Intensity of contralateral associated movements (AMs) is a measure of movement quality assessed using frequency and degree of AMs. A sample of 593 right-handed participants without disability (286 males, 307 females; aged 5y-18y 6mo) was studied with the Zurich Neuromotor Assessment (ZNA). The ZNA is a standardized testing procedure which assesses performance on standardized motor tasks according to timed performance and frequency and degree of AMs. In contrast to frequency and degree, intensity of AMs allowed the calculation of centiles which were quasi-continuous. Centile curves of contralateral AMs for the ZNA and data on inter-and intraobserver reliability are presented. The significance of age, sex, and side differences are discussed. Intensity of AMs offers clinical and scientific advantages for measurement of movement quality. There is a decrease of AMs with age depending on the complexity of tasks. Females showed consistently fewer AMs than males, whereas only minor side differences were shown.In children and adolescents with mild-to-moderate motor dysfunction, timed performance and movement quality for motor tasks need to be assessed reliably. Associated movements (AMs) are an important indicator of movement quality, 1,2 but good reliability is difficult to achieve. Major obstacles are standardization of assessment, scoring of AMs, and training of examiners.Various approaches have been pursued to assess AMs. The finger-lifting method requires the child to move a specified finger. [3][4][5] Using the clip-pinching method, AMs in the contralateral hand are judged when the child exhibits some pressure with the thumb and finger. 4,5 Data for AMs in motor tasks such as finger opposition, diadochokinesis, or walking on heels were also reported. These studies improved understanding of the development of movement quality. 7,8 However, they provided only qualitative, at best semi-quantitative information, and interobserver and test-retest reliability was mostly low. [9][10][11] Largo et al. presented the Zurich Neuromotor Assessment (ZNA) 12 as a standardized test battery with reference curves for timed performance. The ZNA comprises repetitive and alternating movements with hands and feet, repetitive and sequential finger movements, static and dynamic balance, diadochokinesis, and stress gaits. In a companion paper, 2 AMs were analyzed and rated according to frequency (11 levels, indicating the percentage of time with AMs) and degree (four levels, from no movement to marked movements). A normal range across age was provided, as a probability that a child exceeds some value, separately for frequency and degree. This formalization is not easy to use and interpretation of two ratings is not obvious. Centile curves, as for timed performance, were thought to be preferable. The separate rating of frequency and degree has been chosen to facilitate a standardized and accurate assessment of AMs. Thus, these two ratings were combined into one index of severity of AMs, called 'intensity of AMs', by multiplying the two. Th...