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Quantified Assessment of Infant's Gross Motor Abilities Using a Multisensor Wearable
Published on: May 17, 2024
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.
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.
Background:
Preterm infants have high rates of motor and cognitive delays. Early motor function is a key indicator of later cognitive ability in preterm infants, yet the specificity of fine- and gross-motor contributions to cognition remains unclear.
Aims:
To determine (1) whether 12-month motor ability is a predictor for 24-month cognition when cognitive items are partitioned into established fine-motor-dependent (FMD) and fine-motor-minimized (FMM) cognitive subsets, and (2) whether fine- and gross-motor changes from 12 to 24 months are prospectively associated with 24-month global cognition.
Methods:
Data were drawn from a longitudinal NICU cohort (N = 114). Neuromotor status was assessed using the Hammersmith Infant Neurological Examination (HINE) and developmental metrics with the Bayley. Multivariate regression examined 12-month motor ability and 24-month cognitive outcomes (Aim 1). Linear regression modeled fine- (ΔFM) and gross-motor (ΔGM) change from 12 to 24 months predicting 24-month cognition (Aim 2), adjusting for gestational age, baseline cognition, and neuromotor classification.
Results:
Higher 12-month motor ability predicted higher 24-month cognition across both FMD (β = 0.21, p = .037) and FMM (β = 0.07, p = .021) cognitive outcomes. Fine-motor change from 12 to 24 months (ΔFM) predicted higher 24-month cognition (β = 0.32, p = .002), whereas gross-motor change (ΔGM) was nonsignificant (β = -0.06, p = .74).
Conclusions:
Early global motor competence and subsequent FM growth both relate to cognitive development in preterm infants. Results suggest a developmental shift from generalized motor development to FM specialization across the second year, identifying FM progression as a potential marker of cognitive advancement in early childhood.
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