The Relationship Between Developmental Level in Infancy and Preschool Motor Performance in Risky Infants
Condition: Cerebral Palsy; Developmental Coordination Disorder
MeSH terms: Cerebral Palsy; Motor Skills Disorders
Study type: Observational

Summary: 
      The primary purpose of this study is to evaluate the relationship between the developmental
      level between 1-18 months and gross motor performance in the preschool period in risky
      infants followed up from a center for early intervention, and to determine the risk of
      developmental coordination disorder in the preschool period in risky infants.Gross Motor
      Function Measurement-88 will be applied to children diagnosed with cerebral palsy in the
      pre-school period to evaluate motor performance, among risky infants evaluated by Alberta
      Infant Motor Scale between 1-18 months.

      Developmental Coordination Disorder Questionnaire will be applied to healthy children in
      order to evaluate the risk of gross motor performance and developmental coordination
      disorder.
    

Detailed description: 
      Risky infants are at risk in terms of development. Cerebral palsy, mental retardation, visual
      and hearing disorders are seen as major neurodevelopmental disorders, developmental
      coordination disorder, attention deficit and hyperactivity disorder and learning disability
      are seen as minor. In order to detect major and minor disorders that may be seen in the
      future, these infants should be evaluated periodically in terms of neurodevelopment from
      birth.There are many reliable tests in the neurodevelopmental evaluation of risky infants,
      and one of them is the Alberta Infant Motor Scale.

      Alberta Infant Motor Scale (AIMS) assesses motor performance and level of development from
      birth to 18 months. AIMS finds a total of 58 items in 4 different positions, and each item is
      1 point. The scores obtained in all positions are added together and this score is converted
      into a percentile score that shows the baby's status relative to his/her peers. When looking
      at the norm chart of AIMS, there are 5%, 10%, 25%, 50%, 75%, and 90% lines. The 5% and 10%
      norm lines are used as cutoff lines for abnormal motor development.

      Gross Motor Function Measure-88 is used to evaluate gross motor performance and function
      change in children aged 15 months to 13 years with cerebral palsy and Down syndrome. There
      are a total of 88 items in 5 categories (supine and prone 17, sitting 20, crawling and
      kneeling 14, standing 13, walking, running, and climbing stairs 24). Scoring is done
      according to the ability to perform gross motor functions correctly. Scoring is done in the
      range of 0 - 3. If he/she starts the activity, 0 points, 1 point if he/she starts the
      activity, 2 points if he/she completes the activity partially, and 3 points if he/she
      completes the activity independently. Categories and total scores are calculated as a
      percentage (%).

      Developmental Coordination Disorder Questionnaire is a 15-item questionnaire used to measure
      developmental coordination disorder risk and evaluate motor performance and skills in
      children aged 5-15 years. It consists of 15 items. Scoring is between 1 and 5 (1 = not
      similar, 5 = very similar). The maximum score that can be obtained from the test is 75. The
      range of scores indicating the risk of developmental coordination disorder varies according
      to age. 5-7 years - 15-46 points; 8-9 years - 15-55 points; It means that there is a risk of
      DCD developmental coordination disorder between the ages of 10-15 - 15-57 points.
    

Observational model: Case-Only
Time perspective: Retrospective
Sampling method: Probability Sample
Study population: 
        At-risk infants currently aged 4-6 years and evaluated with the Alberta Infant Motor Scale
      
Keywords: Cerebral Palsy; Developmental Coordination Disorder; Infant, Premature; Child Development