Background: Changes in motor development provide children with new learning opportunities to interact with objects, their environment, and with caregivers. Previous research finds that both gross and fine motor skills are predictive of later language outcomes across early infancy and childhood. However, gross and fine motor skills afford different types of interactions. Thus, gross and fine motor skills may potentially differ in the developmental trajectories through which cascading changes in language may occur. The aim of the present study was to investigate whether there are differences in the predictive capacities of gross and fine motor skills toward language outcomes across infancy and early childhood in typical development. Method: A systematic review of existing literature on motor-language cascades was conducted in across studies measuring gross and/or fine motor and language development in children from 0 to 5 years old. Searches were conducted in PsycINFO, PubMed, and MEDLINE. Keywords used were a combination of “gross motor,” “fine motor,” “motor performance,” “motor development,” or “psychomotor development” along with “language,” “language development,” or “communication skills.” Two independent reviewers screened abstracts and full texts based on inclusion and exclusion criteria. Results: A total of 23 articles were retained. Of these, seven studies measured only gross motor skills, four studies measured only fine motor skills, and 12 studies measured both gross and fine motor skills in the same study. Studies used a variety of measures to assess gross motor skills, fine motor skills, and language development (e.g., parent report, in lab observations, standardized assessment), and findings varied based on analyses used. Results demonstrated that both gross and fine motor skills are related to language outcomes, but due to a smaller amount of studies testing fine motor skills, conclusions regarding whether one is more important for language outcomes cannot be drawn. Conclusions: We conclude that both gross and fine motor skills help foster language development from infancy to early childhood. Limitations regarding current knowledge regarding the mechanisms that underlie motor-language cascades are discussed, as well as the need for more studies on fine motor skills.

Prior work has found links between consistency in toddler handedness for the fine motor skill role-differentiated bimanual manipulation (RDBM), and language development at 2 and 3 years of age. The current study investigated whether consistency in handedness from 18 to 24 months (N = 90) for RDBM predicts receptive and expressive language abilities assessed using the Preschool Language Scales 5th edition (PLS-5) at 5 years old. Latent class growth analyses identified 3 stable RDBM hand preference trajectories: a left hand preference with moderate right hand use (left-moderate right), a right hand preference with moderate left hand use (right-moderate left), and a right hand preference with only mild left hand use (right-mild left). At 5 years of age, children with a right-mild left handedness trajectory as toddlers scored significantly higher on receptive and expressive language abilities compared to children with a left-moderate right hand preference. Children with a right-mild left hand preference for RDBM also scored significantly higher on receptive language abilities compared to children with a right-moderate left RDBM hand preference. Children with left-moderate right and children with a right-moderate left hand preference for RDBM as toddlers did not differ in receptive or expressive language abilities at 5 years. Results indicate that individual differences in hand preference consistency for fine motor skill in toddlerhood have cascading effects on language outcomes into the preschool years. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

The emergence of new motor skills, such as reaching and walking, dramatically changes how infants engage with the world socially and cognitively. Several examples of how motor experience can cascade into cognitive and social development have been documented, yet a significant knowledge gap remains in our understanding of whether these observed behavioral changes are accompanied by underlying neural changes. We propose that electroencephalography (EEG) measures such as power, coherence, and mu desynchronization are optimal tools to quantify motor experience in the infant brain. In this mini-review, we will summarize existing infant research that has separately assessed the relation between motor, cognitive, or social development with coherence, power, or mu desynchronization. We will discuss how the reviewed neural changes seen in seemingly separate developmental domains may be linked based on existing behavioral evidence. We will further propose that power, coherence, and mu desynchronization be used in research exploring the links between motor experience and cognitive and social development.

While handedness questionnaires are widely used in adults, there is no comparable measure designed specifically for children. The current study developed the Home Handedness Questionnaire (HHQ), a new measure for preschoolers administered by parents using common household items. The HHQ has two scales that distinguish action types typically combined on other measures: actions performed with only the right or left hand (i.e., unimanual, such as holding a toothbrush), and actions performed with one hand holding the object for the other hand's action (i.e., role-differentiated bimanual manipulation or RDBM, such as unscrewing a lid from a jar). The HHQ was able to detect right preference, left preference, and no preference for unimanual and RDBM actions in a proof of concept study in 3-year-olds (N = 64). The HHQ identified a majority of children as right-handed, but was also sensitive to variability in direction across skill types. Approximately one-quarter of children in the sample had mixed preferences for the two types of manual skills, suggesting that for a subgroup of children, hand use patterns may still be undergoing change. Suggestions for refining the HHQ are discussed. Overall, the HHQ is a promising multidimensional parent-led tool for assessing preschool handedness.

Questionnaires are commonly used to measure handedness. However, popular measures do not capture hand preference by skill type, thus reducing handedness to a single dimension. An exception is the Home Handedness Questionnaire (HHQ), an action-based measure developed initially for children, which measures skills across two dimensions of handedness: unimanual actions and role differentiated bimanual manipulation (RDBM). The goal of the current study was to confirm the factor structure of the HHQ in a large sample of adults (N = 1051). A secondary goal was to measure RDBM hand preference in adults. To further validate the HHQ, participants also completed the Edinburgh Handedness Inventory (EHI). Confirmatory factor analysis verified the two-factor structure of the HHQ, and a one-factor solution was replicated for the EHI. Individuals that were classified as consistent on the EHI had stronger preferences for unimanual and RDBM hand use on the HHQ. Right hand patterning was reduced for RDBM compared to unimanual on the HHQ, and the EHI. The HHQ was found to be reliable and valid against the EHI. The HHQ offers researchers a tool to examine individual differences across manual skills that comprise the neuropsychological phenomenon handedness, and to more broadly examine laterality patterns with respect to cognition.