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Published on: March 23, 2019
The Third Month's Development Predicts the Side and Oblique Sit and Walking
Ewa Gajewska1, Joanna Surowińska1, Michał Michalak2
1Department of Developmental Neurology, Poznan University of Medical Sciences, 60-806 Poznan, Poland.
Insights
Early motor development assessments at three months predict sitting and walking milestones. Distal upper limb function is crucial for achieving these developmental achievements.
Area of Science:
- Pediatric developmental neuroscience
- Infant motor development research
Background:
- Infant motor development follows an endogenous pattern until three months.
- This period is optimal for assessing motor milestones and individual motor elements.
- Early assessment aids in understanding developmental trajectories.
Purpose of the Study:
- To identify early motor predictors of sitting and walking.
- To determine the influence of third-month and fourth-to-fifth-month motor skills on later milestones.
- To analyze the relationship between specific motor elements and the achievement of side sit, oblique sit, and walking.
Main Methods:
- Prospective evaluation of 93 infants at 3, 4-5, 7-8, and 12 months.
- Utilized the Quantitative and Qualitative Assessment of Motor Development Worksheet for three-month analysis.
- Correlated early motor assessments with later developmental milestones.
Main Results:
- Quantitative motor features at three months significantly predict side sit, oblique sit, and walking.
- Motor skills assessed between four and five months showed stronger predictive power.
- Early distal upper limb function strongly correlates with achieving sitting and walking.
Conclusions:
- Third-month quantitative and qualitative motor assessments are predictive of later sitting and walking.
- Adequate development of distal upper limb function is essential for achieving side and oblique sitting.
- Early identification of motor patterns can inform developmental support.
Abstract:
Background/Objectives: Motor development is endogenously generated until approximately the third month and strongly approximated in all children; hence, this is an excellent time to assess development, both in terms of the achievement of selected milestones (quantitative assessment) and individual single motor elements (qualitative assessment). This article aims to identify which selected milestones and single motor elements performed at the third month and between the fourth and fifth months condition the achievement of the side sit and oblique sit, followed by walking. Methods: All the children (93 infants) underwent prospective evaluations of motor development at 3, 4-5, and 7-8 months of age, with final assessment at 12 months. The three-month development analysis was based on the Quantitative and Qualitative Assessment of Motor Development Worksheet. Results: All the quantitative features showed a statistically significant effect on achieving side and oblique sitting and eventually walking at 12 months, with those studied between the fourth and fifth months being stronger predictors. The distal parts of the upper limbs analyzed in both positions at three months of age have a strong relationship with the side sit, the oblique sit, and walking. Conclusions: Quantitative and qualitative assessments in the third month have predictive value for achievement of side sitting, oblique sitting, and walking. Correct distal upper limb function development is necessary to achieve side and oblique sitting.
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