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Published on: May 17, 2024
Differences in Motor Development between Preterm Infants and Full-Term Preschool Children
Alicia Cuesta-Gómez1, Pilar Fernández-González1, María Carratalá-Tejada1
1Motion Analysis, Ergonomics, Biomechanics and Motor Control Laboratory (LAMBECOM), Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Rey Juan Carlos University, 28922 Madrid, Spain.
Insights
Preterm infants show significant delays in gross and fine motor development compared to full-term peers. Early intervention programs and birth factors like gestational age did not show a correlation with motor skill outcomes in this study.
Area of Science:
- Pediatrics
- Neurodevelopmental Pediatrics
- Developmental Psychology
Background:
- Advances in neonatal care improve preterm infant survival.
- Preterm birth is associated with increased risks of neurodevelopmental abnormalities.
- Motor and sensory deficits can negatively impact academic achievement.
Purpose of the Study:
- To compare gross and fine motor development in preterm and full-term children aged 3-6 years.
- To utilize the Peabody Developmental Motor Scales 2 (PDMS-II) for assessment.
- To identify factors influencing motor development in this age group.
Main Methods:
- A cohort of 15 preterm and 15 full-term children (aged 3-6 years) was recruited.
- Participants were matched for age and sex.
- The Peabody Developmental Motor Scales 2 (PDMS-II) was administered to assess motor skills.
Main Results:
- Statistically significant differences (p < 0.05) in PDMS-II scores were observed across most subscales between preterm and full-term children.
- The 'grasping' subscale was the only exception, showing no significant difference.
- No significant differences in motor development were found between preterm children who participated in early intervention programs and those who did not.
- No correlation was identified between gestational age or birth weight and motor development outcomes in preschool-aged children.
Conclusions:
- Children born preterm exhibit significant deficits in gross and fine motor development compared to their full-term counterparts.
- Early intervention programs did not demonstrate a statistically significant impact on motor development in the studied preterm group.
- Motor development at preschool age was not correlated with gestational age or birth weight in this cohort.
Abstract:
Although advances in obstetric and neonatal care have improved the survival of preterm infants, many studies document the increased risk of motor and sensory neurodevelopmental abnormalities that can hinder school progress. The aim of this study was to analyze the differences in gross and fine motor development in children born preterm and full term aged 3 to 6 years using the Peabody Developmental Motor Scales 2 (PDMS-II). Fifteen preterm and fifteen term children, matched for age and sex, participated in this study. They were evaluated with the PDMS-II scale. The scores obtained in the PDMS-II scale showed statistically significant differences (p < 0.05) in all subscales except for the "grasping" subscale. No dissimilarities were found between children who attended an early intervention program and those who did not participate, nor was there any correlation between week of gestation and birth weight and motor development in preschool. The results obtained show that differences are found with respect to motor development, with lower scores for those born preterm compared to children born at term. No statistically significant difference was found between preterm children who attended early intervention and those who did not. No correlation was found between motor development at preschool age and birth weight and gestational age.
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