Longitudinal examination of early motor ability and motor developmental change to predict two-year cognitive outcomes

Kanishka Baduni1, Caitlin P Kjeldsen2, Mary Lauren Neel2

  • 1Department of Kinesiology, University of Georgia, United States of America.

Early Human Development
|February 10, 2026
PubMed

Insights

Early motor skills in preterm infants predict later cognitive ability. Fine-motor development specifically is a key indicator of cognitive advancement in the second year of life.

Area of Science:

  • Developmental Pediatrics
  • Neuroscience
  • Child Psychology

Background:

  • Preterm infants face elevated risks for motor and cognitive delays.
  • Early motor function is a crucial predictor of later cognitive outcomes in this population.
  • The distinct roles of fine-motor and gross-motor skills in cognitive development require further clarification.

Purpose of the Study:

  • To assess if 12-month motor abilities predict 24-month cognition, distinguishing between fine-motor-dependent and fine-motor-minimized cognitive tasks.
  • To investigate the association between changes in fine-motor and gross-motor skills from 12 to 24 months and 24-month global cognition.

Main Methods:

  • Longitudinal study of 114 preterm infants from a Neonatal Intensive Care Unit (NICU) cohort.
  • Neuromotor status assessed via Hammersmith Infant Neurological Examination (HINE); developmental metrics via Bayley scales.
  • Multivariate and linear regression analyses used to model motor predictors of cognitive outcomes, adjusting for covariates.

Main Results:

  • 12-month motor ability positively predicted 24-month cognition for both fine-motor-dependent and fine-motor-minimized cognitive subsets.
  • Improvement in fine-motor skills (ΔFM) from 12 to 24 months significantly predicted higher 24-month cognition.
  • Changes in gross-motor skills (ΔGM) did not show a significant association with 24-month cognition.

Conclusions:

  • Both early global motor competence and subsequent fine-motor growth are linked to cognitive development in preterm infants.
  • Findings suggest a developmental shift towards fine-motor specialization in the second year of life.
  • Fine-motor skill progression may serve as a valuable marker for cognitive advancement in early childhood for preterm infants.
Abstract

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