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A systematic review and meta-analysis of the associations between motor milestone timing and motor development in neurodevelopmental conditions

Bowler, Aislinn; Arichi, Tomoki; Austerberry, Chloe; Fearon, Pasco; Ronald, Angelica; (2024) A systematic review and meta-analysis of the associations between motor milestone timing and motor development in neurodevelopmental conditions. Neuroscience and Biobehavioral Reviews , 167 , Article 105825. 10.1016/j.neubiorev.2024.105825. Green open access

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Abstract

Early motor skills may be important early markers of neurodevelopmental conditions or predictors of their later onset. To explore this, we conducted a systematic review and meta-analysis of infant motor skill assessments in those who go on to gain a clinical diagnosis of autism, attention deficit hyperactivity disorder (ADHD), schizophrenia, language conditions, tic disorders, or developmental coordination disorder (DCD). In total, 63 articles met inclusion criteria. Three three-level meta-analyses were run. Meta-analysis of milestone achievement in N= 21205 individuals revealed gross motor milestones were significantly delayed compared to controls (g= 0.53, p< 0.001). Subgroup analyses revealed autism (g= 0.63) and DCD (g= 0.53) had the highest magnitude delays. Specific delays were revealed for holding the head up (g= 0.21), sitting (g= 0.28), standing (g= 0.35), crawling (g= 0.19), and walking (g= 0.71). Meta-analyses of standardised motor skill measurements in N= 1976 individuals revealed reduced performance compared to controls in autism and language conditions (g= −0.54, p< 0.001). Together, these findings demonstrate delayed milestone attainment and motor impairments in early childhood in neurodevelopmental conditions.

Type: Article
Title: A systematic review and meta-analysis of the associations between motor milestone timing and motor development in neurodevelopmental conditions
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.neubiorev.2024.105825
Publisher version: https://doi.org/10.1016/j.neubiorev.2024.105825
Language: English
Additional information: Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Infant; Motor; Milestones; Walking; Sitting; Rolling; Crawling; Hold Head Up; Standing; Fine Motor; Gross Motor; Autism; ADHD; Schizophrenia; Language and Communication Disorders; Tic Disorders; Motor Disorder; DCD; Neurodevelopment disorders
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10205538
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