TOOLS FOR DEVELOPMENTAL ASSESSMENT AND EVALUATION OF MOTOR DISORDERS IN YOUNG CHILDREN

Authors

DOI:

https://doi.org/10.11603/1811-2471.2025.v.i4.15806

Keywords:

developmental assessment tools, motor impairments in early childhood, early intervention, rehabilitation, quality of life, individualized rehabilitation program

Abstract

SUMMARY. Motor development in early childhood is one of the key indicators of a child’s overall psychophysical condition. Detecting deviations during early life stages allows for the timely implementation of effective early intervention and rehabilitation measures. In this context, the use of valid and reliable tools for assessing development and motor functions becomes especially relevant. The presented abstract reflects the main points of a review article dedicated to modern approaches to the assessment of motor impairments in young children.

The aim – to analyze current tools for assessing psychomotor development and to identify effective approaches for evaluating motor impairments in early childhood. Particular attention is given to the importance of early intervention, individualization of rehabilitation programs, and the impact of these processes on the quality of life of children with motor impairments.

Material and Methods. The review is based on the analysis of scientific sources published in international databases (PubMed, Scopus, Web of Science). Methods of systematization, comparison, and critical analysis of literature regarding screening and diagnostic scales, tests, and protocols used in clinical practice to assess motor functions in children up to three years of age were employed. National and international recommendations for developing individualized rehabilitation programs were also considered.

Results. The analysis results indicate a wide variety of developmental assessment tools – both general (Bayley Scales, Denver Developmental Screening Test) and specific (Alberta Infant Motor Scale, GMFM, Peabody Developmental Motor Scales). The significance of a multidisciplinary approach and the necessity of regular monitoring of motor development for timely adjustment of individualized rehabilitation programs have been substantiated. It was established that early assessment is a key element in early intervention systems and is closely linked with long-term prognosis regarding the child’s functional status and quality of life.

Conclusions. Developmental assessment tools are critically important for the timely diagnosis of motor impairments in early childhood. The implementation of standardized methods not only objectifies the child’s condition but also facilitates the formation of individualized rehabilitation pathways. The review emphasizes the need to combine clinical scales with functional and quality of life assessments to achieve a holistic approach in rehabilitation practice.

References

Hadders-Algra M. Early detection and early intervention in developmental motor disorders. Neurosci Biobehav Rev. 2018 Jan;90:55-64. DOI:10.1016/j.neubiorev.2018.03.010 DOI: https://doi.org/10.1016/j.neubiorev.2018.03.010

Spittle AJ, Orton J. Cerebral palsy and developmental coordination disorder: advances in diagnosis and early intervention. Curr Opin Neurol. 2019 Apr;32(2):181-7. DOI:10.1097/WCO.0000000000000660 DOI: https://doi.org/10.1097/WCO.0000000000000660

Campbell SK, Cohn E. Test of Infant Motor Performance (TIMP): test user’s manual. 2nd ed. San Antonio (TX): Psychological Corporation; 2018.

Chen CY, Chen CH, Lin KC, Hsu HC. Reliability and validity of the Alberta Infant Motor Scale in infants with Down syndrome. Pediatr Neonatol. 2021 Feb;62(1):74-81. DOI:10.1016/j.pedneo.2020.06.009

Wang H, Hu H, He L, et al. Psychometric properties of Bayley Scales of Infant and Toddler Development in children with developmental delay. Res Dev Disabil. 2019 Sep;93:103472. DOI:10.1016/j.ridd.2019.103472

Morgan C, Novak I, Badawi N. Enriched environments and motor outcomes in cerebral palsy: Systematic review and meta-analysis. Pediatrics. 2016 Dec;138(6):e20161515. DOI:10.1542/peds.2016-1515

Van Wyk BE, Pienaar AE, Becker P. The Peabody Developmental Motor Scales–2: Cultural appropriateness for early childhood development in South Africa. Early Child Dev Care. 2019;189(5):857-70. DOI:10.1080/03004430.2017.1347505

Dewar R, Love S, Johnston LM. Exercise interventions improve postural control in children with cerebral palsy: A systematic review. Clin Rehabil. 2021 Jan;35(1):13-24. DOI:10.1177/0269215520953769

Valentini NC, Saccani R. Motor development of preterm infants assessed by the Alberta Infant Motor Scale: A systematic review. Dev Med Child Neurol. 2020 Jan;62(1):93-9. DOI:10.1111/dmcn.14265 DOI: https://doi.org/10.1111/dmcn.14265

Einspieler C, Bos AF, Libertus ME, Marschik PB. The general movement assessment helps us to identify preterm infants at risk for cognitive dysfunction. Front Psychol. 2016 Mar 30;7:406. DOI:10.3389/fpsyg.2016.00406 DOI: https://doi.org/10.3389/fpsyg.2016.00406

Sgandurra G, Lorentzen J, Inguaggiato E, et al. Timely identification and intervention for infants at risk for cerebral palsy: A scoping review. Dev Med Child Neurol. 2021 Oct;63(10):1110-9. DOI:10.1111/dmcn.14899 DOI: https://doi.org/10.1111/dmcn.14899

Spittle AJ, Olsen JE, Kwong A, Doyle LW, Cheong JLY. Early developmental intervention programs post neonatal intensive care: A systematic review. Pediatrics. 2021 Jul;148(1):e2021050402. DOI:10.1542/peds.2021-050402

Tsai CL, Lin KC, Lin PC. Reliability and validity of the Alberta Infant Motor Scale in Taiwan. J Formos Med Assoc. 2017 Oct;116(10):793-9. DOI:10.1016/j.jfma.2017.03.001 DOI: https://doi.org/10.1016/j.jfma.2017.03.001

Hadders-Algra M. Early diagnosis and early intervention in cerebral palsy. Front Neurol. 2014 Oct 28;5:185. DOI:10.3389/fneur.2014.00185 DOI: https://doi.org/10.3389/fneur.2014.00185

Novak I, Morgan C, Fahey M, et al. State of the evidence traffic lights 2019: Systematic review of interventions for preventing and treating cerebral palsy. Curr Neurol Neurosci Rep. 2020 Jan;20(2):3. DOI:10.1007/s11910-020-1027-0 DOI: https://doi.org/10.1007/s11910-020-1022-z

Guzzetta A, Mercuri E, Cioni G. Early diagnosis and treatment in cerebral palsy. Dev Med Child Neurol. 2018;60(Suppl 4):8-12. DOI:10.1111/dmcn.13958 DOI: https://doi.org/10.1111/dmcn.13958

Jiang M, Luo S, Huang Y, et al. Video-based general movements assessment with automated classification using machine learning. IEEE Trans Neural Syst Rehabil Eng. 2020 Dec;28(12):2634-41. DOI:10.1109/TNSRE.2020. 3035041

Heinze H, Ketelaar M, Ketelaar D, et al. Quality of motor performance in infants with cerebral palsy: predictive validity of early assessments. Dev Med Child Neurol. 2019 Oct;61(10):1172-8. DOI:10.1111/dmcn.14155 DOI: https://doi.org/10.1111/dmcn.14155

Bayley N. Bayley Scales of Infant and Toddler Development. 3rd ed. San Antonio (TX): Harcourt Assessment; 2006. DOI: https://doi.org/10.1037/t14978-000

Folio MR, Fewell RR. Peabody Developmental Motor Scales, 2nd Edition (PDMS-2). Austin (TX): PRO-ED; 2000.

Novak I, Hines M, Goldsmith S, Barclay R. Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics. 2012 Nov;130(5):e1285-312. DOI:10.1542/peds.2012-0924 DOI: https://doi.org/10.1542/peds.2012-0924

Fetters L, Ganser M, Johnson K, et al. Using sensor technology for pediatric rehabilitation: A systematic review. J Child Neurol. 2020 Jul;35(7):497-504. DOI:10.1177/ 0883073820914231

Butler C, Darrah J. Effects of neurodevelopmental treatment (NDT) for cerebral palsy: an AACPDM evidence report. Dev Med Child Neurol. 2001 Oct;43(10):778-90. DOI: https://doi.org/10.1111/j.1469-8749.2001.tb00160.x

Pons M, Aparicio M, Ferri J, et al. Wearable sensor-based gait analysis in children with cerebral palsy. Sensors (Basel). 2021 Jul 2;21(13):4413. DOI:10.3390/s21134413 DOI: https://doi.org/10.3390/s21134413

Maenner MJ, Carmichael SL, Ma C, et al. Early developmental screening in children with cerebral palsy. Pediatrics. 2020 Apr;145(4):e20192630. DOI:10.1542/peds. 2019-2630

Tsai CL, Chen YJ, Wu CH, et al. Motor outcome prediction of preterm infants by using Alberta Infant Motor Scale and Peabody Developmental Motor Scales. Res Dev Disabil. 2018 Feb;74:65-73. DOI:10.1016/j.ridd.2018.01.007 DOI: https://doi.org/10.1016/j.ridd.2018.01.007

Novak I, Morgan C, Adde L, et al. Early, accurate diagnosis and early intervention in cerebral palsy: advances in diagnosis and treatment. JAMA Pediatr. 2017 Sep;171(9):897-907. DOI:10.1001/jamapediatrics.2017.1689 DOI: https://doi.org/10.1001/jamapediatrics.2017.1689

Heathcock JC, Feldman AT, Behl D, et al. Early motor interventions for infants at risk of motor delay: A systematic review. Dev Med Child Neurol. 2018 Jul;60(7):614-21. DOI:10.1111/dmcn.13700 DOI: https://doi.org/10.1111/dmcn.13700

Spittle AJ, Orton J, Anderson PJ, et al. Early developmental intervention programmes post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database Syst Rev. 2015 Nov 24;(11):CD005495. DOI:10.1002/14651858.CD005495.pub3 DOI: https://doi.org/10.1002/14651858.CD005495.pub4

Novak I, Morgan C, Fahey M, et al. Clinical practice guideline: Early intervention in cerebral palsy. Dev Med Child Neurol. 2020 Apr;62(4):300-15. DOI:10.1111/dmcn.14445 DOI: https://doi.org/10.1111/dmcn.14445

Published

2026-02-09

Issue

Section

Literature reviews

How to Cite

TOOLS FOR DEVELOPMENTAL ASSESSMENT AND EVALUATION OF MOTOR DISORDERS IN YOUNG CHILDREN. (2026). Achievements of Clinical and Experimental Medicine, 4, 20-26. https://doi.org/10.11603/1811-2471.2025.v.i4.15806