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Updated: Oct 15, 2025

Quantified Assessment of Infant's Gross Motor Abilities Using a Multisensor Wearable
Published on: May 17, 2024
Child Developmental Delays and Disorders: Motor Delay
1HealthCall Behavioral Services, 28000 Woodward Ave, Royal Oak, MI 48067.
Insights
Gross motor development in children follows a predictable path. Early identification of delays during well-child visits is crucial for timely intervention and optimal outcomes.
Area of Science:
- Pediatrics
- Developmental Neurology
- Child Health
Background:
- Infant and child gross motor development, marked by the disappearance of primitive reflexes and attainment of milestones, is a predictable process linked to central nervous system maturation.
- Routine well-child visits are key opportunities to monitor this development.
- Family physicians play a vital role in assessing motor development and identifying potential risk factors from medical and social histories.
Purpose of the Study:
- To outline the predictable sequence of gross motor development in infants and children.
- To emphasize the role of routine assessments in identifying motor delays.
- To guide physicians in evaluating and managing identified gross motor delays.
Main Methods:
- Assessment of gross motor development through physical examination during well-child visits.
- Screening for developmental delays using standardized tools.
- Review of child and family medical and social histories to identify risk factors.
Main Results:
- Gross motor development follows a predictable sequence tied to neurological maturation.
- Well-child visits facilitate early detection of motor delays.
- Systematic evaluation is necessary to determine the cause of delays.
Conclusions:
- Early identification and intervention for gross motor delays are essential for positive child development outcomes.
- Family physicians are well-positioned to initiate the evaluation and referral process.
- Prompt referral for early intervention services is recommended upon identification of a delay.
Abstract:
Gross motor development in infants and children, including loss of cerebral neuromotor maturational markers (ie, primitive reflexes) and achievement of motor developmental milestones, follows a predictable sequence as the central nervous system matures. Because of this predictability, routine well-child visits provide an opportunity to assess development and identify motor delays through physical examination and screening with standardized tools. Family physicians are well suited to evaluate for risk factors that may adversely affect motor development, including review of the medical and social history of the child and the parents or caregivers for such factors. After a gross motor delay is identified, the physician should determine the likely cause of the delay, identify any anatomic etiology, and assess for features that may require further evaluation. This may include laboratory tests, imaging, or referral to a subspecialist. The patient then should be referred for early intervention.
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