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Original scientific paper

The effect of early intervention programe on motor development in a child with neurodevelopmental risk

Tomislav Ljutić orcid id ; Dječji vrtić Potočnica, Zagreb, Hrvatska
Ines Joković Oreb ; Sveučilište u Zagrebu, Edukacijsko-rehabilitacijski fakultet, Odsjek za motoričke poremećaje, kronične bolesti i art terapije, Zagreb, Hrvatska
Branko Nikolić ; Sveučilište u Zagrebu, Edukacijsko-rehabilitacijski fakultet, Katedra za rehabilitaciju, informatiku, statistiku i tehnologiju, Zagreb, Hrvatska

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On the account of unexpected psychomotor development of infant with neurodevelopmental risk, the early diagnostic of neurodevelopmental impairments, time, multidisciplinary follow-up and early habilitation is very importanat. The plasticity of child brain is neurophysiogic base of early habilitation. The plasticity of newborn brain give us opportunity to prevent the permanently psychomotoric impairments in imperilled child via early neurodevelopmental and habilitation programs. The purpose of this study was to examine the influence of early intervention programs on motor development in a child with neurodevelopmental risks. The variables of Denver Developmental Screening II Test (DDST) and Gross Motor Function Measure (GMFM – 66) are used in order to evaluate psychomotor development. The starting hypothesis assumes that the application of early integration program for the child with neurodevelopment risk will result with improvement in all defined variables. The habilitation program was consist of neurodevelopmental treatment, sensory integration, components of oral-motor stimulation, preverbal skills and speech and stimulation of cognitive development for six subjects (three females and three males) within first year of life. The evaluation was carried out by component analysis of the status changes of a child, which is described over the group of quantitative variables registered through a series of 14-20 equidistant time points.This way of data processing is based on the INDIFF algorithm.
The main component of changes in GFMF test was defined as general factor of motor development improvement, and the main component in Denver test was defined as general factor of gross motor improvement. Both components show progress in psychomotor development in child with neurodevelopmental risk. The achieved results show that the starting hypothesis can be accepted, since significant positive changes were observed in all subjects.


infant with neurodevelopmental risk; neuroplasticity; early intervention; habilitation programs

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