Gross Motor Development (gross + motor_development)

Distribution by Scientific Domains


Selected Abstracts


The natural history of gross motor development in children with cerebral palsy aged 1 to 15 years

DEVELOPMENTAL MEDICINE & CHILD NEUROLOGY, Issue 10 2007
Peter Rosenbaum
No abstract is available for this article. [source]


Divergence of Fine and Gross Motor Skills in Prelingually Deaf Children: Implications for Cochlear Implantation,

THE LARYNGOSCOPE, Issue 8 2006
David L. Horn MD
Abstract Objective: The objective of this study was to assess relations between fine and gross motor development and spoken language processing skills in pediatric cochlear implant users. Study Design: The authors conducted a retrospective analysis of longitudinal data. Methods: Prelingually deaf children who received a cochlear implant before age 5 and had no known developmental delay or cognitive impairment were included in the study. Fine and gross motor development were assessed before implantation using the Vineland Adaptive Behavioral Scales, a standardized parental report of adaptive behavior. Fine and gross motor scores reflected a given child's motor functioning with respect to a normative sample of typically developing, normal-hearing children. Relations between these preimplant scores and postimplant spoken language outcomes were assessed. Results: In general, gross motor scores were found to be positively related to chronologic age, whereas the opposite trend was observed for fine motor scores. Fine motor scores were more strongly correlated with postimplant expressive and receptive language scores than gross motor scores. Conclusions: Our findings suggest a disassociation between fine and gross motor development in prelingually deaf children: fine motor skills, in contrast to gross motor skills, tend to be delayed as the prelingually deaf children get older. These findings provide new knowledge about the links between motor and spoken language development and suggest that auditory deprivation may lead to atypical development of certain motor and language skills that share common cortical processing resources. [source]


Mild-onset presentation of Canavan's disease associated with novel G212A point mutation in aspartoacylase gene

ANNALS OF NEUROLOGY, Issue 2 2006
Christopher G. Janson MD
We describe two sisters with a mild-onset variant of Canavan's disease who presented at age 50 and 19 months with developmental delay but without macrocephaly, hypotonia, spasticity, or seizures. Remarkably, both patients had age-appropriate head control, gross motor development, and muscle tone. There were very mild deficits in fine motor skills, coordination, and gait. Both sisters had a history of strabismus, but otherwise vision was normal. The older child showed evidence of mild cognitive and social impairment, whereas language and behavior were normal for age in the infant. Both patients were found to be compound heterozygotes for C914A (A305E) and G212A (R71H) mutations in ASPA. Like all other known ASPA mutations, this previously unknown G212A mutation appears to have low absolute enzyme activity. Nevertheless, it is associated in these patients with an extremely benign phenotype that is highly atypical of Canavan's disease. Biochemical and clinical data were evaluated using a generalized linear mixed model generated from 25 other subjects with Canavan's disease. There were statistically significant differences in brain chemistry and clinical evaluations, supporting a distinct variant of Canavan's disease. Future studies of ASPA enzyme structure and gene regulation in these subjects could lead to a better understanding of Canavan's pathophysiology and improvements in ASPA gene therapy Ann Neurol 2006;59:428,431 [source]


Mothers without Companionship During Childbirth: An Analysis within the Millennium Cohort Study

BIRTH, Issue 4 2008
Holly N. Essex MSc
ABSTRACT: Background: Studies have highlighted the benefits of social support during labor but no studies focused on women who choose to be unaccompanied or who have no companion available at birth. Our goals were, first, to identify characteristics of women who are unaccompanied at birth and compare these to those who had support and, second, to establish whether or not being unaccompanied at birth is a risk marker for adverse maternal and infant health outcomes. Methods: The sample comprised 16,610 natural mother-infant pairs, excluding women with planned cesarean sections in the Millennium Cohort Study. Multivariable regression models were used to examine, first, sociodemographic, cultural, socioeconomic, and pregnancy characteristics in relation to being unaccompanied and, second, being unaccompanied at birth in relation to labor and delivery outcomes, maternal health and health-related behaviors, parenting, and infant health and development. Results: Mothers who were single (vs not single), multiparous (vs primiparous), of black or Pakistani ethnicity (vs white), from poor households (vs nonpoor), with low levels of education (vs high levels), and who did not attend antenatal classes (vs attenders) were at significantly higher risk of being unaccompanied at birth. Mothers unaccompanied at birth were more likely to have a preterm birth (vs term), an emergency cesarean section (vs spontaneous vaginal delivery) and spinal pain relief or a general anesthetic (vs no pain relief), a shorter labor, and lower satisfaction with life (vs high satisfaction) at 9 months postpartum. Their infants had significantly lower birthweight and were at higher risk of delayed gross motor development (vs normal development). Conclusions: Being unaccompanied at birth may be a useful marker of high-risk mothers and infants in need of additional support in the postpartum period and beyond. (BIRTH 35:4 December 2008) [source]


Motor performance in 5-year-old preschool children with developmental speech and language disorders

ACTA PAEDIATRICA, Issue 8 2009
Iti Müürsepp
Abstract Aim:, The aim of the study was to evaluate motor performance in 5-year-old children with mild-to-moderate developmental speech and language disorders (DSLD) in comparison of age- and gender-matched healthy children. Materials and methods:, A total of 32 DSLD children and 45 control group (CG) children participated in our study. The children were examined for dexterity skills and gross motor function through vertical jumping performance, maximal isometric strength of the leg extensors and isometric hand-grip strength. Results:, Dexterity skills did not differ significantly in the measured groups, but DSLD children performed more poorly in gross motor tasks. DSLD children demonstrated significantly lower vertical jumping height compared to CG children. DSLD girls had lower isometric strength of the leg extensors compared to all other measured groups. The hand-grip strength was greater in CG boys compared to all other measured groups. No significant differences in this parameter were observed between CG girls and DSLD children, although DSLD girls' result was the lowest. Conclusion: In children with mild-to-moderate DSLD, the lag of gross motor development is clearly evident; however, they do not differ from CG children in dexterity skills. DSLD girls had more affected gross motor function compared to DSLD boys. [source]