Motor and Cognitive Trajectories in Infants and Toddlers with and at Risk of Cerebral Palsy Following a
Kanishka Baduni1, Allison McIntyre2, Caitlin P Kjeldsen2
1Department of Kinesiology, University of Georgia, Athens, GA 30602, USA.
Insights
Early motor skill improvements in children with cerebral palsy (CP) led to better cognitive development. A community program showed positive effects on motor and cognitive outcomes in young children at risk of or with CP.
Area of Science:
- Pediatric Rehabilitation
- Developmental Neuroscience
- Child Psychology
Background:
- Early motor development is crucial for cognitive skill acquisition.
- Motor delays in children with cerebral palsy (CP) can impede cognitive development, underscoring the need for early intervention.
- Community-based programs offer a platform for early intervention in motor development.
Purpose of the Study:
- To assess immediate and 5-month changes in motor and cognitive skills.
- To evaluate the impact of a community-based program on infants and toddlers at risk of or with CP.
- To explore the relationship between motor improvements and cognitive gains.
Main Methods:
- Twenty-two children (mean age: 22 ± 7 months) with CP participated in a 6-day community activity program.
- Children were classified using the Gross Motor Function Classification System (GMFCS) and mini-Manual Ability Classification System (mini-MACS).
- Outcomes were assessed using the Developmental Assessment of Young Children (DAYC-2).
Main Results:
- Participants achieving motor goals showed significantly higher cognitive scores at 5 months (p = 0.006).
- Children with higher functional motor abilities (GMFCS levels I-II, mini-MACS levels I-II) had better cognitive scores at 5 months.
- Motor improvements correlated with enhanced cognitive development in young children with CP.
Conclusions:
- Motor skill improvements following community-based programs positively impact cognitive development in children with CP.
- Early motor interventions are vital for long-term developmental trajectories in children with CP.
- Further research should investigate the mechanisms linking motor interventions to cognitive progress.
Background:
Early motor development is fundamental in driving cognitive skill acquisition. Motor delays in children with cerebral palsy (CP) often limit exploratory behaviors, decreasing opportunities or the quality of cognitive development, emphasizing the importance of early intervention. This study aimed to assess immediate and 5-month motor and cognitive changes in infants and toddlers at risk of or with CP after participation in a community-based program.
Methods:
Twenty-two children (mean age: 22 ± 7 months) classified using the Gross Motor Function Classification System (GMFCS) and mini-Manual Ability Classification System (mini-MACS) participated in a 6-day community-based activity program, with outcomes assessed using the Developmental Assessment of Young Children (DAYC-2).
Results:
Participants who met their motor goals post-participation had significantly higher cognitive scores (p = 0.006) 5 months after the program. Participants with higher functional motor abilities (GMFCS levels I-II, p = 0.052; mini-MACS levels I-II, p = 0.004) demonstrated better cognitive scores at 5 months, adjusted for baseline scores, than those with lower functional motor abilities.
Conclusions:
This study highlights the impact of motor improvements following an evidence-based community program on later cognitive development. Prospective studies investigating the mechanisms and mediation of cognitive progress in children with CP should investigate the effects of early motor interventions on long-term developmental trajectories.
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