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. 2025 Aug 23;25:642. doi: 10.1186/s12887-025-05954-5

Table 1.

Characteristics of included studies

Author, year Country Sample size (female) Diagnosis Age, Median (range)/Mean ± SD Intervention Interest outcome measures Assessments timepoint
Baseline (mon) Gestational age (week)
Nelson (2001) [30] America

EG: 21(14)

CG: 16(5)

High risk of CP

EG: 7.72 ± 0.19 of CA

CG: 7.74 ± 0.21 of CA

EG: 26.28 ± 2.24

CG: 26.75 ± 1.35

EG: EE + Standard care

CG: Standard care

Motor: BSID-II

Cognitive: BSID-II

12 mon of CA
Ohgi (2004) [31] Japan

EG: 12(3)

CG: 11(3)

High risk of CP

EG: 0

CG: 0

EG: 30.3 ± 3.3

CG: 30.3 ± 2.7

EG: EE

CG: Standard care

Motor: BSID-II

Cognitive: BSID-II

6 mon of CA
Blauw-Hospers (2011) [32] America

EG: 21(12)

CG: 25(14)

High risk of CP 3–6 of CA

EG: 29 (27–40)

CG: 30 (25–39)

EG: EE

CG: Standard care

Motor: AIMS

Cognitive: BSID-II

6 mon of CA,

18 mon of CA

Morgan (2015) [33] Australia

EG: 6(1)

CG: 7(1)

High risk of CP

EG: 4.10 ± 0.96 of CA

CG: 4.01 ± 0.91 of CA

EG: 35.50 ± 5.21

CG: 33.57 ± 7.76

EG: EE

CG: Standard care

Motor: PDMS-II after 12-week intervention
Morgan (2016) [34] Australia

EG: 15(7)

CG: 15(6)

High risk of CP

EG: 3.62 ± 1.10 of CA

CG: 4.61 ± 1.17 of CA

EG: 34.27 ± 5.27

CG: 35.27 ± 5.09

EG: EE

CG: Standard care

Motor: PDMS-II, GMFM-66

Cognitive: BSID-III

12 mon of CA
Dusing (2018) [35] America

EG: 7(2)

CG: 7(4)

High risk of CP

EG: 0

CG: 0

EG: 25 (24–27)

CG: 26 (25–28)

EG: EE + Standard care

CG: Standard care

Motor: TIMP, BSID-III

Cognitive: BSID-III, EPSI

after 15-week intervention,

12 mon of CA

Holmström (2019) [36] Sweden

EG: 19(7)

CG: 20(6)

High risk of CP, motor disfunction and preterm

EG: 6.3 ± 1.62 of CA

CG: 6.7 ± 1.96 of CA

EG: 33 ± 6.5

CG: 33 ± 6.95

EG: EE

CG: Standard care

Motor: PDMS-II, GMFM-66, BSID-III

Cognitive: BSID-III

after 35-week intervention,

24 mon of CA

Harbourne (2019) [37] America

EG:11(N/A)

CG:9(N/A)

High risk of CP and CP 15 ± 6.9 N/A

EG: EE

CG: Optimal Pattern Intervention

Motor: GMFM-88

Cognitive: EPSI

after 12-week intervention
Hielkema (2020a) [38] Netherlands

EG: 23(8)

CG: 20(9)

High risk of CP

EG: 1.4 (0.1–8.6)

CG: 2.5 (0.9–9.0)

EG: 32 (26–41)

CG: 29 (26–41)

EG: EE

CG: PT

Motor: IMP, AIMS, Bayley-II, GMFM-66, GMFM-88

Cognitive: Bayley-II

after 48-week intervention,

21 mon of CA

Hielkema (2020b) [39] Netherlands

EG: 23(8)

CG: 20(9)

High risk of CP

EG: 1.4 (0.7–2.8)

CG: 2.5 (1.8–4.7)

EG: 32 (29–40)

CG: 29 (27–38)

EG: EE

CG: PT

NA

after 48-week intervention,

21 mon of CA

Harbourne (2021) [40] America

EG: 55(26)

CG: 57(22)

High risk of CP

EG: 10.67 ± 2.57 of CA

CG: 10.93 ± 2.63 of CA

N/A

EG: EE + Standard care

CG: Standard care

Motor: GMFM-88, BSID-III

Cognitive: APSP, BSID-III

after 36-week intervention,
Ziegler (2021) [41] Switzerland

EG: 8(2)

CG: 8(1)

High risk of CP

EG: 1.04 (0-3.45)

CG: 3.34 (0-5.06)

EG: 27 (25–30)

CG: 29.5 (26–31)

EG: EE

CG: Standard care

Motor: IMP, BSID-III

Cognitive: BSID-III

18 mon of CA,

24 mon of CA

Cemali (2022) [42] Turkey

EG: 17(5)

CG: 17(11)

CP

EG: 14.47 ± 1.28

CG: 13.82 ± 1.55

N/A

EG: EE + PT

CG: PT

Motor: AIMS after 8-week intervention
Alberge (2023) [43] France

EG: 63(28)

CG: 59(22)

High risk of CP

EG: 8.5 (8.28–8.97) of CA

CG: 8.5 (8.28–8.97) of CA

EG: 27.6 ± 1.3

CG: 27.4 ± 1.4

EG: EE

CG: Standard care

Motor: BSID-III

Cognitive: BSID-III

9 mon of age,

24 mon of age

EG experiment group, CG control group, CP cerebral palsy, N/A not applicable, w weeks, mon months, CA corrected age, EE environmental enrichment, PT physiotherapy, BSID-II Bayley Scales of Infant Development-Second Edition, AIMS Alberta Infant Motor Scale, PDMS-II Peabody Developmental Motor Scales- Second Edition, GMFM-66 Gross Motor Function Measure-66, BSID-III Bayley scales of infant development-Third edition, TIMP Test of Infant Motor Performance, GMFM-88 Gross Motor Function Measure-88, EPSI Early Problem Solving Indicator, IMP Infant Motor Profile, APSP Assessment of Problem Solving in Play