Pawlak-Andryszczyk Żaneta, Andryszczyk Marek, Sobieska Magdalena
Department of Physiotherapy, Chair for Physiotherapy and Rehabilitation, Poznań University of Medical Sciences, Poznań, Poland.
Institute of Computer Science, Kazimierz Wielki University, Chodkiewicza 30, Bydgoszcz, 85-064, Poland.
Sci Rep. 2025 Oct 21;15(1):36763. doi: 10.1038/s41598-025-20726-y.
Early recognition of developmental disorders is key to initiating effective physiotherapeutic intervention. The literature emphasizes the importance of visual perception and eye-hand coordination in motor development. This study aimed to determine whether the number of limb movements evoked by visual flow at 3 months of age correlates with HINE scale scores and can predict motor development by month 4. Twenty-nine infants (12 girls, 17 boys) born at term without congenital anomalies or neurological disorders were included. In the third month, motor responses to static and moving images (a sliding checkerboard) were recorded, focusing on the number of limb movements, movement cycles and head movements. At the same time, a HINE assessment was carried out and repeated in the fourth month. A significantly higher number of movements at the moving stimulus was found ( < 0.05). The number of hand movements correlated positively with muscle tone and total HINE score (rho ≈ 0.4). Most infants improved HINE scores by month 4, especially in posture and reflexes, but children with less improvement were noted to have fewer limb movements by month 3. The optical flow method may be a promising tool to aid in the early diagnosis of eye-hand coordination and capture infants at risk for poor gross motor development.
早期识别发育障碍是启动有效物理治疗干预的关键。文献强调视觉感知和眼手协调在运动发育中的重要性。本研究旨在确定3个月大时视觉流诱发的肢体运动数量是否与HINE量表评分相关,以及能否预测4个月时的运动发育情况。纳入了29名足月出生、无先天性异常或神经系统疾病的婴儿(12名女孩,17名男孩)。在第三个月,记录对静态和动态图像(滑动棋盘)的运动反应,重点关注肢体运动的数量、运动周期和头部运动。同时,进行HINE评估并在第四个月重复进行。发现动态刺激时的运动数量明显更多(<0.05)。手部运动数量与肌张力和HINE总分呈正相关(rho≈0.4)。到4个月时,大多数婴儿的HINE评分有所提高,尤其是在姿势和反射方面,但改善较少的儿童在3个月时肢体运动较少。光流法可能是一种有前景的工具,有助于早期诊断眼手协调能力,并识别出大运动发育不良风险较高的婴儿。