Relationship Between Postural Control and Fine Motor Skills in Preterm Infants at 6 and 12 Months Adjusted Age

Wang, Tien‐Ni; Howe, Tsu Hsin; Hinojosa, Jim; Weinberg, Sharon L.

doi:10.5014/ajot.2011.001503

Cited by 18 publications

(10 citation statements)

References 25 publications

(32 reference statements)

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“…Horn et al 2006). This concurs with the strongest evidence for such a relationship in the earlier literature having been found in research conducted in infants (Wang et al 2011). Nonetheless, the present study shows that the relationship between postural control and manual ability is modest above the age of 3 years.…”

Section: Discussionsupporting

confidence: 92%

“…Previous research seeking to examine the developmental relationship between postural stability and manual skill has produced unclear results (Loria 1980; Case-Smith et al 1989; Rosenblum and Josman 2003; Wang et al 2011). This is perhaps unsurprising when one considers that existing studies have often collected data from relatively small populations and relied on subjective measures.…”

Section: Discussionmentioning

confidence: 99%

“…Case-Smith et al (1989) measured a sample of 60 children aged between 2 and 6 months old on the posture and fine motor assessment of infants (PFMAI) scale and found scores for posture only accounted for 12 % of the variance in fine motor control scores. In contrast, Wang et al (2011) found that in a sample of 105 six-to-twelve-month-old preterm infants postural control, assessed using the Alberta Infant Motor Scale, was a significant predictor uniquely explaining 25 % of the variance in fine motor control, assessed using subtests from the Peabody Developmental Motor Scales. Beyond infancy, Rosenblum and Josman (2003) examined fine motor performance using a peg-board manual dexterity task and a set of balance tasks from the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP), in 47 five-year-old children.…”

Section: Introductionmentioning

confidence: 90%

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The relationship between a child’s postural stability and manual dexterity

et al. 2014

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The neural systems responsible for postural control are separate from the neural substrates that underpin control of the hand. Nonetheless, postural control and eye-hand coordination are linked functionally. For example, a stable platform is required for precise manual control tasks (e.g. handwriting) and thus such skills often cannot develop until the child is able to sit or stand upright. This raises the question of the strength of the empirical relationship between measures of postural stability and manual motor control. We recorded objective computerised measures of postural stability in stance and manual control in sitting in a sample of school children (n = 278) aged 3–11 years in order to explore the extent to which measures of manual skill could be predicted by measures of postural stability. A strong correlation was found across the whole sample between separate measures of postural stability and manual control taken on different days. Following correction for age, a significant but modest correlation was found. Regression analysis with age correction revealed that postural stability accounted for between 1 and 10 % of the variance in manual performance, dependent on the specific manual task. These data reflect an interdependent functional relationship between manual control and postural stability development. Nevertheless, the relatively small proportion of the explained variance is consistent with the anatomically distinct neural architecture that exists for ‘gross’ and ‘fine’ motor control. These data justify the approach of motor batteries that provide separate assessments of postural stability and manual dexterity and have implications for therapeutic intervention in developmental disorders.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 90%

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The relationship between a child’s postural stability and manual dexterity

et al. 2014

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“…Our findings are consistent with the current literature that describes head movements, particularly during pull to sit, as highly significant in discriminating infants later diagnosed with developmental delay [41,42]. Hyper-or hypotonicity in the neck and trunk may prevent the normal development of head control which impacts later visual and motor interactions with parents and the environment [29,[43][44][45][46].…”

Section: Discussionsupporting

confidence: 91%

Identifying premature infants at high and low risk for motor delays using motor performance testing and MRS

Coker-Bolt

Woodbury

Perkel

et al. 2014

Journal of Pediatric Rehabilitation Medicine

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PURPOSE: To determine specific motor skills in premature infants, match those that correlate with standards tests of motor performance, and MRS measures of abnormal brain biochemistry. METHODS: Prospective cohort study of preterm infants (n = 22). Infant motor assessments were completed at term and 12 weeks corrected gestational age (CGA) using the Test of Infant Motor Performance (TIMP) and Bayley Scales of Infant and Toddler Development-III at 12 months CGA. Infants (n = 12) received MRS scans at term CGA. Rasch analysis and MRS findings investigated TIMP items well targeted to high and low risk infants. RESULTS: A 10 item subset of motor skill items correlated strongly with full 42-item TIMP at term and 12 week testing (r > 0.90, p < 0.001 for both), and with Bayley gross motor scores. MRS metabolites in basal ganglia correlated significantly with both TIMP and 10 item motor tests at term, while frontal white matter metabolites correlated with TIMP and 10 item tests at 12 weeks and Bayley motor scores. CONCLUSION: A short motor skill assessment may be representative of a longer standardized test and relate to brain metabolic function in key areas for motor movement and development. Validation of a shortened assessment may improve early identification of high-risk preterm infants.

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“…It quantifies gross motor activity in a global score, taking into consideration three criteria related to the quality of movement: weight distribution, posture and movement against the force of gravity [88,89]. It has a good correlation with the final gross motor abilities attained in later childhood [90]. The AIMS will be applied at the 3 and 6 months visit.…”

Section: Methodsmentioning

confidence: 99%

Impact of perinatal different intrauterine environments on child growth and development in the first six months of life - IVAPSA birth cohort: rationale, design, and methods

Bernardi

Ferreira

Nunes

et al. 2012

BMC Pregnancy Childbirth

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BackgroundIn the last twenty years, retrospective studies have shown that perinatal events may impact the individual health in the medium and long term. However, only a few prospective studies were designed to address this phenomenon. This study aims to describe the design and methods of the Impact of Perinatal Environmental Variations in the First Six Months of Life - the IVAPSA Birth Cohort.Method/DesignThis is a clinical study and involves the recruitment of a birth cohort from hospitals in Porto Alegre, Rio Grande do Sul, Brazil. Mothers from different clinical backgrounds (hypertensive, diabetics, smokers, having an intrauterine growth restricted child for idiopathic reasons, and controls) will be invited to join the study twenty-four hours after the birth of their child. Data on economic, social, and maternal health care, feeding practices, anthropometric measures, physical activity, and neuropsychological evaluation will be obtained in interviews at postpartum, 7 and 15 days, 1, 3 and 6 months of life.DiscussionTo our knowledge, this is the first thematic cohort focused on the effects of intrauterine growth restriction to prospectively enroll mothers from different clinical backgrounds. The IVAPSA Birth Cohort is a promising research platform that can contribute to the knowledge on the relationship between perinatal events and their consequences on the children's early life.

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Relationship Between Postural Control and Fine Motor Skills in Preterm Infants at 6 and 12 Months Adjusted Age

Cited by 18 publications

References 25 publications

The relationship between a child’s postural stability and manual dexterity

The relationship between a child’s postural stability and manual dexterity

Identifying premature infants at high and low risk for motor delays using motor performance testing and MRS

Impact of perinatal different intrauterine environments on child growth and development in the first six months of life - IVAPSA birth cohort: rationale, design, and methods

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