The qualitative motor assessment at three months allows a better prognosis than the traction test

Ewa Gajewska1, Joanna Surowińska2, Anna Chałupka3

  • 1Chair and Clinic of the Developmental Neurology, Poznan University of Medical Sciences, Poznan, Poland. ewagajewska1011@gmail.com.

Scientific Reports
|April 29, 2025
PubMed

Insights

Early infant assessments at three months predict motor skill development. Specific qualitative markers, including eye contact and limb positioning, are key indicators for later crawling, sitting, and walking milestones.

Area of Science:

  • Pediatric developmental assessment
  • Infant motor development
  • Early childhood milestones

Background:

  • Understanding early predictors of motor development is crucial for timely intervention.
  • Infant motor skills like crawling, sitting, and walking develop sequentially.
  • Early qualitative assessments may offer predictive value for developmental trajectories.

Purpose of the Study:

  • To investigate the predictive value of early qualitative infant assessments for motor milestones.
  • To determine the relationship between three-month assessments and later motor achievements.
  • To identify specific early indicators influencing crawling, sitting, and walking.

Main Methods:

  • Prospective study of 107 infants (74 boys).
  • Qualitative assessments at three months of age, including eye contact and traction response.
  • Quantitative assessments at 3, 9, and 16 months of age.

Main Results:

  • Three-month qualitative assessments of hands, lower limbs, spine, and shoulder blades predicted timely crawling and sitting at nine months.
  • Lower limb positioning at three months influenced social walking at 16 months.
  • Eye contact significantly impacted walking; traction response moderately predicted crawling and sitting.

Conclusions:

  • Early qualitative infant assessments at three months are highly predictive of motor milestones at nine and 16 months.
  • Specific early indicators like eye contact and limb posture are essential for achieving key motor skills.
  • The findings support the use of early qualitative assessments in pediatric developmental monitoring.

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