Investigating Subtypes of Motor Skills and Activities of Daily Living among Young Children with Motor Delay

Abstract

The purpose of this study was to classify preschool children into subtypes based on motor skills and to characterize the activities of daily living for each subtype. The subjects were 45 preschool children whose scores on the Movement Assessment Battery for Children-Second Edition (MABC-2) and the Functional Independence Measure for Children (WeeFIM) were measured. The fine score and gross score were calculated from the MABC-2, and a cluster analysis was performed. The difference between the fine score and the gross score was evaluated for each subtype, and multiple comparisons among subtypes were performed for the fine, gross, and WeeFIM scores. Subtype analysis showed that the fine score was significantly lower than the gross score for subtype I ( $p<0.001$ ), and the gross score was significantly lower than the fine score for subtype III ( $p=0.018$ ). Subtype II had a significantly lower score than subtype I and subtype III ( $p<0.001$ ). Children with subtype II had more difficulty dressing movements and less communication skills than subtype III ( $p<0.05$ ). Classification into three subtypes according to motor ability and some of the characteristics of ADLs were identified.