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Motor delay in cystic fibrosis infants: an observational study
Paula de Almeida Thomazinho1, Célia Regina Moutinho de Miranda Chaves, Caroline Pinto Pássaro
1Pediatrics Department, Instituto Fernandes Figueira/FIOCRUZ, Rio de Janeiro, Brazil. pthomazinho@iff.fiocruz.br
Insights
A significant number of children with cystic fibrosis (CF) experience delayed gross motor development. Factors like low stature and prolonged hospital stays are linked to these early motor deficits in CF patients.
Area of Science:
- Pediatric Medicine
- Developmental Pediatrics
- Genetics
Background:
- Cystic Fibrosis (CF) is a genetic disorder affecting multiple organs.
- Early detection of developmental delays is crucial for intervention in CF patients.
Purpose of the Study:
- To determine the prevalence of delayed gross motor development in infants and toddlers with CF.
- To identify potential risk factors associated with motor delays in this population.
Main Methods:
- A cross-sectional observational study included 15 children aged 6-42 months with CF.
- Data collected included demographics, anthropometrics, clinical characteristics, and Shwachman scores.
- Motor abilities were assessed using the Bayley Scales of Infant and Toddler Development® - III Edition (BSITD-III).
Main Results:
- Motor development delay was identified in 26.7% of the children studied.
- Statistically significant associations were found between motor delay and low stature, low weight, and prolonged hospitalizations (>60 days).
- In 75% of affected children, significant differences existed between gross and fine motor scores.
Conclusions:
- The high prevalence of motor delay suggests that biological and environmental factors in CF contribute to early motor deficits.
- Monitoring motor development is essential for timely and adequate intervention in children with CF.
Objective:
To verify the prevalence of delay in gross motor development in cystic fibrosis (CF) patients.
Study Design:
This is a cross-sectional observational study. A total of 15 children with CF were included in the analyses. The selection criteria was age between 6 and 42months. Data on demographic, anthropometric, clinical characteristics and severity score (Shwachman) were obtained from patient records. The Bayley Scales of Infant and Toddler Development® - III Edition (BSITD-III) was used to assess motor abilities.
Results:
Motor development delay was observed in 26.7% (n=4) of the children and, in 75% of these, there were statistically significant differences between gross and fine motor scores. Low stature, low weight and periods longer than 60days at hospital showed statistically significant association with motor delay (p=0.025, 0.032, 0.003, respectively).
Conclusion:
The prevalence of motor delay in the studied sample was high, suggesting that biological and ambient conditions of risk present in CF contribute to early motor deficits. Thus, the observation of the motor development in these patients is important for planning an adequate intervention.
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