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Updated: Jul 30, 2026

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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
A study of normal baby movements
Child: Care, Health and Development
|January 1, 1987
Summary
Newborn motor activity, including reflexes and movements, is influenced by arousal levels and environmental factors. Understanding these movements is key to assessing infant development and health.
Area of Science:
- Neonatal physiology
- Developmental pediatrics
- Movement science
Background:
- Normal newborn motor activity is complex and varied.
- Previous research has identified numerous infant movements but lacked comprehensive categorization.
- Understanding the factors influencing neonatal movements is crucial for developmental assessment.
Purpose of the Study:
- To categorize and analyze the diverse motor activities observed in normal newborns.
- To investigate the relationship between neonatal movements and factors like arousal, gestational age, and environmental stimuli.
Main Methods:
- Utilized clinical observation, automatic movement mattress recordings, and cine photography to capture infant movements.
- Recorded data over 4 hours in a controlled environment for 25 healthy newborns aged 3-6 days.
- Classified over 80 distinct movement types into six main categories: progression, symmetrical, startle, asymmetrical tonic neck reflex/Moro, facial, and athetoid movements.
Main Results:
- Identified and categorized six primary types of newborn movements.
- Demonstrated a significant correlation between neonatal motor activity and arousal level.
- Found that gestational age and environmental variables (position, temperature, light, noise) also significantly impact infant movements.
Conclusions:
- Newborn motor activity is a multifaceted behavior influenced by internal states and external stimuli.
- The study provides a framework for understanding and assessing normal neonatal motor patterns.
- Environmental and physiological factors play a critical role in shaping early infant motor development.

