Abstract
Background: To save assessment time and improve the efficiency, it is necessary to find sensitive indicators from the test items of gross motor development in the C-LAP system for children aged 24~36 months and analyze the influencing factors of the passing rate of these indicators. Methods: This retrospective study was conducted among 1354 toddlers (3058 person-times) aged 24 to 36 months in Beijing, Shanghai, Guangdong between January 2013 and December 2019. A linear regression model and Cox regression model were performed to screen sensitive indicators and explore their influencing factors, respectively. Results: “Walk backwards”, “Stand from supine position” and “Hop with one foot at least twice” are the three sensitive indicators for evaluating the development of gross motor function in 24~36 month old children. The child’s physiological age at first measurement and region are the two common independent factors influencing the passing rate of the three items, while paternal age and education may influence one or two of them. Conclusions: “Walk backwards”, “Stand from supine position” and “Hop with one foot at least twice” are sensitive indicators for the effective evaluation of the development of gross motor function in 24~36 month old children, and their passing rates are influenced by some demographic variables.
Highlights
Motor development is a process experienced by a child from birth up to approximately six or seven years of age, the most favorable stage being when stimulating each one of the capacities that comprise their fundamental components [1]
Referring to the model of the E-LAP system in the USA [29], the Chinese Learning Accomplishment Profile (C-LAP) system adopted some items from the classic scales and arranged these items into different groups of month age according to their order from easy to difficult, so as to achieve a combination of standard reference and normative assessment
We selected items from this system that are suitable for the qualitative assessment of gross motor development of children aged 24~36 months, taking into account the representativeness of these classic items, and rapid assessment of children’s development of gross motor, as well as goals appropriately set for children’s motor development
Summary
Motor development is a process experienced by a child from birth up to approximately six or seven years of age, the most favorable stage being when stimulating each one of the capacities that comprise their fundamental components [1]. Studies have shown that children’s gross motor development plays an important role in children’s physical and mental health [2,3], self-confidence and self-esteem building [4], and even academic performance [5]. It is strongly correlated with other areas of children’s neuropsychological development, including fine motor skills, self-help ability, cognition, language and social ability [6,7]. The prevalence of various neuropsychological developmental diseases among children in China has become an increasingly prominent public health problem. To save assessment time and improve the efficiency, it is necessary to find sensitive indicators from the test items of gross motor development in the C-LAP system for children aged 24~36 months and analyze the influencing factors of the passing rate of these indicators
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