 6 and 7?months and in supported standing posture at 6?months compared with FT infants. Segmental trunk control and gross motor performance showed an important relationship in healthy PT and FT infants, mainly in sitting posture.     

Motor acquisition rate in Brazilian infants

This study used the Alberta Infant Motor Scale (AIMS) with the aim of characterizing motor acquisition rate in 70 healthy 0–6‐month‐old Brazilian infants, as well as comparing both emergence (initial age) and establishment (final age) of each skill between the study sample and the AIMS normative data. New motor skills were continuously acquired from 0 to 6 months of age by the Brazilian infants, but their acquisition rate was non‐linear. When compared to the AIMS sample, Brazilian infants achieved lower percentiles, and their initial age to acquire skills requiring greater antigravity demand was higher. In contrast, Brazilian infants stopped exhibiting primitive patterns earlier, and their final age to acquire antigravity skills was lower. These differences in motor development are suggested to be a consequence of different parental practices and not necessarily indicate motor delay. Thus, the AIMS normative values should be adapted to cultural particularities so as to avoid that infants are misclassified as at risk for motor delay. Furthermore, an adequate assessment of motor development should consider not only the age at which a skill is emerged, but also the age at which such a skill is established in the infant's motor repertoire. Copyright © 2009 John Wiley & Sons, Ltd.     

Associations between gross motor and communicative development in at-risk infants

Infants’ advances in locomotion relate to advances in communicative development. However, little is known about these relations in infants at risk for delays in these domains and whether they may extend to earlier achievements in gross motor development in infancy. We examined whether advances in sitting and prone locomotion are related to communicative development in infants who have an older sibling with autism spectrum disorder (ASD) and are at risk for motor and communication delays (heightened-risk; HR). We conducted a longitudinal study with 37 HR infants who did not receive an ASD diagnosis at 36 months. Infants were observed monthly between the ages of 5 and 14 months. We assessed gross motor development using the Alberta Infant Motor Scales (AIMS) and recorded ages of onset of verbal and nonverbal communicative behaviors. Results indicated increased presence of early gross motor delay from 5 to 10 months. In addition, there were positive relations between sitting and gesture and babble onset and between prone development and gesture onset. Thus, links between gross motor development and communication extend to at-risk development and provide a starting point for future research on potential cascading consequences of motor advances on communication development.     

The development of 3- to 9-month-old infants in two cultural contexts: Bayley longitudinal results for Cameroonian and German infants

Based on the Bayley Scales of Infant Development III, this study provides the results of a longitudinal study on the development of Cameroonian Nso farmer and German middle-class infants. Complete longitudinal data were available for 253 infants (69 from Cameroon and 184 from Germany) with Bayley assessments at 3, 6 and 9 months. The results show large differences between Cameroonian Nso and German infants with regard to gross motor and language development. The developmental sequence within each Bayley scale is more in line with the original Bayley sequence for German than for Cameroonian Nso infants as is indicated by Goodman scalogram analyses. Path analyses show some basic similarities between the developmental paths across ages for Cameroonian Nso and German infants, but more interconnections between the scales in the German sample. The results underline the need to adjust developmental scales to the cultural background of the infants to be tested.     

Concurrent validity in Taiwan of the Comprehensive Developmental Inventory for Infants and Toddlers who were full-term infants

This study investigated the concurrent validity of the Comprehensive Developmental Inventory for Infants and Toddlers (CDIIT) with the Bayley Scales of Infant Development-II (BSID-II) in full-term infants. 106 full-term infants ages 6 to 18 months (63 boys, 43 girls) were recruited as a convenience sample. One tester administered the CDIIT and BSID-II to all children. The Developmental Ages and Developmental Quotients of the motor and the mental scales from both tests were analyzed with Pearson correlations and quadratic weighted kappa tests. The results showed that correlation coefficients for Developmental Ages between both tests on cognitive and motor subtests were high (r = .91-.95) and for Developmental Quotients were moderate (r = .57-.67). Moderate classification agreement was found in the two scales (quadratic weighted kappa = .50-.53). Developmental Quotients classification for the CDIIT tended to be a little higher than for the BSID-II. It was concluded that although acceptable concurrent validity was found for the Motor and Cognitive subtests of the CDIIT, the tester should be cautious to compare Developmental Quotients obtained from the above two tests in clinical or in research settings.     

Motor development during the first 6 months: the case of Brazilian infants

This investigation documents the pattern of motor development of Brazilian infants over the first 6 months and compares the findings with a US norm. Infants were assessed once each month for the 6‐month period using the Bayley II Motor Scale, which represented the US norm for comparison. Participants monthly scores increased with age and were similar to the US profile. However, the Brazilian infants did exhibit mean scores significantly lower than their counterparts on tasks of sitting and grasping in the 3rd, 4th, and 5th month; at the 6th month, scores were comparable. Explanations for differences focus on possible cross‐cultural and maturational influences. Copyright © 2000 John Wiley & Sons, Ltd.     

Relationship between fine/gross motor skills and language and math development in Colombian Caribbean children: A study in Barranquilla

Literature suggests that motor skills are associated with other areas of development or domains, such as language and math, especially at early ages. These results are mainly based on studies developed in medium-to-high sociocultural contexts. Thus, this study was conducted in a medium-to-low-income area. The aim was to know the 4–5 years old children's motor development (both fine and gross motor skills), and its relation to language and mathematical development. A total of 219 Colombian Caribbean children (105 boys and 114 girls) aged 4 and 5 years participated in this study. Results revealed higher motor skills among girls, although differences by gender were not notable. Positive and significant correlations were found between motor skills and language and mathematical skills, although most of the correlations were weak or moderate. Also, it was observed that fine motor skills were less related to language or mathematical development in comparison with gross motor skills, especially among boys. These results suggest that among Colombian Caribbean children gross motor skills could have a higher influence on the development and acquisition of some language and mathematical skills in comparison with fine motor skills.     

War trauma and infant motor,cognitive, and socioemotional development: Maternal mental health and dyadic interaction as explanatory processes

BackgroundTaking care of infants in conditions of war is highly demanding and a few studies reveal the negative impact of war trauma on maternal and infant well-being. Yet, little is known regarding the influence of trauma on infant development and the potential explanatory mechanisms. First, the present study examines how mothers’ prenatal exposure to traumatic war events is associated with infant cognitive, motor, and socioemotional development. Second, it analyses the mediating roles of maternal postpartum mental health problems, quality of dyadic mother-infant interaction, and earlier infant development (at six months) in the association between prenatal traumatic war events and infants’ developmental skills at 18 months.MethodThis prospective three-wave study involved 502 Palestinian pregnant females in their first trimester during the 2014 Gaza War and participated at delivery (T1) and when the child was six (T2;N = 392) and eighteen (T3; N = 386) months of age. Mothers reported their exposure to traumatic war events (human and material losses, horrors, and threat to life) at T1 and T2, and researchers photo-documented the extent of destruction at T1. Mothers reported infants’ language, fine- and gross-motor, and socioemotional skills at T2 and researchers tested infants’ motor, cognitive-language and socioemotional skills using the Bayley Scales of Infant development (BSID-II) at T3. Mothers reported their mental health problems (symptoms of post-traumatic stress disorder [PTSD], depression and somatization) at T2 and T3 as well as dyadic interaction quality (the emotional availability self-report, [EA-SR] brief) at T2.ResultsFirst, the structural equation model (SEM) on direct effects indicated, in contrast to our hypotheses, that maternal prenatal exposure to traumatic war events did not associate with infants’ developmental skills at T2 and predicted higher level of developmental skills at T3. Second, as hypothesized, we found two negative underlying mechanisms (paths) between high exposure and low levels of motor, cognitive-language, and socioemotional skills at T3: (1) through increased maternal mental health problems at T2, which then were associated with problems at T3, and (2) through increased maternal mental health problems at T2, which then were associated with a low quality of mother-infant-interaction and low level of infant developmental skills at T2.ConclusionImproving maternal mental health and encouraging close and positive dyadic interaction can be critical for infant sensorimotor, cognitive, and socioemotional development in war conditions.     

Exploring gender differences in infant motor development related to parent’s promotion of play

This study explored how parents’ promotion of play may impact gender differences in motor development of six-nine month old infants. Twenty-nine infants between six-nine months of age and their primary caregivers took part in assessments of anthropometry, motor development, video observations of play and a qualitative interview. Results revealed females had significantly higher scores for fine motor skills and significantly higher incidence of touching toys in an individual play scenario compared to males. Males had a higher intensity level of play during both play scenarios. Qualitative explorations found that parents perceived other adults such as surrounding family and friends to promote gender differences but not themselves; however, parents’ verbal interactions with infants did appear to differ by gender. Parents of males more frequently made statements to promote gross motor skills while parents of females more frequently made statements to promote fine motor skills. While biological influences are suggested to play a role on gender differences of motor development early in life, environmental explanations related to socialization, gender-differentiated expectations and experiences amplify these differences to a greater degree than may have been previously considered during this time period.     

Predicting preschool motor and cognitive performance in appropriate-for-gestational-age children born at ≤ 32 weeks gestation

Although many follow-up studies have been performed on preterm infants, little attention has been devoted to prediction of motor skills in the preschool or school years. We studied the relationship of performance on the Bayley Scales of Infant Development at a mean corrected age of 21 months to performance on the McCarthy Scales of Children's Abilities at a mean corrected age of 44.7 months for 43 appropriate-for-gestational-age (AGA) children born at ≤ 32 weeks gestation. Motor scores were stable over time with a significant correlation between the Bayley Psychomotor Developmental Index (PDI) and the McCarthy Motor subscale (r = 0.60; p = 0.0001). Scores of cognitive abilities also showed a significant correlation between the Bayley Mental Developmental Index (MDI) and the McCarthy General Cognitive Index (r = 0.42; p = 0.009). Small-for-gestational-age (SGA), very low-birthweight (≤ 1500 grams) children scored lower on the McCarthy General Cognitive Index (p = 0.01) and on the Motor subscale (p = 0.047) than the AGA children. We concluded that motor performance of AGA children born at ≤ 32 weeks gestation is stable from toddlerhood to preschool age. We suggest that SGA children be excluded from studies of motor performance of prematurely born children.     

“The effects of family-centered physiotherapy on the cognitive and motor performance in premature infants”

ObjectiveThe aim of this study is to investigate the effects of family centered physiotherapy according to the neurodevelopmental treatment (NDT) principles on mental and motor performance in premature infants.MethodsA total of 156 infant, ≥24/36 week + 6 days gestational age included in the study. All the infants were diagnosed by a child neurologist and referred to psychology and physiotherapy department for their neurodevelopmental assessment and treatment. Bayley Scale of Infant II (BSI-II) was used for neurodevelopmental assessment and Alberta Infant Motor Scale (AIMS) was used for assessing their motor performance. Seventy-eight of the infants were in the study group and 76 were recruited as age matched controls according to the classification of their gestational age. Family centered physiotherapy according to the neurodevelopmental treatment principles was used as an intervention and all the mothers are trained accordingly.ResultsCognitive Development Scores and Motor Development Scores of Bayley II were recorded for the 3., 6., 9., and 12 months respectively. Between the 3. and 12. month of gestational age, within-groups measurements in both Cognitive Development Scores (p < 0.001) and Motor Development Scores (p<0.001) were significantly increased. However, the improvements in both Cognitive Development Scores (p = 0.059) and Motor Development Scores (p = 0.334) between the groups was not different.ConclusionFamily centered physiotherapy with NDT principles may not be enough to improve motor and cognitive performance in preterm infants at the first year of age. For supporting the motor and cognitive development of the preterm infants other intervention modalities also should be considered. Keywords: infants; premature; early intervention     

The reliability and predictive ability of the Test of Infant Motor Performance (TIMP) in a community-based study in Bhaktapur,Nepal

AimIn a Nepalese setting, to measure the reliability of the Test of Infant Motor Performance (TIMP) and its ability to predict development scores at 6 months.MethodsNepalese infants (n = 705) were assessed by the TIMP when they were 8–12 weeks old and the Bayley Scales of Infant and Toddler Development, 3rd edition (Bayley-III) at 6 months. Inter-rater agreement was expressed by intraclass correlation coefficients (ICCs), the internal consistency by Cronbach’s alphas and Pearson correlation coefficients. Predictive ability was estimated in linear regression models.ResultsInter-rater agreement was excellent (ICCs > 0.93). Alphas for the TIMP total scores were 0.76 for infants born to term and 0.72 in those born preterm. Correlation coefficients between TIMP total and Bayley-III subscale-scores ranged from 0.05 to 0.28 for term infants and from 0.15 to 0.43 for preterm infants. Using American norms, 56.3 % had TIMP scores within average and 43.7 % below average range. Bayley-III subscale scores were lower in children with TIMP scores below the average range, with the strongest estimates for Gross motor and Socio-emotional development.InterpretationThe reliability of the TIMP was acceptable, and the TIMP could be a feasible tool to monitor infant motor development in low-resource settings. Properties of the TIMP differed according to gestational age.     

The influence of geographic region on the seasonality of early motor development

This investigation was conducted to determine whether the strong seasonality effect on infant motor development that has been noted in moderate climates would be replicated with infants born in a geographic region with more extreme conditions. One hundred and forty-five full-term infants (72 males, 73 females) born in Edmonton, alberta were assessed using the Alberta Infant Motor Scale (AIMS) at 7 months of age. No seasonality effects on the AIMS total scores or the prone, supine, sitting, or standing subsection scores were detected. A weak and statistically non-significant correlation was obtained between the average monthly AIMS scores and the average monthly temperatures 7 months after birth. These results suggest that extreme climatic conditions in urban geographic regions may dampen effects of season of birth on infant motor development.     

Psychological talent predictors in early adolescence and their empirical relationship with current and future performance in soccer

ObjectivesThis study examined the relationship of talented soccer players' psychological characteristics with current and future performance.DesignBoth a cross-sectional and a prospective design were used.MethodThe sample consisted of 2677 U12 players in the German talent development program. Self-report questionnaires captured psychological dispositions and skills that were assigned to the areas of motivation, volition, self-referential cognition, and emotion. Current performance was operationalized by a motor score representing speed abilities and technical skills as well as by coaches' subjective ratings (A = highly promotion-worthy, B = promotion-worthy, C = partly promotion-worthy). The level of future performance was assessed by examining whether individuals were selected for professional clubs' youth academies in U16.ResultsThis study revealed that only self-referential cognitions had a significant and relevant association with the motor score (0.10 ≤ r ≤ 0.37). The players in the subjectively rated categories significantly differed in 10 of 17 psychological scales (0.01 ≤ η² ≤ 0.03). In most of the scales, A-players showed more positively connoted values compared to B- and C-players. Logistic regressions demonstrated that 10 of 17 characteristics explained a significant proportion of players' future success. Players with high dispositions in these characteristics had a greater chance of achieving a higher performance level compared to players with low dispositions (1.61 ≤ OR ≤ 2.65).ConclusionsExpanding on previous research, this study enabled comparisons between a wide range of psychological characteristics with regard to their relevance for soccer performance, leading to conclusions for talent identification and development.     

A crossover randomised and controlled trial of the impact of active video games on motor coordination and perceptions of physical ability in children at risk of Developmental Coordination Disorder

BackgroundImpaired motor development can significantly affect a child’s life and may result in an increased risk of a range of physical and psychological disorders. Active video game (AVG) interventions have been demonstrated to enhance motor skills in children with Developmental Coordination Disorder (DCD); however a home-based intervention has not been assessed.ObjectivesThe primary aim of this study was to compare the changes in motor coordination between a 16 week period of AVG use, with 16 weeks of normal activities (NAG). The secondary aim was to compare the child and parent perceptions of their physical performance between the AVG and NAG conditions.MethodsTwenty-one 9–12 year olds (10 males) were confirmed to be at risk of DCD (⩽16th percentile Movement Assessment Battery for Children-2nd edition (MABC-2) and ⩽15th percentile Developmental Coordination Disorder Questionnaire (DCDQ)) and participated in this crossover randomised and controlled trial. Data was collected at study entry, after the first 16 week condition and following the final 16 week condition, including; (1) the MABC-2, (2) three-dimensional motion analysis of single leg balance and finger–nose tasks, and (3) parent perception of physical skills. Participant perception of physical skills was collected only after the first and second conditions.ResultsThere was no significant difference between AVG and NAG for any of the primary variables including the MABC-2, balance centre-of-mass path distance and finger–nose path distance. There was no significant intervention effect for secondary measures of motor coordination; however the children perceived their motor skills to be significantly enhanced as a result of the AVG intervention in comparison to the period of no intervention.ConclusionA 16 week home based AVG intervention did not enhance motor skills in children with DCD, although they perceived their physical skills to be significantly improved.Trial Registration: Australia and New Zealand Clinical trials Registry (ACTRN 12611000400965).     

The effect of augmented feedback on the performance and learning of gross motor and sport-specific skills: A systematic review

BackgroundAugmented feedback is often provided by coaches and practitioners as a method to enhance the performance of athletes and learners. When implementing a feedback intervention, it is important to assess the expertise of the learner and the complexity of the skill, to ensure an appropriate feedback modality, frequency, and timing is provided. However, researchers have a limited understanding of how these variables interact to influence the performance and learning of gross motor and sport-specific skills.ObjectivesThe purpose of this systematic review was to examine the effects of augmented feedback on the performance and learning of gross motor and sport-specific skills in an adult population.MethodsA systematic literature search was conducted on electronic databases, PubMed, Web of Science and PsycINFO, from inception to March 2020, with a revised search completed to January 2022. The search terms used were related to augmented feedback and motor performance and learning. Studies were included if they consisted of a randomised control trial with pre- and retention-testing measures, which investigated an AF intervention on a gross motor and/or sport-specific skill in a healthy adult population. Risk of bias was assessed using the revised Cochrane risk-of-bias tool for randomised trials (RoB2).ResultsTwenty-four studies were included, with a total of 895 participants. Most studies reported a learning improvement following the provision of AF. One study documented a decrease in performance, and two studies reported no learning improvement Conflicting evidence was reported regarding which feedback frequency, timing, and duration was most appropriate. Furthermore, the inconsistency in methodological designs (control group types; timing of retention-tests; lack of retention tests) limited the comparisons that could be made between studies. Eighteen studies reported a high risk of bias, with the remaining six presenting some concerns.ConclusionAlthough studies have shown positive effects of AF on the performance and learning of gross motor and sport-specific skills, the majority are at a high risk of bias. Additionally, studies lacked standardisation in methodology, and results surrounding features of AF interventions were conflicting. Despite the conceptually sound rationale, further research is required to provide stronger evidence and a more robust understanding to better inform practitioners on how AF truly impacts the performance and learning of gross motor and sport-specific skills.RegistrationThis systematic review was registered on the Open Science Framework (https://osf.io/mrxzg) (10.17605/OSF.IO/MRXZG)     

Motor Performance in the Third,Not the Second Month,Predicts Further Motor Development

ABSTRACT. The aim was to verify if motor performance at second or third month of life better predicts further development. The global motor development was assessed by a neurologist and by a physiotherapist in 111 children at 2, 3, 6, and 9 months. At 2 and 3 months a physiotherapist also performed the assessment of qualitative elements. The physiotherapeutic assessment in the third month showed higher compatibility with the neurological assessment. Proper motor performance at third month could ensure the level of at least 7 months in the ninth month of life. Qualitative score above 7 of 15 points in the third month ensured proper development in ninth month. Third month of life is a better predictor of further motor development.     

Fine motor skill proficiency in typically developing children: On or off the maturation track?

Fine motor skill proficiency is an essential component of numerous daily living activities such as dressing, feeding or playing. Poor fine motor skills can lead to difficulties in academic achievement, increased anxiety and poor self-esteem. Recent findings have shown that children’s gross motor skill proficiency tends to fall below established developmental norms. A question remains: do fine motor skill proficiency levels also fall below developmental norms? The aim of this study was to examine the current level of fine motor skill in Irish children. Children (N = 253) from 2nd, 4th and 6th grades (mean age = 7.12, 9.11 and 11.02 respectively) completed the Fine Motor Composite of the Bruininks Oseretsky Test of Motor Proficiency 2nd Edition (BOT-2). Analysis revealed that only 2nd grade children met the expected level of fine motor skill proficiency. It was also found that despite children’s raw scores improving with age, children’s fine motor skill proficiency was not progressing at the expected rate given by normative data. This leads us to question the role and impact of modern society on fine motor skills development over the past number of decades.     

Differential changes in the development of motor coordination and executive functions in children with motor coordination impairments

Cognitive and motor coordination skills of children with and without motor coordination impairments were examined with a one-year follow-up investigation. Initially, children were between 4 and 6 years old. Age-appropriate tests of executive functions (updating, switching, inhibition, interference control), motor coordination (the Movement Assessment Battery for Children-2) and fitness (the Körperkoordinations-Test für Kinder) were administered in two consecutive years. Several background variables (age, socioeconomic status, medical support, clinical interventions, leisure activities) and potential moderators (nonverbal intelligence, reaction time, visual perception) were controlled. The matched sample consisted of 48 control children and 48 children with motor coordination impairments. The children’s executive functions dramatically improved during the one-year period. With regard to motor coordination performance, half of the impaired children caught up to the control children’s level (“remission group”), while the remaining half showed no improvement (“persisting group”). Compared to the persisting group, the children in the remission group showed markedly better interference control at both measurement points. The correlation between executive functions and motor coordination is significant in the persisting group, but not in the remission group. The results of the study are discussed in the light of the role of executive functions, especially inhibition processes, for the automatization of motor coordination tasks.     

Psychometric properties of the Affordances in the Home Environment for Motor Development inventory for use with Iranian children aged 18–42 months

ObjectiveThe aim of this study was to translate the original English language version of the Affordances in the Home Environment for Motor Development (AHEMD) inventory and test its psychometric properties for use with Iranian children aged 18–42 months.MethodsFor this purpose, the tool was translated into Farsi (a Persian language) using the forward-backward translation method and some of its psychometric properties were examined. Multistage stratified-cluster sampling was used to study 1019 families having children aged 18–42 months from among the regional divisions of Tehran urban community health centers. The questionnaire evaluated five factors: outside space, inside space, variety of stimulation, fine motor toys and gross motor toys. Expert opinion was used for content-related validity evaluation and confirmatory factor analysis was used to determine construct validity. For test-retest reliability, parents completed identical questionnaires two weeks apart. Internal consistency was evaluated using inter-examiner reliability, Cronbach's alpha and construct reliability. Linear regression analysis was used to explain and predict the effects of toys on AHEMD total score.ResultsResults showed that content-related validity was 0.92. Data confirmatory factor analysis showed an acceptable fit to the original five factors. Reliability over time was 0.91 and internal consistency was 0.93. It was also found that fine- and gross-motor toys showed a significant 55% predictability of affordance provision in the home.ConclusionThe Farsi translation of the AHEMD is acceptable for use with Iranian children aged 18–42 month.