1
|
Oh J, Ordoñez ELT, Velasquez E, Mejía M, Del Pilar Grazioso M, Rohloff P, Smith BA. Associating neuromotor outcomes at 12 months with wearable sensor measures collected during early infancy in rural Guatemala. Gait Posture 2024; 113:477-489. [PMID: 39126960 DOI: 10.1016/j.gaitpost.2024.08.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 07/24/2024] [Accepted: 08/07/2024] [Indexed: 08/12/2024]
Abstract
BACKGROUND Sensitive measures to predict neuromotor outcomes from data collected early in infancy are lacking. Measures derived from the recordings of infant movement using wearable sensors may be a useful new technique. METHODS We collected full-day leg movement of 41 infants in rural Guatemala across 3 visits between birth and 6 months of age using wearable sensors. Average leg movement rate and fuzzy entropy, a measure to describe the complexity of signals, of the leg movements' peak acceleration time series and the time series itself were derived. We tested the three measures for the predictability of infants' developmental outcome, Bayley Scales of Infant and Toddler Development III motor, language, or cognitive composite score assessed at 12 months of age. We performed quantile regressions with clustered standard errors, accounting for the multiple visits for each infant. RESULTS Fuzzy entropy was associated with the motor composite score at the 0.5 quantiles; this association was not found for the other two measures. Also, no leg movement characteristic was associated with language or cognitive composite scores. CONCLUSION We propose that the entropy of leg movement associated peak accelerations calculated from the wearable sensor data collected for a full-day can be considered as one predictor for infants' motor developmental outcome assessed with Bayley Scales of Infant and Toddler Development III at 12 months of age.
Collapse
Affiliation(s)
- Jinseok Oh
- Division of Developmental-Behavioral Pediatrics, Children's Hospital Los Angeles, USA
| | | | | | | | | | - Peter Rohloff
- Wuqu' Kawoq | Maya Health Alliance, Guatemala; Division of Global Health equity, Brigham and Women's Hospital, USA.
| | - Beth A Smith
- Division of Developmental-Behavioral Pediatrics, Children's Hospital Los Angeles, USA; Department of Pediatrics, Keck School of Medicine, University of Southern California, USA; Developmental Neuroscience and Neurogenetics Program, The Saban Research Institute, Children's Hospital Los Angeles, USA.
| |
Collapse
|
2
|
Prasad Gupta M, Gupta D, Usman A. Post-term Birth and Developmental Coordination Disorder: A Narrative Review of Motor Impairments in Children. Cureus 2024; 16:e63211. [PMID: 39070519 PMCID: PMC11278065 DOI: 10.7759/cureus.63211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2024] [Indexed: 07/30/2024] Open
Abstract
A prevalent long-term medical condition in children that is rarely understood and acknowledged in educational contexts is developmental coordination disorder (DCD), which is one of the most prevalent conditions in school-aged children. Mild-to-severe abnormalities in muscle tone, posture, movement, and the learning of motor skills are associated with motor disorders. Early detection of developmental abnormalities in children is crucial as delayed motor milestones during infancy might indicate a delay in both physical and neurological development. To overcome the current condition of motor impairment, obstructing their risk factors is important to prevent the development of disability, which is already determined in the prenatal and perinatal period. Concerning the relationship with gestational age, the majority of the studies reported a relationship between DCD and preterm children. However, the entire range of gestational age, including post-term birth, has not been studied. The risk of developmental consequences such as cognitive impairments, major mental diseases, attention-deficit/hyperactivity disorder, autism spectrum disorder, and other behavioral and emotional problems increases in post-term birth, according to prior studies. Thus, this review aims to provide an overview of information linking post-term birth to children's motor impairment, with a focus on DCD. A thorough systemic review was conducted on online databases, and only a few studies were found on the association with post-term children. Insufficient evidence made it necessary to examine more post-term cohorts in adolescence to fully determine the long-term health concerns and develop therapies to mitigate the detrimental effects of post-term deliveries.
Collapse
Affiliation(s)
- Manish Prasad Gupta
- Pediatrics, Shanghai First Maternity and Infant Hospital, Tongji University School of Medicine, Shanghai, CHN
| | - Dhiraj Gupta
- Radiation Oncology, All India Institute of Medical Sciences, Rishikesh, Rishikesh, IND
| | - Ali Usman
- General Surgery, Nishtar Medical University, Multan, PAK
| |
Collapse
|
3
|
Dumuids-Vernet MV, Forma V, Provasi J, Anderson DI, Hinnekens E, Soyez E, Strassel M, Guéret L, Hym C, Huet V, Granjon L, Calamy L, Dassieu G, Boujenah L, Dollat C, Biran V, Barbu-Roth M. Stimulating the motor development of very premature infants: effects of early crawling training on a mini-skateboard. Front Pediatr 2023; 11:1198016. [PMID: 37346892 PMCID: PMC10281647 DOI: 10.3389/fped.2023.1198016] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2023] [Accepted: 05/18/2023] [Indexed: 06/23/2023] Open
Abstract
Aim To examine the effects of an early home-based 8-week crawling intervention performed by trained therapists on the motor and general development of very premature infants during the first year of life. Methods At term-equivalent age, immediately following discharge from the Neonatal Intensive Care Unit (NICU), we randomly allocated 44 premature infants born before 32 weeks' gestation without major brain damage to one of three conditions in our intervention study: crawling on a mini-skateboard, the Crawliskate (Crawli), prone positioning control (Mattress), or standard care (Control). The Crawli and Mattress groups received 5 min daily at-home training administered by trained therapists for 8 consecutive weeks upon discharge from the NICU. The outcomes of greatest interest included gross motor development (Bayley-III) at 2, 6, 9, and 12 months (primary outcome) corrected age (CA), mature crawling at 9 months CA and general development at 9 and 12 months CA [Ages and Stages Questionnaires-3 (ASQ-3)]. The study was registered at www.clinicaltrials.gov; registration number: NCT05278286. Results A 3 (Condition) × 4 (Age) repeated measures ANOVA revealed that Crawli group infants had significantly higher Bayley-III gross motor development scores than Mattress and Control group infants. Crawli group infants also scored significantly higher on groups of Bayley-III items related to specific motor skills than infants in the other groups, including crawling at 9 months CA. We found significant differences in favor of the Crawli group in separate one-way ANOVAs at each of the ages we examined. A 3 (Condition) × 2 (Age) repeated measures ANOVA revealed that the Crawli group scored significantly higher than the Control group for the ASQ-3 total score and communication score and significantly higher for the fine motor score than the Control and Mattress groups. We found additional significant differences in favor of the Crawli group for other dimensions of the ASQ-3 in separate one-way ANOVAs at 9 and 12 months CA. Interpretation Early crawling training on a Crawliskate provides an effective way to promote motor and general development in very premature infants. The findings also provide clear evidence for a link between newborn crawling and more mature crawling later in development.
Collapse
Affiliation(s)
| | - Vincent Forma
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Joëlle Provasi
- CHArt Laboratory (Human and Artificial Cognition), EPHE-PSL, Paris, France
| | - David Ian Anderson
- Marian Wright Edelman Institute, San Francisco State University, San Francisco, CA, United States
| | - Elodie Hinnekens
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Evelyne Soyez
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Mathilde Strassel
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Léa Guéret
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Charlotte Hym
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Viviane Huet
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Lionel Granjon
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Lucie Calamy
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| | - Gilles Dassieu
- Service de Néonatologie, Centre Hospitalier Intercommunal, Créteil, France
| | - Laurence Boujenah
- Service de Néonatologie, Groupe Hospitalier Paris Saint-Joseph, Paris, France
| | - Camille Dollat
- Service de Néonatologie, AP-HP, Maternité Port Royal, Paris, France
| | - Valérie Biran
- Service de Néonatologie, AP-HP, Hôpital Robert Debré, Paris, France
| | - Marianne Barbu-Roth
- Université Paris Cité, CNRS, Integrative Neuroscience and Cognition Center (INCC), Paris, France
| |
Collapse
|
4
|
Fastame MC, Spada E, Cimmino D, Leban B, Porta M, Arippa F, Casu G, Pau M. Motor and cognitive skills implicated in the Motor Observation Questionnaire for Teachers (MOQ-T): A multidisciplinary approach. Heliyon 2023; 9:e16659. [PMID: 37260907 PMCID: PMC10227329 DOI: 10.1016/j.heliyon.2023.e16659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Revised: 05/13/2023] [Accepted: 05/23/2023] [Indexed: 06/02/2023] Open
Abstract
This study was designed to determine the relationship between an observational measure of motor skills for teachers (i.e., MOQ-T), age, and some objectively assessed cognitive and motor indices. Two further goals were to examine which motor and cognitive factors predicted MOQ-T scores and to explore whether pupils with very low motor skills identified through MOQ-T also exhibited lower scores on objectively assessed motor and visuo-spatial tasks. A sample of 156 pupils aged 8.4 years-11.3 years and attending Italian primary school completed a battery of tests assessing writing speed, visuo-spatial abstract reasoning, fluency, and static balance abilities objectively assessed by measuring postural sway. Small to medium associations were found between MOQ-T scores and age, motor, and cognitive parameters, respectively. Moreover, approximately 26% of the variance in MOQ-T was predicted by sway area in the eyes-open condition, visuo-spatial fluency, and writing speed. Finally, pupils at risk of developmental coordination disorder exhibited poorer writing speed, and motor and higher-order visuo-spatial deficits. In conclusion, the synergistic use of objective measures of motor and cognitive functioning and observational screening questionnaires such as MOQ-T should be encouraged at school to identify pupils at risk of developmental coordination disorder.
Collapse
Affiliation(s)
- Maria Chiara Fastame
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Eleonora Spada
- Department of Pedagogy, Psychology, Philosophy, University of Cagliari, Cagliari, Italy
| | - Demetra Cimmino
- Department of Mechanical, Chemical, and Materials Engineering, University of Cagliari, Cagliari, Italy
| | - Bruno Leban
- Department of Mechanical, Chemical, and Materials Engineering, University of Cagliari, Cagliari, Italy
| | - Micaela Porta
- Department of Mechanical, Chemical, and Materials Engineering, University of Cagliari, Cagliari, Italy
| | - Federico Arippa
- Department of Mechanical, Chemical, and Materials Engineering, University of Cagliari, Cagliari, Italy
| | - Giulia Casu
- Department of Mechanical, Chemical, and Materials Engineering, University of Cagliari, Cagliari, Italy
| | - Massimiliano Pau
- Department of Mechanical, Chemical, and Materials Engineering, University of Cagliari, Cagliari, Italy
| |
Collapse
|
5
|
Liu MX, Li HF, Wu MQ, Geng SS, Ke L, Lou BW, Du W, Hua J. Associations of preterm and early-term birth with suspected developmental coordination disorder: a national retrospective cohort study in children aged 3-10 years. World J Pediatr 2023; 19:261-272. [PMID: 36469242 PMCID: PMC9974676 DOI: 10.1007/s12519-022-00648-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/07/2022] [Accepted: 10/26/2022] [Indexed: 12/11/2022]
Abstract
BACKGROUND This study analyzed the motor development and suspected developmental coordination disorder of very and moderately preterm (< 34+0 gestational age), late preterm (34+0-36+6 gestational week), and early-term (37+0-38+6 gestational week) children compared to their full-term peers with a national population-based sample in China. METHODS A total of 1673 children (799 girls, 874 boys) aged 3-10 years old were individually assessed with the Movement Assessment Battery for Children-second edition (MABC-2). The association between gestational age and motor performance of children was analyzed using a multilevel regression model. RESULTS The global motor performance [β = - 5.111, 95% confidence interval (CI) = - 9.200 to - 1.022; P = 0.015] and balance (β = - 5.182, 95% CI = - 5.055 to - 1.158; P = 0.003) for very and moderately preterm children aged 3-6 years old were significantly lower than their full-term peers when adjusting for confounders. Late preterm and early-term children showed no difference. Moreover, very and moderately preterm children aged 3-6 years had a higher risk of suspected developmental coordination disorder (DCD) (≤ 5 percentile of MABC-2 score) when adjusting for potential confounders [odds ratio (OR) = 2.931, 95% CI = 1.067-8.054; P = 0.038]. Late preterm and early-term children showed no difference in motor performance from their full-term peers (each P > 0.05). CONCLUSIONS Our findings have important implications for understanding motor impairment in children born at different gestational ages. Very and moderately preterm preschoolers have an increased risk of DCD, and long-term follow-up should be provided for early detection and intervention.
Collapse
Affiliation(s)
- Ming-Xia Liu
- The Women's and Children's Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China
- Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Hai-Feng Li
- Department of Rehabilitation, Children's Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China
| | - Mei-Qin Wu
- The Women's and Children's Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China
- Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Shan-Shan Geng
- The Women's and Children's Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China
- Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Li Ke
- State Key Laboratory of Cognitive Neuroscience and Learning, Beijing Normal University, Beijing, China
| | - Bi-Wen Lou
- Leitontech Research Institution, Suzhou, China
| | - Wenchong Du
- Department of Psychology, NTU Psychology, Nottingham Trent University, Nottingham, UK.
| | - Jing Hua
- The Women's and Children's Department, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
- Shanghai Key Laboratory of Maternal Fetal Medicine, Shanghai First Maternity and Infant Hospital, School of Medicine, Tongji University, Shanghai, China.
| |
Collapse
|
6
|
Lajiness-O'Neill R, Raghunathan T, Berglund P, Huth-Bocks A, Taylor HG, Staples AD, Brooks J, Lukomski A, Gidley Larson JC, Warschausky S. Caregiver-reported newborn term and preterm motor abilities: psychometrics of the PediaTrac TM Motor domain. Pediatr Res 2022; 93:1736-1744. [PMID: 36180587 PMCID: PMC10060438 DOI: 10.1038/s41390-022-02312-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Revised: 08/18/2022] [Accepted: 09/07/2022] [Indexed: 11/09/2022]
Abstract
BACKGROUND Approximately 5-10% of children exhibit developmental deviations in motor skills or other domains; however, physicians detect less than one-third of these abnormalities. Systematic tracking and early identification of motor deviations are fundamental for timely intervention. METHODS Term and preterm neonates were prospectively assessed at the newborn (NB) period in a study of the psychometric properties of the Motor (MOT) domain of PediaTracTM v3.0, a novel caregiver-based development tracking instrument. Item response theory graded response modeling was used to model item parameters and estimate theta, an index of the latent trait, motor ability. Exploratory factor analysis (EFA) was conducted to examine the dimensionality and factor structure. RESULTS In a cohort of 571 caregiver/infant dyads (331 term, 240 preterm), NB MOT domain reliability was high (rho = 0.94). Item discrimination and item difficulty of each of the 15 items could be reliably modeled across the range of motor ability. EFA confirmed that the items constituted a single dimension with second-order factors, accounting for 43.20% of variance. CONCLUSIONS The latent trait, motor ability, could be reliably estimated at the NB period. IMPACT The caregiver-reported Motor domain of PediaTrac provides a reliable estimate of the latent trait of motor ability during the newborn period. This is the first known caregiver-reported instrument that can assess motor ability in the newborn period with high reliability in term and preterm infants. Item response theory methods were employed that will allow for future characterization of developmental subgroups and motor trajectories. The PediaTrac Motor domain can support early identification of at-risk infants. Including caregivers in digital reporting and child-centered monitoring of motor functioning may improve access to care.
Collapse
Affiliation(s)
- Renee Lajiness-O'Neill
- Psychology, Eastern Michigan University, Ypsilanti, MI, USA. .,Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA.
| | - Trivellore Raghunathan
- Institute for Social Research and the School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Patricia Berglund
- Institute for Social Research and the School of Public Health, University of Michigan, Ann Arbor, MI, USA
| | - Alissa Huth-Bocks
- Pediatrics, Rainbow Babies & Children's Hospital, Case Western Reserve University, Cleveland, OH, USA
| | - H Gerry Taylor
- Abigail Wexner Research Institute at Nationwide Children's Hospital, and Pediatrics, The Ohio State University, Columbus, OH, USA
| | | | - Judith Brooks
- Dietetics and Human Nutrition, Eastern Michigan University, Ypsilanti, MI, USA
| | | | | | - Seth Warschausky
- Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA
| | | |
Collapse
|
7
|
Cognitive Profiles of Children with Low Motor Performance: A Contribution to the Validation of the WPPSI-IV. CHILDREN 2022; 9:children9050619. [PMID: 35626796 PMCID: PMC9139465 DOI: 10.3390/children9050619] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/25/2022] [Revised: 04/19/2022] [Accepted: 04/22/2022] [Indexed: 11/16/2022]
Abstract
(1) Background: Developmental Coordination Disorder (DCD) is a common developmental disorder of preschool age. Children often show cognitive deficits in addition to motor problems. Various studies point in particular to problems in visual perception, working memory and processing speed. In this context, it is investigated whether the Wechsler Preschool and Primary Scale-IV (WPPSI-IV) is a suitable instrument for mapping these deficits in a valid and economical way. (2) Methods: The WPPSI-IV profiles of children with DCD (n = 12), below-average motor performance (n = 22) and a control group (n = 32) were compared. (3) Results: Children with DCD achieved significantly poorer test performance in the primary indices Verbal Comprehension, Visual Spatial, Processing Speed and Full Scale compared to a control group. Children with below-average motor skills, on the other hand, do not differ from the children in the control group. (4) Conclusions: The WPPSI-IV is a suitable instrument for diagnosing cognitive deficits in the context of DCD. The Fluid Reasoning and Verbal Comprehension indices should be used as a supplement to assess cognitive performance levels.
Collapse
|