Relationship Between Prone Skills and Motor‐Based Problem‐Solving Abilities in Full‐Term and Preterm Infants During the First 6 Months of Life

Author:

Inamdar Ketaki1ORCID,Tripathi Tanya2,Molinini Rebecca M.3,Fang Wei4,Salgaonkar Arya5,Dusing Stacey C.6ORCID

Affiliation:

1. Department of Human Performance, Division of Physical Therapy West Virginia University Morgantown West Virginia USA

2. Murdoch Children's Research Institute Melbourne Australia

3. School of Education Virginia Commonwealth University Richmond Virginia USA

4. West Virginia Clinical & Translational Science Institute West Virginia University Morgantown West Virginia USA

5. Division of Biokinesiology and Physical Therapy University of Southern California Los Angeles California USA

6. Sykes Family Chair of Pediatric Physical Therapy, Health and Development University of Southern California Los Angeles California USA

Abstract

ABSTRACTMotor experiences shape cognitive development in infancy, with the prone position being one such crucial motor experience in the first 6 months of life. Although the motor benefits of the prone position are well‐documented, its influence on early cognitive abilities remains insufficiently explored. This study quantified the relationship between prone motor skills and motor‐based problem‐solving abilities in 48 full‐term and preterm infants aged 3–6 months. Prone skills were assessed using the Alberta Infant Motor Scale's prone domain. The Assessment of Problem‐Solving in Play was utilized to measure motor‐based problem‐solving by observing how motor actions were used to solve toys. Advanced prone motor skills were correlated with an increase in sophisticated exploration skills and a concurrent decline in lower order exploration skills in all infants, with correlations being stronger in preterm infants. Notably, a 1‐point increase in prone skills was associated with a 1.3‐point increase in total motor‐based problem‐solving abilities in all infants. Our findings provide preliminary evidence for the contribution of prone play to cognitive development in infants, prompting considerations for assessment and intervention strategies. Further research is needed to ascertain if the delayed acquisition of prone motor skills is indicative of poor early problem‐solving abilities in preterm infants.

Funder

Eunice Kennedy Shriver National Institute of Child Health and Human Development

Virginia Commonwealth University

Publisher

Wiley

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