Tanja H Kakebeeke1, Aziz Chaouch2, Elisa Knaier3, Jon Caflisch3, Valentin Rousson2, Remo H Largo3, Oskar G Jenni3,4. 1. Child Development Center, University Children's Hospital Zürich, Steinwiesstrasse 75, CH-8032, Zürich, Switzerland. tanja.kakebeeke@kispi.uzh.ch. 2. Division of Biostatistics, Institute of Social and Preventive Medicine, University Hospital, Lausanne, Switzerland. 3. Child Development Center, University Children's Hospital Zürich, Steinwiesstrasse 75, CH-8032, Zürich, Switzerland. 4. Children's Research Center, University Children's Hospital Zürich, Zürich, Switzerland.
Abstract
There is a need for a quick, qualitative, reliable, and easy tool to assess gross motor development for practitioners. The aim of this cross-sectional study is to present the Zurich Neuromotor Assessment-Q (ZNA-Q), which assesses static and dynamic balance in children between 3 and 6 years of age in less than 5 min. A total of 216 children (103 boys; 113 girls; median age 4 years, 4 months; interquartile range 1 year, 3 months) were enrolled from day-care centers, kindergartens, and schools, and were tested with 5 different gross motor tasks: standing on one leg, tandem stance, hopping on one leg, walking on a straight line, and jumping sideways. All ordinal measures (consisting of qualitative measures and scales) featured a marked developmental trend and substantial inter-individual variability. Test-retest reliability was assessed on 37 children. It varied from .17 for tandem stance to .43 for jumping sideways for the individual tasks, and it was .41 and .67 for the static and dynamic balance components, respectively. For the whole ZNA-Q, test-retest reliability was .7. Conclusion: Ordinal scales enable practitioners to gather data on children's gross motor development in a fast and uncomplicated way. It offers the practitioner with an instrument for the exploration of the current developmental motor status of the child. What is Known: • Measurement of gross motor skills in the transitional period between motor mile stones and quantitative assessments is difficult. • Assessment of gross motor skills is relatively easy. What is New: • Supplementary and quick gross motor test battery for children for practitioners. • Normative values of five gross motor skills measured with ordinal scales.
There is a need for a quick, qualitative, reliable, and easy tool to assess gross motor development for practitioners. The aim of this cross-sectional study is to present the Zurich Neuromotor Assessment-Q (ZNA-Q), which assesses static and dynamic balance in children between 3 and 6 years of age in less than 5 min. A total of 216 children (103 boys; 113 girls; median age 4 years, 4 months; interquartile range 1 year, 3 months) were enrolled from day-care centers, kindergartens, and schools, and were tested with 5 different gross motor tasks: standing on one leg, tandem stance, hopping on one leg, walking on a straight line, and jumping sideways. All ordinal measures (consisting of qualitative measures and scales) featured a marked developmental trend and substantial inter-individual variability. Test-retest reliability was assessed on 37 children. It varied from .17 for tandem stance to .43 for jumping sideways for the individual tasks, and it was .41 and .67 for the static and dynamic balance components, respectively. For the whole ZNA-Q, test-retest reliability was .7. Conclusion: Ordinal scales enable practitioners to gather data on children's gross motor development in a fast and uncomplicated way. It offers the practitioner with an instrument for the exploration of the current developmental motor status of the child. What is Known: • Measurement of gross motor skills in the transitional period between motor mile stones and quantitative assessments is difficult. • Assessment of gross motor skills is relatively easy. What is New: • Supplementary and quick gross motor test battery for children for practitioners. • Normative values of five gross motor skills measured with ordinal scales.
Entities:
Keywords:
Gross motor skills; Quick and qualitative version; Zurich Neuromotor assessment
Authors: R H Largo; J A Caflisch; F Hug; K Muggli; A A Molnar; L Molinari; A Sheehy; S T Gasser Journal: Dev Med Child Neurol Date: 2001-07 Impact factor: 5.449
Authors: Tanja H Kakebeeke; Jon Caflisch; Aziz Chaouch; Valentin Rousson; Remo H Largo; Oskar G Jenni Journal: Dev Med Child Neurol Date: 2012-12-30 Impact factor: 5.449
Authors: Tanja H Kakebeeke; Aziz Chaouch; Jon Caflisch; Elisa Knaier; Valentin Rousson; Oskar G Jenni Journal: Eur J Pediatr Date: 2021-01-28 Impact factor: 3.183