Efficacy of interventions to improve motor development in young children: a systematic review

Pediatrics. 2009 Oct;124(4):e782-92. doi: 10.1542/peds.2009-0333. Epub 2009 Sep 7.

Abstract

Objective: The objective of this study was to systematically review evidence from controlled trials on the efficacy of motor development interventions in young children.

Methods: A literature search of interventions was conducted of 14 electronic databases. Three reviewers independently evaluated studies to determine whether they met the inclusion criteria. Studies were compared on 5 components: design, methodologic quality, intervention components, efficacy, and alignment with the Consolidated Standard of Reporting Trials (CONSORT) and Transparent Reporting of Evaluation with Nonrandomized Designs (TREND) statements.

Results: Seventeen studies met the inclusion criteria. More than half (65%) were controlled trials and delivered at child care settings or schools (65%). Three studies had high methodologic quality. Studies were approximately 12 weeks in duration and delivered by teachers, researchers, and students. Parents were involved in only 3 studies. Nearly 60% of the studies reported statistically significant improvements at follow-up. Three studies aligned with the CONSORT and TREND statements.

Conclusions: This review highlights the limited quantity and quality of interventions to improve motor development in young children. The following recommendations are made: (1) both teachers and researchers should be involved in the implementation of an intervention; (2) parental involvement is critical to ensuring transfer of knowledge from the intervention setting to the home environment; and (3) interventions should be methodologically sound and follow guidelines detailed in the CONSORT or TREND statement.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Child Development / physiology
  • Child, Preschool
  • Developmental Disabilities / diagnosis
  • Developmental Disabilities / therapy*
  • Early Intervention, Educational / organization & administration*
  • Female
  • Humans
  • Infant
  • Male
  • Motor Skills / physiology
  • New South Wales
  • Program Evaluation
  • Psychomotor Disorders / diagnosis
  • Psychomotor Disorders / therapy*
  • Quality of Life
  • Randomized Controlled Trials as Topic
  • Risk Assessment
  • Severity of Illness Index
  • Task Performance and Analysis*
  • Treatment Outcome