Related Experiment Video
Updated: Jan 13, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
General movements and neurodevelopmental outcomes at 2 years of age in infants born very preterm
Ninib Yakoub1,2, Marieken Asprion1, Stephanie Brezina1,2
1Family Larsson-Rosenquist Foundation Centre for Neurodevelopment, Growth and Nutrition of the Newborn, Department of Neonatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland.
Insights
The quality of general movements in very preterm infants at 3 months is linked to better cognitive and motor skills at 2 years. However, this association may not be significant when considering other factors like socioeconomic status and neonatal health complications.
Area of Science:
- Neonatal neurology
- Developmental pediatrics
- Movement science
Background:
- Assessing neurodevelopmental outcomes in very preterm (VPT) infants is crucial.
- General movements (GMs) are early indicators of neurological function.
- The predictive value of GM quality for long-term outcomes in VPT infants requires further investigation.
Purpose of the Study:
- To examine the relationship between the quality of general movements (assessed by the Motor Optimality Score-Revised, MOS-R) at 3 months corrected age and neurodevelopmental outcomes at 2 years corrected age in infants born very preterm.
- To determine if GM quality has incremental predictive power for neurodevelopmental outcomes beyond known risk factors.
Main Methods:
- Retrospective cohort study of infants born before 32 weeks' gestation.
- General movements were video-recorded at 3 months corrected age and assessed using the MOS-R.
- Neurodevelopment was evaluated at 2 years corrected age using the Bayley Scales of Infant and Toddler Development, Third Edition.
Main Results:
- Higher MOS-R scores were associated with better cognitive and motor development at 2 years.
- These associations were attenuated after controlling for gestational age, birthweight, sex, socioeconomic status, and the presence of severe neonatal morbidities.
- The study included 316 VPT infants with a mean gestational age of 28.7 weeks.
Conclusions:
- The quality of general movements at 3 months corrected age shows an association with cognitive and motor development at 2 years in very preterm infants.
- The incremental predictive value of general movement quality may be limited when considering socioeconomic status and the burden of severe neonatal morbidities.
Aim:
To investigate the relationship between quality of general movements and neurodevelopmental outcomes in 2-year-old infants born very preterm (VPT).
Method:
This was a retrospective cohort study including infants born before 32 weeks' gestation. General movements video recordings at 3 months corrected age were assessed with the Motor Optimality Score-Revised (MOS-R) and child cognitive, language, and motor development at 2 years with the Bayley Scales of Infant and Toddler Development, Third Edition.
Results:
The study included 316 infants (52.5% male, mean [SD] gestational age 28.7 [2.3] weeks, birthweight z-score -0.14 [0.85]). The median MOS-R total score was 23. The mean cognitive composite, language, and motor scores were 102.0 (15.4), 92.1 (16.1), and 95.8 (15.3) respectively. Higher MOS-R total scores were related to better cognitive (p = 0.025) and motor development (p = 0.042). However, associations weakened when controlling for socioeconomic status, gestational age, birthweight, sex, and number of severe neonatal morbidities (i.e. severe brain lesion, necrotizing enterocolitis, sepsis, bronchopulmonary dysplasia, and retinopathy of prematurity).
Interpretation:
While the quality of general movements at 3 months corrected age is associated with the infant's cognitive and motor development at 2 years corrected age, it might have no incremental predictive power beyond socioeconomic status and the number of severe neonatal morbidities.
Related Concept Videos
Neurulation
The Nativist Approach
Socioemotional Development during Infancy
Primary Temperament Types

