PTOTSLPOtherJournal of physical therapy science2023

The relationship between body sway patterns and motor and attentional functions in early childhood.

Soma Tsujishita, Yasutomo Jono, Morihiro Tsujishita

PMID 36744194

WHAT IT FOUND

Six-year-olds with back-and-forth body sway had lower attention scores than those with centered sway, but physical fitness tests showed no difference.

Do not use standing sway patterns to screen for motor delays, though they may hint at attentional timing issues.

Key findings

01Children with an anterior-posterior (front-to-back) body sway pattern had significantly lower attention scores (SRO%) than children with a centered sway pattern.

02There was no significant association between body sway patterns and results on physical fitness tests like running, throwing, or jumping.

03Children with an anterior-posterior sway pattern showed a significantly shorter path length per unit area compared to children with a centered pattern, suggesting looser postural control.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The study only included 6-year-olds, so it does not show how these patterns change in younger or older children. The classification of body sway patterns was based on visual inspection of diagrams, which may introduce observer bias. The sample size for the 'random' pattern group was very small (5 children), making comparisons with this group less reliable. The study measured attention using the Interactive Metronome, which requires motor timing; it is unclear if poor scores reflect attention deficits or motor coordination issues.

Declared interests

The authors declared no funding or conflicts of interest.

The easy way to misread this

Do not conclude that standing sway patterns can diagnose attention disorders. The association was found in a small sample of healthy children, and the authors explicitly state the reason for the sway pattern is unknown and cerebellar function was not measured.

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