Related Experiment Video
Updated: Jan 11, 2026
Quantified Assessment of Infant's Gross Motor Abilities Using a Multisensor Wearable
Published on: May 17, 2024
Risk factors of gross and fine motor development delays in children living in institution care
Benjaporn Srinithiwat1, Patcharapun Sarisuta1, Tachakorn Angsanu2
1Developmental and Behavioral Division, Department of Pediatrics, Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand.
Insights
Motor development delays are common in children in residential facilities. Male sex predicted gross motor delays, while age, head circumference, and fewer children per house predicted fine motor delays.
Area of Science:
- Pediatrics
- Developmental Psychology
- Child Health
Background:
- Growth delays, including motor development, are prevalent in children residing in institutional settings.
- Limited research exists on the specific risk factors for delayed motor function in this vulnerable population.
Purpose of the Study:
- To identify and evaluate the risk factors associated with delayed gross and fine motor function in children living in child residential facilities.
Main Methods:
- A cross-sectional study assessed children aged 1-60 months residing in facilities for at least one month.
- Gross and fine motor development were evaluated using the Developmental Surveillance and Promotion Manual (DSPM) and expert pediatrician assessments.
- Generalized linear models identified factors associated with months of delay in motor development.
Main Results:
- Over half (50.87%) of children exhibited delayed fine motor skills, while 27.83% showed delayed gross motor skills.
- Male sex was linked to greater delays in gross motor development.
- Older age at entry, smaller head circumference, and fewer children per household were associated with increased fine motor delays.
Conclusions:
- Significant proportions of children in residential facilities experience delays in both fine and gross motor skills.
- Predictors for gross motor delays include sex, whereas fine motor delays are associated with age at entry, head circumference, and living conditions.
Background:
Growth delays, including gross and fine motor development, were commonly observed in children living in child residential facilities. However, there is limited data on the risk factors for delayed motor function in these children. This study aimed to evaluate the risk factors associated with delayed motor function in children in child residential facilities.
Methods:
A cross-sectional study was conducted to assess children aged 1-60 months who had been living in child residential facilities for at least one month. We used the Developmental Surveillance and Promotion Manual (DSPM), in cooperation with evaluations from Developmental and Behavioral Pediatricians, to assess gross and fine motor development. Factors associated with months of delay in gross and fine motor development were calculated using generalized linear model.
Results:
The prevalence of delayed motor development was 27.83 % for the gross motor domain and 50.87 % for the fine motor domain. Male sex was independently associated with months of gross motor delays (β = -0.741; 95 % confidence interval, -1.409 to -0.073). Significant factors associated with fine motor delay included older age at entry (β = 0.125; 95 % confidence interval, 0.056 to 0.194), smaller head circumference (β = -0.415; 95 % confidence interval, -0.758 to -0.072), and fewer children per house (β = -0.141; 95 % confidence interval, -0.219 to -0.062).
Conclusions:
Delays in fine and gross motor skills were found in 50.87 % and 27.83 % of children under five years of age in child residential facilities, respectively. Sex was a predictor of delay in gross motor skills, while age at entry, number of children per house, and head circumference were associated with delays in fine motor skills.
More Related Videos
Related Concept Videos
01:29Intellectual Disability
01:30Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
01:10Nature and Nurture
01:29Three Developmental Domains
Physical Development
Physical processes, also known as maturation, encompass the biological changes that occur across an individual's life. These changes begin with genetic inheritance and continue through various stages, including growth in height and weight,...
01:30Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:28Conduct Disorder