Motor Development and Early Predictors of Psychomotor Outcomes in Preterm and Term Infants Assessed by MOS-R and Caregiver Questionnaire at 18 and 36 Months
A Longitudinal Observational Study of Early Spontaneous Motor Activity, Postural Control, and Motor Optimality Score (MOS-R) as Predictors of Psychomotor, Cognitive, and Sensory Development at 18 and 36 Months in Preterm and Term Infants, With Consideration of Early Therapeutic Intervention
Masaryk University
60 participants
Apr 19, 2024
OBSERVATIONAL
Conditions
Summary
This study examines how early motor behavior in infants relates to their later psychomotor development. Researchers will observe both preterm and full-term infants during the first months of life, using video-based assessments to evaluate spontaneous movements and early postural control. These early motor patterns will be scored with the Motor Optimality Score - Revised (MOS-R). When the children reach 18 and 36 months of age, their development in areas such as motor skills, communication, sensory processing, and social behavior will be evaluated through a caregiver-completed questionnaire. The purpose of the study is to determine whether early motor quality can predict later developmental outcomes, whether preterm and full-term infants with similar motor scores develop differently, and whether early therapy may improve outcomes for infants with low MOS-R results.
Eligibility
Inclusion Criteria4
- The child was born either preterm or full-term. Both groups are included in the study.
- The child completed a video recording of early movements during routine check-ups in the first months of life.
- The parents or legal guardians agree to participate and give informed consent.
- The child will be available for follow-up at around 18-36 months of age, when parents will complete a developmental questionnaire.
Exclusion Criteria4
- There is no usable video recording of the child's early spontaneous movements from the neonatal or early infant period.
- The child has a diagnosed medical condition that makes movement assessment impossible (for example, severe congenital anomalies or conditions preventing typical movement).
- Parents do not wish to participate or withdraw their consent.
- The child is not available for follow-up, meaning that the developmental questionnaire at 18-36 months cannot be completed.
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Interventions
Vojta method, also known as reflex locomotion, was offered to infants who demonstrated atypical or reduced quality of early spontaneous motor behavior during clinical evaluation. The method uses specific pressure stimulation zones to activate innate locomotor patterns aimed at improving postural control, axial stability, and motor coordination. In this study, Vojta therapy was not assigned by the research protocol but initiated by caregivers following clinical recommendation. Therefore, exposure to Vojta method represents a naturally occurring, non-randomized behavioral intervention and is analyzed only for exploratory purposes.
Locations(3)
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NCT07296003