Preschool Children Motor Development

Study Overview
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Brief Summary
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The preschool age period is crucial for motor and cognitive development, which retention primary reflexes can negatively influence. Primary reflexes are fixed motor patterns controlled from developmentally lower areas of CNS and are necessary for delivery, survival or rudimentary movement activation during infancy and should be progressively inhibited. Primary reflexes' retention increases the risk of blocks for further cognitive and motor development in higher, mainly cortical areas. Children in preschool and school age with non-inhibited primary reflexes displayed a poor level of fundamental movement skills and worse attention, self-regulation or working memory capacity. Children with the problems above usually pass a movement program based on developmental kinesiology, like Neurodevelopmental stimulation (NVS). NVS contains exercises that simulate situations for adequate processing of the primary reflex and allow the brain to correct and inhibit this reflex. Even though in the Czech preschool environment, almost 13% of children with neurotypical development have significant positive responses to at least one primary reflex, there are no methods to inhibit primary reflexes to improve motor and cognitive development positively. Therefore, this project aims to find how the NVS intervention will influence the performance in the selected area of motor and cognitive development, with the follow-up three-month retesting. Population for this project are preschool children aged 4-6 years old.

Official Title
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Effect of Neurodevelopmental Stimulation on Motor and Cognitive Development in Neurotypical Healthy Children

Conditions
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Persisting Primitive Reflexes

Intervention / Treatment
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* Behavioral: Neuro-developmental stimulation (Neuro-vývojová stimulace).


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: healthy Exclusion Criteria: strong ADHD/learning disorders diagnosed

Ages Eligible for Study
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Minimum Age: 4 Years
Maximum Age: 6 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental group<br> | Behavioral: Neuro-developmental stimulation (Neuro-vývojová stimulace).<br>* Neuro-developmental stimulation is exercise based intervention program that is focused on repeating reflex movements and thus inhibiting reflexive response.<br>|
| No Intervention: Control group<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| TGMD-2 | Test of gross motor development | 8 months | 
| IDS / IDS-P | Intelligence and Development Scale (preschool) | 8 months | 
| Primitive (primary) reflexes | Tests for persisting (retained) primitive reflexes | 8 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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motor development, fundamental motor skills, executive functions, neurodevelopmental