Parental Assessment Research Articles

The longitudinal effects of neonatal anthropometry on attention problems in males and females

AbstractBackgroundThe longitudinal impact of fetal growth on attention problems in males and females is unclear. This study aims to evaluate the impact of fetal growth assessed by neonatal anthropometry throughout childhood and adolescence in males and females separately.MethodsWe compared neonatal anthropometry (birth weight (BW), head circumference (HC), proportion of optimal birthweight (POBW)) and asymmetry (head‐to‐abdominal circumference ratio (HC/AC) and ponderal index (PI)) at birth with parental assessment of the child behavior checklist attention‐problem syndrome (CBCL‐AP) raw score measured at ages five, eight, 10, 14 and 17. We used univariable and multivariable linear mixed‐effects modeling. Sensitivity analyses included excluding pre‐term births, teacher ratings and treating the CBCL‐AP as an ordinal variable.ResultsIn males, a 1‐SD lower BW, increased CBCL‐AP by 0.234 (95%CI [−0.422, −0.0497]). In males, a 1‐SD lower HC increased CBCL‐AP by 0.316 (95%CI [0.495, 0.133]). In males, there was a U‐shaped relationship between HC/AC and CBCL‐AP throughout childhood and adolescence; a curvilinear relationship was observed between POBW and CBCL‐AP. In females, a 1 SD lower HC increased CBCL‐AP 0.424 (95%CI [0.726, 0.133]), but every increased year of age reduced the effect by 0.027 (95% CI: 0.006–0.05). In females, there was no clear relationship between BW, POBW or HC/AC and CBCL‐AP. In males and females, PI was not significantly associated with CBCL‐AP. The exclusion of pre‐term births and analysis of teacher‐rated attention problems was consistent with the primary results.ConclusionsUsing a longitudinal design, our study suggests a male vulnerability to attention problems throughout childhood and adolescence from neonatal anthropometry. The relationships in females appear to be limited to childhood.

Assessment of Parents’ Knowledge about Care of Children with Hearing Disorders

Assessment of Parents’ Knowledge about Care of Children with Hearing Disorders

Parental Assessment of Infantile Hemangioma Cosmetic Clinical Outcomes: Results of the Spanish Hemangioma Nationwide Prospective Cohort

BackgroundFunctional impairment is the main consideration when it comes to choosing therapy for infantile hemangiomas (IH). However, since most hemangiomas are treated for cosmetic reasons, it is important to know the cosmetic outcome assessed by the parents. ObjectiveTo evaluate the aesthetic outcomes of IH, considering the characteristics of the lesions and the treatments used. Patients and methodsThe Spanish Infantile Hemangioma Nationwide Prospective Cohort (2016–2022) recruited all consecutive patients diagnosed with IH in 12 Spanish hospitals. The children included had two photos of the IH lesion (at both baseline and at the end of the study). A panel of parents blindly assessed all available photos using a scale from 0 (worst cosmetic outcomes) to 10 (best cosmetic outcomes). The different scores – both before and after treatment – as well as the outcomes percent considered excellent (>9) were described and compared. We analyzed the effect of receiving different therapies and performed causal model analyses estimating the mean treatment effect of parents’ assessments. ResultsThe median follow-up was 3.1 years. A total of 824 photos were evaluated. Baseline aesthetic impact was higher in the propranolol group vs the topical timolol and observation treatment groups (1.85 vs 3.14 vs 3.66 respectively; p<0.001). After treatment, the aesthetic impact was similar between both treatment groups (7.59 vs 7.93 vs 7.90; p>0.2). The causal model could only be applied to the comparison between topical timolol and observation, revealing no differences whatsoever. ConclusionThis is the first prospective cohort to analyze the aesthetic outcome of IH. The final aesthetic results of the three therapies were similar, with nearly 40% of patients achieving excellent aesthetic outcomes.

Nonverbal Cognitive Skills in Children With Aicardi Goutières Syndrome.

Aicardi Goutières syndrome (AGS) is type I interferonopathy characterized by severe neurologic impairment. Although many children with AGS demonstrate motor and expressive language deficits, the magnitude of receptive language impairment is uncharacterized. We sought to characterize cognitive function in AGS-affected children using assessment tools with reduced dependence on motor abilities and compare cognitive testing outcomes with overall severity and parental assessment of adaptive behavior. We performed a cross-sectional study. Children were recruited as part of the Myelin Disorders Biorepository Project at the Children's Hospital of Philadelphia. We included individuals with a confirmed diagnosis of AGS. We administered the Leiter International Performance Scale, third edition (Leiter-3), and the Vineland Adaptive Behavior Scale, third edition (VABS-3), in the context of research encounters. Motor skills were categorized by AGS Severity Scale mobility levels. Descriptive statistics and Spearman's rank correlation were used to compare assessments. Mann-Whitney and Kruskal-Wallis tests with correction with Dunn's multiple comparison test were used to compare test performance between mobility groups. Cognitive and adaptive behavior performance was captured in 57 children. The mean age at encounters was 8.51 (SD 5.15) years. The median (IQR) Leiter-3 score was 51 (interquartile range [IQR] 60), with administration failure in 20 of 57 (35%) individuals. On the VABS-3, the Motor Domain (median 29, IQR 36.25) was more impacted than the Communication (median 50, IQR 52), Daily Living Skills (median 52, IQR 31), and Socialization (median 54, IQR 40) Domains (p < 0.0001). The AGS Scale correlated with VABS-3 (r = 0.86, p < 0.0001) and Leiter-3 (r = 0.87, p < 0.0001). There was correlation between VABS-3 Domains and Leiter-3 (r-range 0.83-0.97). Gross motor and fine motor categories, respectively, correlated with VABS-3 (H = 39.37, p < 0.0001; U = 63, p < 0.0001) and Leiter-3 (H = 40.43, p < 0.0001; U = 66, p < 0.0001). Within each gross motor and fine motor category of the AGS Scale, a subset of children scored within normal IQ range. Parental assessment of function by the VABS-3 correlated with directly assessed performance measures. Our data underscore the potential value of VABS-3 and Leiter-3 as tools to assess psychometric function in AGS. With a deeper understanding of our patients' abilities, we can better guide clinicians and families to provide appropriate support and personalized interventions to empower children with leukodystrophies to maximize their communication and educational potential.

Modification of an outcome measure to follow symptoms of children with acute otitis media.

To modify a parent-reported acute otitis media severity of symptoms scale (AOM-SOS) to ensure that it accurately reflects parental concerns. Using qualitative interviews with parents of children with acute otitis media (AOM) (n = 24), we generated 39 candidate items for inclusion in the new version of the scale. We determined the importance of each item by enrolling 50 other parents of children with AOM. We selected 15 items with high importance and used them to create a new version of the scale. During successive rounds of cognitive interviews, 3 items were dropped. Two additional items were dropped because they were highly correlated. We evaluated the psychometric properties of the new, 10-item version (version 6.0) in 139 children with AOM. AOM-SOS scores correlated with functional status (r = -0.53), parent assessment of child's pain level (r = 0.69), and overall symptom severity (r = 0.41). The internal consistency of the scale, as measured by Cronbach's alpha, was 0.90. Responsiveness (standardized response mean = 1.82) and test-retest reliability (0.77) were excellent and good, respectively. Data presented here support the use of the new version of the scale as a longitudinal measure of symptom burden in clinical trials of children with AOM. The AOM-SOS scale, which now incorporates parental views, can be used to track symptom severity in future efficacy trials in young children with acute otitis media. Data is presented on the validity, reliability, and responsiveness of the AOM-SOS scale. Otitis media is the most frequent indication for antibiotic use in young children. The AOM-SOS is one of the few validated disease specific scales available for use in efficacy trials of children with acute otitis media.

Assessment of Parents' Satisfaction Related to Nursing Care Provided to Their Children

Assessment of Parents' Satisfaction Related to Nursing Care Provided to Their Children

Older parents’ perceptions of children's filial piety in rural China: The roles of coresidence, geographic proximity, and intergenerational support

Filial piety—the belief that children should provide care, support, respect, and obedience to their older parents—is a fundamental normative expectation in East Asian societies. This study investigates the relationship between the geographic proximity of children and the support received from them, and their parents’ perceptions of filial piety in rural China. We used the 2021 wave of the Longitudinal Study of Older Adults in Anhui Province to predict parental assessments of filial piety for each of their children. Random-effects linear probability models using an internal moderator approach were employed to compare coresident children with non-coresident children based on their proximity and support provided. Findings indicate that parents tend to perceive their coresident children as being more filial compared to non-coresident children, particularly when parents are in worse functional health. However, non-coresident children can compensate for their deficiency in being perceived as filial by providing more financial support and maintaining frequent telephone communication with their parents. The study's results suggest that filial piety norms in rural China have adapted to the diminished emphasis on intergenerational coresidence resulting from the trends of urbanization and significant rural–urban migration in modern China, requiring that children find alternative ways to fulfill their filial obligations.

Speech Disfluencies in Bilingual Lebanese Children Who Do and Do Not Stutter.

Prior studies have shown that bilingual children who do not stutter (CWNS) exhibit a high number of disfluencies in both languages, increasing the risk of misidentification by speech-language pathologists as children who stutter (CWS). Conversely, there is a risk of misidentifying CWS with a relatively low incidence of disfluencies as CWNS. This study aims to explore the qualitative and quantitative distinctions in speech disfluency profiles between CWNS and CWS. The assessment covers both the dominant and nondominant language to examine the impact of language dominance on disfluency patterns. A total of 92 Lebanese bilinguals (70 CWNS and 22 CWS) from 4;06 to 7;06 (years;months) were included. Language dominance was determined based on parental assessments. Spontaneous and narrative speech samples were collected for each child in both languages and all stuttering-like disfluencies (SLD) and other disfluencies (OD) were coded. On average, CWNS showed a significantly lower percentage of total SLD, weighted SLD, SLD subtypes, and iterations compared to CWS. However, the number of disfluencies of CWNS exceeded monolingual clinical standards. Language dominance did not impact SLD and OD percentages, but some differences for SLD subtypes emerged. Binary logistic regression analyses showed that repetitions and dysrhythmic phonations are good predictors for correct CWS or CWNS classification, in contrast to OD. A combination of predictors from both languages led to better classification than using predictors from either language alone. The current study shows that speech disfluency percentages in bilingual CWNS typically surpass monolingual standards and can be at par with those of CWS. However, through careful consideration of disfluency characteristics, ideally in both languages, an accurate differential diagnosis of stuttering in bilingual children can be achieved.

‘Where Art Thou’ in the implementation of inclusive education? Parental assessment of practices

‘Where Art Thou’ in the implementation of inclusive education? Parental assessment of practices

Assessment of Parents’ Protective Method Regarding the Risks of Mobile Applications Used by their Adolescent Children

Assessment of Parents’ Protective Method Regarding the Risks of Mobile Applications Used by their Adolescent Children

Predicting externalizing behaviors in typically developing toddlers at 24 months: Insights from parenting at 12 months

Early observational assessment of parent and child behaviors may identify risk factors associated with the development of early child externalizing behaviors. This study aimed to examine factors associated with child externalizing behaviors at 24-months of age, including early maternal depression, family social risk and the parent-child relationship. Using a longitudinal design in 89 mother-child dyads (n = 43 female), maternal depressive symptoms and social risk were measured post-birth, and 12-months later parent-child interaction was assessed using the Emotional Availability Scales. To assess child externalizing behaviors, a parent-report questionnaire was administered when children were 24-months old. Increased early maternal depressive symptoms (p = .03), but not higher social risk (p = 0.17), were associated with higher child externalizing behaviors in children at age 24-months. After adjusting for early maternal depressive symptoms and familial social risk, lower levels of observed maternal structuring (β = −2.60, 95 %CI = −4.56, −0.64, p = .01) and lower levels of non-hostility (β = −3.39, 95 %CI −6.64, −0.14, p = .04) when the child was 12-months old were associated with higher parent-report of externalizing behaviors. However, the child’s observed interaction behavior was not associated with the mother’s report of child externalizing behavior. Interventions targeting specific post-natal maternal mental health and early parenting behaviors may reduce the risk for the development of later child externalizing problems.

Supporting parents with acutely ill children: Environment scan and user evaluation of mobile applications (the SuPa kids project)

BackgroundChildren are one of the biggest users of emergency departments in the UK, sometimes utilising services when experiencing acute illnesses that can be managed at home. mHealth can be an efficacious way for parents/guardians to manage acute illnesses. It has also become a ubiquitous resource to promote public health interests within a resource constrained health system. However, to be effective, co-design is necessary with concepts such as usefulness, ease of use, trustworthiness and security underpinning the utility of mHealth interventions for acute childhood illness. ObjectiveThe objective of this study was to conduct an environmental scan of mHealth apps for parental assessment and management of acute childhood illnesses in 0- to 5-year-olds, review the content and functionality of each identified app against the list of desired attributes identified in previous research and synthesise publicly available reviews from end users to demonstrate the quality of current apps in the marketplace and identify areas for improvement. MethodApp characteristics were mapped to an a priori defined list of desirable attributes. End user reviews were mapped to a modified Technology Acceptance Model framework that included overarching themes of: Perceived Usefulness (PU), Perceived Ease of Use (PEU), Perceived Trustworthiness (PT) and Perceived Security (PS) using reflexive thematic analysis. ResultsOverall, 15 apps were included in the analysis (Table 2). Fourteen of the 15 apps were available on both the iOS and Android platforms. ‘Baby Illness, Prevention, Cure’ was only available on the Android store. All apps were free to download and did not restrict access to information or features via in-app purchases. Baby and child first aid (British Red Cross) was the earliest app to be released (2014). This app was updated annually, with the most recent update being 2022. The most recent apps to be released (2018) were ‘AskFirst’ (formerly Ask NHS), ‘Essex Child Health’ and ‘The Lullaby Trust Baby Check’, updated in 2022, 2020 and 2019, respectively. No individual app met all the desirable attributes highlighted by parents in previous research. Both ‘Healthier Together’, and ‘The Lullaby Trust Baby Check’ included all but one desirable attributes (video), as did the ‘’CATCH (Common Approach to Children’s Health), which did not utilise a traffic light system. Apps that were locality specific were not rated by users (Berkshire Child Health, Cheshire Child Health, Child Health Guide Newham, Child Health HMR, Oldham Child Illness and Walsall Healthy Child). All other apps were rated from 2/5 to 5/5 stars. When considering localities, the ‘CATCH’ app was only supported in Halton, Cheshire, Knowsley, Liverpool, St Helens and Vale Royal. Further investigation evidenced no correlation between inclusion of the desirable attributes and app rating. ConclusionOverall, this research has highlighted several aspects of best practise when developing mHealth apps for the management of acute childhood illnesses, for increasing PU, PEU, PT and PS; and also, places importance on co-design.

Assessment of Child, Parent and Operator Preferences towards the use of Papoose Board in Pediatric Dentistry: A Mixed Method Study

Introduction Protective stabilization techniques and physical restraints may be required for when the traditional techniques of behaviour management are ineffective. A papoose board (PB) is a safe stabilization device that is highly effective in managing uncooperative or anxious children. However, in the current era, the child, parent and operator preferences towards the use of papoose board needs to be explored. Material and Methods A 12-point questionnaire was administered to child, parents and operator. Preferences to the use of papoose board were assessed quantitatively as well as qualitatively based on the images of papoose board usage shown. Quantitative data was expressed as frequency with percentage. Qualitative data was assessed through thematic analysis. Results 30 children ( 3-12yrs ) and their parents (11- Fathers; 19- Mothers), 15 operators were included in this study. Mean age of the children was 7.7 ± 2.6 yrs. 70% of children did not prefer the use of papoose board as they were scared and did not want to be tied up. 53.33% of parents preferred the use of papoose board as they thought of it as a protective device for their children. 46.66% of operators preferred the use of papoose board for unco-operative children. Summary and Conclusions Children did not prefer the use of papoose board but parents and operators preferred the use of papoose board. Key Words Behavior management; Physical restraint; Papoose board

EXPLORING THE CONSISTENCY BETWEEN TEACHERS' AND PARENTS' RATINGS OF CHILDREN'S LANGUAGE SKILLS

Aim: The study investigated the correspondence between parent and teacher assessments of 3 to 6-year-old children's language skills using the Expressive and Receptive Language Scales from the Early Childhood Developmental Screening Toolkit – BAASIK (an acronym in Latvian). Material and methods: Ninety-five preschool teachers and 424 parents participated in an online survey assessing the expressive and receptive language skills of children aged 3 to 6 years. Results: Spearman's correlation analysis revealed statistically significant (p &lt; .001) moderate to strong correlations between the ratings of children’s language skills by parents and teachers. For the Receptive Language Scales, correlations ranged from rS = .43 to rS = .6, and for the Expressive Language Scales, from rS = .54 to rS = .64. Conclusions: The study confirmed that parents’ and teachers’ assessments of children’s expressive and receptive language skills are significantly correlated. The BAASIK Expressive and Receptive Language Scales used by both parents and teachers could be effective for early screening, potentially aiding in the prompt identification of language development issues and the subsequent referral to speech and language therapy services.

A remote parent-led early intervention protocol to promote motor development in infants with congenital heart disease: a feasibility pilot study of a randomized clinical trial

ABSTRACT This study evaluated the feasibility of a parent-led, home-based early intervention for motor development in infants with Congenital Heart Disease (CHD), part of a larger multicenter, single-blind randomized controlled trial (ClinicalTrials.gov NCT05907109). Parents, supported by remote specialists weekly, engaged in multidomain stimulation activities five days a week, for six months. Feasibility was assessed via parental questionnaires, adherence rates, and infant motor development assessments. Despite high dropout and mortality rates, results showed 80% adherence, 91% parental satisfaction, 75% availability, and 60% self-efficacy. No significant motor skill differences were noted between the intervention (IG; n = 19) and control groups (CG; n = 11) at six months, but the higher baseline risk in IG suggests promotion of motor skills in the intervention group. Future studies in Brazil might extend the study duration to address high dropout and mortality rates.

Mothers’ parental burnout and adolescents’ social adaptation and security: the mediating role of parenting style

Parents may develop burnout when they chronically lack the resources to handle parenting stressors. Although the relationship between parental burnout and child-related variables has been explored, its impact on adolescents’ development remains unknown. This study investigates the effect of mothers’ parental burnout on social adaptation and security in adolescents, and the mediating roles of mothers’ parenting styles. Questionnaires were distributed to adolescents and their mothers at three time points with an interval of six weeks. In the first survey, 916 mothers completed a parental burnout assessment. In the second, 1054 adolescents completed maternal rejection and maternal autonomy support scales, and a Harsh Parenting assessment. In the third, 1053 adolescents completed Children and Adolescent Social Adaptation and Security Questionnaires. In total, 411 paired data points were matched (mothers’ age: M = 42.1, SD = 4.65; adolescents’ age: M = 13.1, SD = 0.52). The results of bootstrapping indicated the following: (1) Mothers’ parental burnout negatively predicted adolescents’ social adaptation and security. (2) Mothers’ parenting styles of rejection, harsh parenting, and autonomy support mediated the relationship between parental burnout and social adaptation and security. These findings confirmed the importance of mothers’ influence on adolescents’ parenting activities. Therefore, the enrichment of parenting resources and a decrease in the use of negative parenting styles may promote the healthy psychological development of the children of mothers facing parental burnout.

Assessment of parent and alkyl -PAHs in surface sediments of Iranian mangroves on the northern coast of the Persian Gulf: Spatial accumulation distribution, influence factors, and ecotoxicological risks

Spatial patterns, potential origins, and ecotoxicological risk of alkylated (APAH) –and parent –(PPAH) polycyclic aromatic hydrocarbons (PAHs) were studied in mangrove surface sediments along the northern coasts of the Persian Gulf, Iran. The mean total concentrations (ngg−1dw) ∑32PAH, ∑PPAHs and ∑APAHs in sediments were 3482 (1689–61228), 2642 (1109–4849), and 840 (478–1273), respectively. The spatial variability was similar among these PAH groups, with the highest levels occurring in Nayband National Marine Park (NNMP). Physicochemical environmental factors, such as sediment grain size, and total organic carbon (TOC) contents, are significant factors of PAH distribution. These findings suggest that PAH pollution level is moderate-to-high, supporting the current view that mangrove ecosystems are under intensive anthropogenic impacts, such as petrochemical, oil and gas loads, port activities, and urbanization. Non-parametric multidimensional scaling (NPMDS) ordination demonstrated that NNMP mangrove is the critical site exhibiting high loading of PAH pollutants. Here, for the first time in this region, Soil quality guidelines (SQGs), Toxic equivalency quotient (TEQ), Mutagenic equivalency quotient (MEQ), and composition indices comprising Mean maximum permissible concentration quotient (m-MPC-Q), and Mean effect range median quotient (m-ERM-Q) methods were used to have a comprehensive risk assessment for PAH compounds and confirmed medium-to-high ecological risks of PAHs in the study area, particularly in the western part of the Gulf, highlighting the industrial impacts on the environment.

The mediating role of Self-Competence in the relationship between parental involvement and support and Children’s social Skills: Evidence from China

This study explores the possible mediating role of children’s self-competence between parental involvement and support and social skills. Five hundred and ninety-five children’s parents and teachers responded to the questionnaire consisting of the following instruments: the Chinese Parental Involvement and Support Scale for Preschool Children (CPISSPC), Children's Social Skills Parent Assessment Questionnaire (CSSPAQ), and the Self-Competence Teacher Assessment Questionnaire (SCTAQ). The results indicated that: (1) children who received higher levels of parental involvement and support showed better self-competence and social skills; (2) the relationship from parental involvement and support to social skills was partially mediated by children’s self-competence, which indicated that children received higher levels of parental involvement and support would develop better self-competence, and thus lead to the enhancement of their social skills. The findings of the present research indicate that increasing parental involvement and support could be an effective strategy of family intervention for children who are disadvantaged in social skills and risk poor social adjustment.

A parental communication assessment initiative in the paediatric cardiovascular ICU.

Challenges to communication between families and care providers of paediatric patients in intensive care units (ICU) include variability of communication preferences, mismatched goals of care, and difficulties carrying forward family preferences from provider to provider. Our objectives were to develop and test an assessment tool that queries parents of children requiring cardiac intensive care about their communication preferences and to determine if this tool facilitates patient-centred care and improves families' ICU experience. In this quality improvement initiative, a novel tool was developed, the Parental Communication Assessment (PCA), which asked parents with children hospitalised in the cardiac ICU about their communication preferences. Participants were prospectively randomised to the intervention group, which received the PCA, or to standard care. All participants completed a follow-up survey evaluating satisfaction with communication. One hundred thirteen participants enrolled and 56 were randomised to the intervention group. Participants who received the PCA preferred detail-oriented communication over big picture. Most parents understood the daily discussions on rounds (64%) and felt comfortable expressing concerns (68%). Eighty-six percent reported the PCA was worthwhile. Parents were generally satisfied with communication. However, an important proportion felt unprepared for difficult decisions or setbacks, inadequately included or supported in decision-making, and that they lacked control over their child's care. There were no significant differences between the intervention and control groups in their communication satisfaction results. Parents with children hospitalised in the paediatric ICU demonstrated diverse communication preferences. Most participants felt overall satisfied with communication, but individualising communication with patients' families according to their preferences may improve their experience.

Postural-motor development, spinal range of movement and caregiver burden in Prader-Willi syndrome-associated scoliosis: an observational study.

Prader-Willi syndrome (PWS) is a rare genetic disorder characterized by hypothalamic dysfunction, hypotonia, cognitive deficits, and hyperphagia, primarily resulting from genetic abnormalities on chromosome 15. Among its varied manifestations, musculoskeletal issues, notably scoliosis, pose important challenges in management. This study aims to investigate differences in postural-motor development and spinal range of movement between preadolescents and adolescents with PWS, with and without scoliosis, while also exploring the potential impact of scoliosis on caregiving burden, an aspect yet to be thoroughly explored in existing literature. This observational study evaluated 13 individuals diagnosed with PWS, including 5 with scoliosis (PWS-Sc) and 7 without (PWS-NSc). Inclusion criteria comprised ages 8 to 18 years, confirmed PWS diagnosis through genetic testing, and scoliosis diagnosis. Anamnestic data, physical examinations, and surface measurements were collected, along with parental burden assessments using the Zarit Burden Interview (ZBI). Both groups displayed delays in achieving postural-motor milestones, with the PWS-Sc group exhibiting a more pronounced delay, although statistical significance was not achieved. The main curve magnitude in the PWS-Sc group averaged 31.5° Cobb, with 60% of cases presenting an S-shaped curve. Surface measurements of physiological curves did not differ significantly between groups, but the scoliosis-affected group exhibited lower lumbar extension values (p=0.04). The overall ZBI revealed higher scores in the PWS-Sc group, although statistical significance was not reached. However, significant differences were observed in single questions score evaluating aspects such as social life and caregiver uncertainty (p=0.04 and p=0.03, respectively). Despite the small sample size, delays in achieving postural-motor milestones, particularly in individuals with scoliosis, were observed. The differences recorded in lumbo-pelvic movement suggest that tailored interventions may be beneficial. The heightened caregiving burden in the scoliosis group underscores the need for targeted support. Early intervention and ongoing monitoring should be important for accurate diagnosis and appropriate care, potentially with psychological support for caregivers.