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Motor function tests for 0-2-year-old children - a systematic review
Camilla Buch Kjølbye1, Thomas Bo Drivsholm, Ruth Kirk Ertmann
1d090063@dadlnet.dk.
Insights
This review identified motor function tests for infants. The Ages and Stages Questionnaire (ASQ) and Early Motor Questionnaire (EMQ) are recommended for piloting in the Danish Preventive Child Health Examination Programme (DPCHEP).
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Motor Development Assessment
Background:
- Lack of validated motor function evaluation methods in low-risk pediatric settings.
- The Danish Preventive Child Health Examination Programme (DPCHEP) requires validated tools for assessing infant motor skills.
- Current DPCHEP practices for motor function assessment lack empirical validation.
Purpose of the Study:
- To identify validated motor function tests for children aged 0-2 years.
- To assess the suitability of identified tests for the DPCHEP.
- To guide the selection of appropriate motor assessment tools for routine pediatric health examinations.
Main Methods:
- Systematic literature review adhering to PRISMA guidelines.
- Comprehensive search across multiple databases including PubMed, Embase, SwedMed, PsycInfo, and CINAHL.
- Inclusion and exclusion criteria applied to select relevant studies on infant motor function tests.
Main Results:
- Five motor function tests were identified: Alberta Infant Motor Scale (AIMS), Harris Infant Neuromotor Assessment, Early Motor Questionnaire (EMQ), Ages and Stages Questionnaire (ASQ), and Brigance Infant and Toddler Screen.
- AIMS focuses solely on motor function; Harris also assesses cognition; EMQ includes perception-action skills.
- ASQ and Brigance cover broader developmental aspects. All except AIMS involve parent participation.
Conclusions:
- The ASQ and EMQ were identified as potentially suitable for DPCHEP implementation.
- Three of the five tests were deemed unsuitable due to time and tool requirements.
- Pilot testing of ASQ and EMQ is recommended for integration into the DPCHEP, possibly with enhanced visual aids.
Introduction:
There is no evidence on how motor function is best evaluated in children in a low-risk setting. The method used in the Danish Preventive Child Health Examination Programme (DPCHEP) in general practise has not been validated. The objective of this review was to identify existing motor function tests for 0-2-year-old children that were validated for use in the background population and which are suitable for use in the DPCHEP.
Methods:
This systematic review was conducted in accordance with the PRISMA guidelines. A systematic literature search was performed in PubMed, Embase, SwedMed, PsycInfo and CINAHL in accordance with the inclusion and exclusion criteria.
Results:
Five motor function tests were identified. The Alberta Infant Motor Scale (AIMS) exclusively assesses motor function, the Harris Infant Neuromotor Assessment also assesses cognition and the Early Motor Questionnaire (EMQ) additionally assesses perception-action integration skills. The Ages and Stages Questionnaire (ASQ) and The Brigance Infant and Toddler Screen include further aspects of development. All test methods, except for the AIMS, are based on parent involvement.
Conclusions:
For implementation in the DPCHEP, five motor function tests were potentially adequate. However, the time consumption and extensive use of tools render three of the five tests unsuitable for implementation in the existing programme. The two remaining tests, the ASQ and the EMQ, are parent questionnaires. We suggest that these should be pilot tested with a view to their subsequent implementation in the DPCHEP. It may be considered to present the test elements in a more manageable and systematic way, possibly with illustrations.
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