Volume 110, Issue 1 pp. 307-313
REGULAR ARTICLE

Structured Observation of Motor Performance in Infants: Level and quality associated with later motor development

Cecilia Montgomery

Corresponding Author

Cecilia Montgomery

Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden

Correspondence

Cecilia Montgomery, Department of Women’s and Children’s Health, Uppsala University, Sweden.

Email: [email protected]

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Ylva F. Kaul

Ylva F. Kaul

Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden

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Katarina Strand Brodd

Katarina Strand Brodd

Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden

Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden

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Kristina Persson

Kristina Persson

Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden

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Lena Hellström-Westas

Lena Hellström-Westas

Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden

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First published: 31 May 2020
Citations: 5

[Corrections made on 11 September 2020, after first online publication: The expanded form of "NSMDA" has been changed in this version.]

Funding information

This study was funded by Uppsala University Hospital, the Folke Bernadotte Foundation and the Linnea and Josef Carlsson foundation.

Abstract

Aim

The aim of this study was to investigate the level of motor development and the quality of motor performance during the first 10 months in relation to the Bayley Scales of Infant Development—third edition (Bayley-III) motor index at 2.5 years.

Methods

Children born very preterm from a population-based study (n = 113) were assessed with the Structured Observation of Motor Performance in Infants (SOMP-I) at 2, 4, 6 and 10 months corrected age and the Bayley-III motor index at 2.5 years corrected age (n = 98). Logistic regressions were performed to investigate the independent association of each SOMP-I domain to Bayley-III motor index.

Results

There were significant associations between the SOMP-I-scores and Bayley-III motor index per every assessment age. At 4 months, both level and quality were independently associated with a later motor outcome, OR for level was 1.26 (95% CI = 1.08-1.50, P = .002) and for quality, 0.75 (95% CI = 0.63-0.90, P = .002). Quality was independently associated with the Bayley-III motor index at 6 and 10 months: OR 0.080 (95% CI = 0.67-0.95 P = .010) and 0.79 (95% CI = 0.64-0.97, P = .026).

Conclusion

Both SOMP-I domains, level and quality, are markers to identify motor problems early. Quality became more important with age.

CONFLICT OF INTEREST

Kristina Persson is the developer of the SOMP-I and an associate of Barnens rörelsebyrå-economic association, which owns the rights to SOMP-I. The other authors have nothing to disclose.

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