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Updated: Feb 11, 2026

Quantified Assessment of Infant's Gross Motor Abilities Using a Multisensor Wearable
Published on: May 17, 2024
Spontaneous movements of preterm infants is associated with outcome of gross motor development
Saori Miyagishima1, Tadayoshi Asaka2, Kaori Kamatsuka1
1Division of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan.
Insights
Early spontaneous limb movements in preterm infants predict better gross motor skills. This study highlights the importance of antigravity movements for development at 6 and 12 months corrected age.
Area of Science:
- Neonatal development
- Pediatric motor control
- Developmental pediatrics
Background:
- Preterm infants often experience developmental delays.
- Gross motor development is crucial for overall child health.
- Early assessment of motor skills is vital for timely intervention.
Purpose of the Study:
- To investigate the relationship between early spontaneous limb movements and later gross motor development in preterm infants.
- To identify predictive factors for motor outcomes in this population.
Main Methods:
- Longitudinal cohort study of preterm infants (<1500g birth weight).
- 3D motion capture assessed antigravity limb movements at 3 months corrected age.
- Alberta Infant Motor Scale (AIMS) evaluated gross motor skills at 6 and 12 months corrected age.
Main Results:
- Spontaneous limb movements at 3 months significantly correlated with AIMS scores for Prone and Sitting at 6 months.
- Early movements also predicted Sitting and Standing abilities at 12 months corrected age.
Conclusions:
- Better antigravity spontaneous movements in early infancy are strong predictors of improved gross motor development in preterm infants.
- These findings support early motor assessments for identifying infants at risk for developmental challenges.
Aims:
We conducted a longitudinal cohort study to analyze the relationship between outcome of gross motor development in preterm infants and factors that might affect their development.
Methods:
Preterm infants with a birth weight of <1500 g were recruited. We measured spontaneous antigravity limbs movements by 3D motion capture system at 3 months corrected age. Gross motor developmental outcomes at 6 and 12 months corrected age were evaluated using the Alberta Infant Motor Scale (AIMS). Statistical analysis was carried out by canonical correlation analysis.
Results:
Eighteen preterm infants were included. In the 6 months corrected age analysis, spontaneous movement had a major effect on Prone and Sitting at 6 months corrected age of AIMS. In the 12 months corrected age analysis, spontaneous movement had a major effect on Sitting and Standing at 12 months corrected age of AIMS.
Conclusions:
In preterm infants, better antigravity spontaneous movements at 3 months corrected age were significantly correlated with better gross motor development at 6 or 12 months corrected age.
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