Fernández-Sola Luis, Cano-Díez Beatriz, Pons-Solaz Yessica, Vera-Egido Begoña, Moreno-González Sergio
Health Sciences Faculty, San Jorge University, 50830, Villanueva de Gállego, Saragossa, Spain.
Medicine Faculty, San Pablo CEU University, CEU Universities, 28660 Boadilla del Monte, Madrid, Spain.
Ital J Pediatr. 2025 Jan 31;51(1):23. doi: 10.1186/s13052-025-01849-4.
In infants, the acquisition of all motor milestones is considered an expression of correct motor development during the first months of life. An association between typical motor development of the newborn and cognitive areas has been established. Few studies have evaluated the efficiency of parents' knowledge of expected milestones in healthy infants. This study aims to determine whether parents' knowledge of specific tasks can improve the achievement of all gross motor milestones in the newborn.
The current study examined gross motor development in term-born infants without pathologies at 9, 12, and 15 months and the effectiveness of a training program developed for parents. The research group comprised 82 full-term infants divided into an experimental group (EG) and a control group (CG) of 41 subjects each. A randomized clinical trial study was performed. The routine follow-up program consisted of four informative sessions on the experimental group at the beginning of each trimester with information about the expected motor milestones and how to stimulate their infants to achieve them. The gross motor development of the participants was measured using the Alberta Infant Motor Scale. An ANCOVA test was performed to assess the possible influence of sex, type of birth, or the presence of siblings controlled and uncontrolled as confounding variables on the results.
The initial baseline assessment showed no statistical differences between groups (p > 0,05). After controlling confounding variables, at 9 months the EG scored 5,5 points higher than the CG (p < 0,001). At 12 months, EG scored 3,7 points higher than CG (p < 0,001). At 15 months, EG scored 2,2 points higher than CG (p = 0,001). The experimental group scored significantly higher, with a 25-point higher percentile in each assessment.
A learning program aimed at increasing parents' knowledge of their infant´s gross motor development improved it. The information collected will help professionals who support parents in monitoring their babies. Future studies using larger sample sizes, analysing other domains of global infant development, or investigating the possible influence of other parental factors are recommended.
ClinicalTrials.gov ID NCT04693494. Registered December 28, 2020, retrospectively registered. https://clinicaltrials.gov/study/NCT04693494 .
在婴儿期，所有运动里程碑的达成被视为生命最初几个月中正确运动发育的表现。新生儿的典型运动发育与认知领域之间已建立起关联。很少有研究评估健康婴儿家长对预期运动里程碑的了解程度的有效性。本研究旨在确定家长对特定任务的了解是否能提高新生儿所有大运动里程碑的达成情况。
本研究考察了足月出生且无疾病的婴儿在9个月、12个月和15个月时的大运动发育情况，以及为家长制定的培训项目的有效性。研究组包括82名足月儿，分为实验组（EG）和对照组（CG），每组各41名受试者。进行了一项随机临床试验研究。常规随访项目包括在每个孕期开始时对实验组进行四次信息讲座，内容涉及预期的运动里程碑以及如何刺激婴儿实现这些里程碑。使用艾伯塔婴儿运动量表测量参与者的大运动发育情况。进行了协方差分析测试，以评估性别、出生类型或兄弟姐妹的存在作为混杂变量，在受控和不受控情况下对结果的可能影响。
初始基线评估显示两组之间无统计学差异（p>0.05）。在控制混杂变量后，9个月时实验组比对照组得分高5.5分（p<0.001）。12个月时，实验组比对照组得分高3.7分（p<0.001）。15个月时，实验组比对照组得分高2.2分（p = 0.001）。实验组得分显著更高，每次评估的百分位数高出25分。
一个旨在增加家长对其婴儿大运动发育了解的学习项目改善了这种情况。所收集的信息将有助于支持家长监测婴儿的专业人员。建议未来进行更大样本量的研究，分析全球婴儿发育的其他领域，或调查其他家长因素的可能影响。
ClinicalTrials.gov标识符NCT04693494。于2020年12月28日注册，追溯注册。https://clinicaltrials.gov/study/NCT04693494 。
