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			<titleStmt><title level='a'>Fine motor skills during early childhood predict visuospatial deductive reasoning in adolescence.</title></titleStmt>
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				<publisher></publisher>
				<date>07/01/2022</date>
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				<bibl> 
					<idno type="par_id">10437192</idno>
					<idno type="doi">10.1037/dev0001354</idno>
					<title level='j'>Developmental Psychology</title>
<idno>0012-1649</idno>
<biblScope unit="volume">58</biblScope>
<biblScope unit="issue">7</biblScope>					

					<author>Robert A. Cortes</author><author>Adam E. Green</author><author>Rachel F. Barr</author><author>Rebecca M. Ryan</author>
				</bibl>
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		<profileDesc>
			<abstract><ab><![CDATA[Extensive evidence and theory suggest that the development of motor skills during infancy and early childhood initiates a "developmental cascade" for cognitive abilities, such as reading and math. Motor skills are closely connected with the development of spatial cognition, an ability that supports deductive reasoning. Despite the linkage between motor skills and spatial cognition, and spatial cognition with deductive reasoning, no research has explored the developmental connection between early motor skills and reasoning ability, a plausible pathway through which the developmental cascade operates. Drawing data from the 1970 British Cohort Study (N = 1,233; 95% British, 5% other race/ethnicity; 54% male, 46% female; 7% low income, 80% middle income, 12% high income), this study investigated whether there was a relationship between gross and fine motor skills in infancy (22 months of age) and early childhood (42 months of age) and visuospatial deductive reasoning in adolescence (at 10 and 16 years of age). Results indicated that fine but not gross motor skills during early childhood positively predicted reasoning in adolescence. Critically, the fine motor-reasoning association mediated the previously observed link between early fine motor skills and adolescent reading and math ability. These results deepen our understanding of developmental cascade theory and mental model theory by identifying visuospatial reasoning (i.e., mental modeling) as a potential mechanism through which motor skills initiate cognitive development and academic success in reading and math. These findings also highlight the importance of early intervention programs targeting motor skills and illuminate the impact of those interventions on later cognitive and academic skills.]]></ab></abstract>
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<div xmlns="http://www.tei-c.org/ns/1.0"><p>Motor skills develop rapidly from infancy through early childhood <ref type="bibr">(Adolph &amp; Berger, 2007;</ref><ref type="bibr">Goodway et al., 2019)</ref>. During this time, children's motor milestones are closely monitored by health care professionals to identify motor processing delays and, when detected, to provide early intervention services that aim to improve their motor outcomes <ref type="bibr">(Mahoney et al., 2004)</ref>. This is because early motor delays may be indicative of underlying developmental disorders (e.g., autism spectrum disorder, Down's syndrome, cerebral palsy; <ref type="bibr">Mahoney et al., 2001;</ref><ref type="bibr">Ozonoff et al., 2008)</ref> and because early motor development presages later cognitive skills like reading and math <ref type="bibr">(Adolph &amp; Tamis-LeMonda, 2014;</ref><ref type="bibr">Bornstein et al., 2013;</ref><ref type="bibr">Piaget, 1952)</ref>. Although the latter linkages are well established, the developmental mechanisms explaining them are far less clear.</p><p>Developmental researchers have theorized that reaching early developmental motor milestones may initiate a "developmental cascade" by allowing children to actively explore and navigate the world, facilitating later cognitive abilities and academic achievement <ref type="bibr">(Adolph &amp; Tamis-LeMonda, 2014;</ref><ref type="bibr">Bornstein et al., 2013;</ref><ref type="bibr">Gibson, 1988;</ref><ref type="bibr">Libertus et al., 2016;</ref><ref type="bibr">Piaget, 1952)</ref>. Indeed, a robust literature supports the theory that early motor skills predict later cognitive ability: Specifically, gross motor skills (e.g., balance, walking) at 3-5 months of age predict attention at 8 years <ref type="bibr">(Friedman et al., 2005)</ref> and academic achievement at 15 years <ref type="bibr">(Bornstein et al., 2013)</ref>. Fine motor skills at 2-4 years of age predict school readiness and academic achievement, especially in reading and mathematics, in 5-to 11-year-olds <ref type="bibr">(Cameron et al., 2012;</ref><ref type="bibr">Dinehart &amp; Manfra, 2013;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Pagani &amp; Messier, 2012;</ref><ref type="bibr">Son &amp; Meisels, 2006)</ref>. The exact mechanism by which early motor skills predict later reading and math ability is unknown, though many posit this developmental cascade could be bridged by visual or spatial processes that in turn promote reasoning skills more broadly <ref type="bibr">(Cameron et al., 2016;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Son &amp; Meisels, 2006)</ref>. Here, we argue that spatial reasoning (i.e., the ability to construct and manipulate mental models of information) may be a potential mechanism for the motor-cognitive developmental cascade between early fine motor skills and reading and math during adolescence.</p><p>Motor skills are closely connected with the development of spatial cognition, often defined as the ability to visualize and manipulate spatial information <ref type="bibr">(Hart &amp; Moore, 1973)</ref>. In adults, researchers have found that spatial cognition (namely mental rotation) is consistently associated with both gross and fine motor skills, and a large body of evidence and theory suggest that motor processing mechanistically underlies spatial cognition <ref type="bibr">(Ozel et al., 2004;</ref><ref type="bibr">Voyer &amp; Jansen, 2017;</ref><ref type="bibr">Wexler et al., 1998;</ref><ref type="bibr">Wohlschl&#228;ger &amp; Wohlschl&#228;ger, 1998)</ref>. Critically, this motor-spatial link exists as early as infancy and early childhood as better motor skills at ages 6-10 months and 5-6 years predict better spatial cognition (mental rotation; <ref type="bibr">Frick &amp; M&#246;hring, 2013;</ref><ref type="bibr">Jansen &amp; Heil, 2010;</ref><ref type="bibr">Lehmann et al., 2014;</ref><ref type="bibr">M&#246;hring &amp; Frick, 2013;</ref><ref type="bibr">Schwarzer et al., 2013)</ref>. In fact, it has been posited that the overlap between motor and spatial processing may be strongest during early childhood and that these abilities begin to differentiate in adolescence and adulthood <ref type="bibr">(Frick et al., 2009;</ref><ref type="bibr">Funk et al., 2005;</ref><ref type="bibr">Karmiloff-Smith, 2012)</ref>.</p><p>Extensive cognitive science research has demonstrated the link between spatial cognition and deductive reasoning (i.e., the ability to draw inferences and conclusions to solve problems; <ref type="bibr">Johnson-Laird, 1980</ref><ref type="bibr">, 2004</ref><ref type="bibr">, 2010)</ref>. Consistent with this evidence, mental model theory proposes that during deductive reasoning, humans tend to envision and manipulate information in spatialized ways by creating visual representations, often called "mental models," that allow them to evaluate and draw conclusions from complex situations <ref type="bibr">(Johnson-Laird, 1980</ref><ref type="bibr">, 2004</ref><ref type="bibr">, 2010)</ref>. Cognitive and brain-based research supports mental model theory in the context of both verbal and visuospatial deductive reasoning, consistently finding evidence for the role of spatial processes during reasoning <ref type="bibr">(Goel et al., 2000;</ref><ref type="bibr">Johnson-Laird, 1980</ref><ref type="bibr">, 2004</ref><ref type="bibr">, 2010;</ref><ref type="bibr">Johnson-Laird et al., 2017;</ref><ref type="bibr">Khemlani &amp; Johnson-Laird, 2012;</ref><ref type="bibr">Ragni &amp; Knauff, 2013)</ref>. Despite the robust evidence for the mental model theory in adults and older adolescents, no research to date has explored the developmental connection between spatial cognition and deductive reasoning across the life span (from birth to adulthood).</p><p>Given that motor skills (both gross and fine) are linked to spatial cognition in infancy through adulthood, and that spatial cognition supports visuospatial deductive reasoning, it is plausible that motor skills might also be associated with visuospatial deductive reasoning. Very little research has explored this topic, though one study demonstrated that practicing a musical instrument (a form of fine motor training) is associated with enhanced visuospatial deductive reasoning at 9 years of age <ref type="bibr">(Forgeard et al., 2008)</ref>, while another study found that gross motor skills at 6 years of age were associated with concurrent spatial reasoning ability <ref type="bibr">(Frick &amp; M&#246;hring, 2015)</ref>. Moreover, extensive literature has linked the motor system to mental simulation <ref type="bibr">(Ian&#236;, 2019)</ref>, an ability that could support the construction of mental models during reasoning. A key question is whether there exists a developmental connection between early motor skills and later visuospatial deductive reasoning ability.</p><p>Drawing on both the developmental cascade framework and mental model theory, we investigated the hypothesis that gross and fine motor skills during early childhood may predict visuospatial deductive reasoning ability during adolescence (see Figure <ref type="figure">1</ref>). The development of spatial cognition presents a plausible mechanistic link Theoretical Model for the Developmental Cascade Between Early Motor Skills and Later Reasoning, Math, and Reading Abilities in Adolescence for this hypothesized cascade (see Figure <ref type="figure">1</ref>) such that motor skills during infancy and early childhood support the development of spatial cognition during early and middle childhood, which then promotes visuospatial deductive reasoning during adolescence. More specifically, gross motor skills could be related to future reasoning given that the ability to differentiate between egocentric and allocentric spatial cognition may develop via gross motor actions and experiences that occur in a larger spatial context-this advanced spatial processing could support abstract visualization of physical content during deductive reasoning <ref type="bibr">(Galati et al., 2000;</ref><ref type="bibr">Johnson-Laird, 2010;</ref><ref type="bibr">Klatzky, 1998)</ref>. Fine motor skills could be related to future reasoning as this kind of motor processing allows children to practice mapping visual representations to emerging verbal and mathematical concepts <ref type="bibr">(Cameron et al., 2016)</ref>, which may allow for more finetuned mapping during mental model construction in deductive reasoning. Moreover, a large body of neuroscientific evidence indicates that motor skills, spatial cognition, and deductive reasoning all share common neural substrates in the premotor cortex, parietal cortex, and cerebellum <ref type="bibr">(Cona &amp; Scarpazza, 2019;</ref><ref type="bibr">Eslinger et al., 2009;</ref><ref type="bibr">Goel et al., 1998;</ref><ref type="bibr">Guell et al., 2018;</ref><ref type="bibr">Prabhakaran et al., 1997;</ref><ref type="bibr">Rizzolatti &amp; Luppino, 2001;</ref><ref type="bibr">Rowe et al., 2002;</ref><ref type="bibr">Wertheim &amp; Ragni, 2018;</ref><ref type="bibr">Wise et al., 1997)</ref>.</p><p>Critically, it is possible that the link between early motor skills and visuospatial deductive reasoning in adolescence could be a potential mechanism for the developmental cascade between early motor skills and later math and reading performance (see Figure <ref type="figure">1</ref>). Prior evidence suggests that the mental modeling ability exercised during visuospatial deductive reasoning <ref type="bibr">(Knauff, 2009;</ref><ref type="bibr">Tversky, 2005)</ref> supports both reading and mathematical ability by improving conceptual understanding and automaticity of word/ number to visual mapping <ref type="bibr">(Bower &amp; Morrow, 1990;</ref><ref type="bibr">Chinnappan, 1998;</ref><ref type="bibr">Glenberg et al., 1987;</ref><ref type="bibr">Gogus, 2013;</ref><ref type="bibr">Greca &amp; Moreira, 2000;</ref><ref type="bibr">Halford, 2014;</ref><ref type="bibr">McNamara et al., 1991)</ref>; however, the developmental relationship between these abilities has not been tested. The current study addressed this question and tested the theoretical model in Figure <ref type="figure">1</ref> by utilizing the British Cohort Study (BCS) to examine the longitudinal relationship between gross and fine motor skills in infancy (22 months of age) and early childhood (42 months of age) and visuospatial deductive reasoning in adolescence (at 10 and 16 years of age). We hypothesized that both infancy and early childhood gross and fine motor skills would predict future visuospatial deductive reasoning and planned to test for the developmental specificity of this connection (i.e., testing whether motor skills during early childhood predicted significant unique variance in future reasoning when controlling for motor skills in infancy). Positive evidence for this connection would expand the developmental cascade theory to include a motor-reasoning cascade, which would also support mental model theory by expanding our understanding of the developmental trajectory of the relationship between motor skills and deductive reasoning. In addition, we hypothesized that the association between early motor skills and adolescent deductive reasoning may statistically mediate the well-documented relationship between early motor skills and adolescent math and reading performance-this finding could illuminate a potential mechanism (i.e., mental modeling ability) by which early motor skills might initiate future development in distant cognitive domains such as math and reading. Understanding this facet of development will help inform and highlight the importance of early intervention programs aimed at facilitating motor development in children.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Method</head></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Data and Sample</head><p>Data were drawn from the BCS, a nationally representative study of <ref type="bibr">17,196 children</ref>  ). The sample size varies at each wave and for each analysis (ranging from 264 to 1,373 participants; for our analysis, N = 1,233; 95% British, 5% other race/ethnicity; 54% male, 46% female; 7% low income, 80% middle income, 12% high income). No survey weights were created for use in the BCS. Further description of the data set can be found in <ref type="bibr">Butler et al. (1997)</ref> and <ref type="bibr">Duncan et al. (2007)</ref>, and normative and descriptive data for all of the measures can be found at this web page: <ref type="url">http://nesstar.ukdataservice.ac.uk/webview/index</ref> .jsp?v=2. Data and study materials for all experiments are available from the U.K. Data Service (<ref type="url">https://ukdataservice.ac.uk/</ref>). This study was not preregistered. This study (Protocol 2011-151; title: "A cognitive neuroscientific investigation of reasoning and creativity") was approved by the Georgetown University Institutional Review Board.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Measures</head></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Fine Motor Skills</head><p>Fine motor skills were measured with a design copying drawing task, in which children were required to draw three basic designs: a circle, a vertical line, and a cross. This test is used extensively to assess fine motor control <ref type="bibr">(Davie et al., 1972;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Rutter et al., 1970)</ref>. Each item was scored by an experimenter as a 1/0 binary (1 if the design was drawn correctly, 0 if scribbled or any other drawing). Because some participants did not complete all three items (due to missing data), fine motor scores were calculated as an average of all three items. This task was administered identically at the 22-month and 42-month waves.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Gross Motor Skills</head><p>Gross motor skills were measured at 22 months with four tasks, including requiring children to walk 10 steps on their own, walk holding furniture, balance on one foot, and jump in place. Each item was scored by an experimenter as a 1/0 binary (1 if they could complete the task, 0 if not). Because some participants did not complete all four tests (due to missing data), gross motor scores were calculated as an average of all four tests. At 42 months, gross motor skills were measured slightly differently: one task measuring the average amount of time a child could balance on one foot (ranging from 1 to 6 s) across two attempts and another task measuring whether the child could jump in place (1/0 binary). These two measures were combined by dividing the amount of time spent balancing by 6, adding it to the 1/0 binary score for jumping in place, and dividing the result by 2 to create the final gross motor score.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Visuospatial Deductive Reasoning</head><p>Visuospatial deductive reasoning was measured using the British Ability Scale (BAS) Matrices task, which is a visuospatial deductive reasoning task that presents participants with a series of progressively difficult matrix reasoning problems composed of several visuospatial objects, in which participants were required to select the answer choice that indicates the correct next object in the sequence <ref type="bibr">(Elliott &amp; Tyler, 1986</ref>; Figure <ref type="figure">2</ref>). This task is comparable in nature to standard measures of visuospatial intelligence/IQ, such as Raven's Progressive Matrices (RPM; <ref type="bibr">Raven, 2000)</ref> and the Wechsler Intelligence Scale for Children <ref type="bibr">(Wechsler, 2008)</ref>. The BAS Matrices task has been shown to correlate with these measures as well as other commonly used intelligence scales <ref type="bibr">(McCallum &amp; Karnes, 1987)</ref>. Although the RPM and BAS are frequently used as measures of "fluid intelligence," a large body of evidence has demonstrated that visuospatial reasoning contributes significantly to performance on these tasks <ref type="bibr">(Chen et al., 2017;</ref><ref type="bibr">Waschl et al., 2017)</ref>, and many theories of intelligence suggest that the primary cognitive process engaged by these tasks is in fact visuospatial reasoning <ref type="bibr">(Chen et al., 2017;</ref><ref type="bibr">Prabhakaran et al., 1997;</ref><ref type="bibr">Stephenson &amp; Halpern, 2013;</ref><ref type="bibr">Tversky, 2005;</ref><ref type="bibr">Waschl et al., 2017)</ref>. Conceptually, the stimuli in both RPM and BAS consist of visuospatial symbols, with the first two rows being analogous to premises of a reasoning problem and the final row being analogous to the conclusion of a reasoning problem that participants must solve by deducing the pattern from the visuospatial stimuli <ref type="bibr">(Elliott &amp; Tyler, 1986;</ref><ref type="bibr">McCallum &amp; Karnes, 1987;</ref><ref type="bibr">Raven, 2000)</ref>. At age 10, children completed 28 items of this task (long form), and their score was their overall average accuracy; at age 16, children completed 11 items of this task (short form), and their score was their overall average accuracy.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Reading</head><p>Reading ability at age 10 was assessed with the standardized Edinburgh Reading Test <ref type="bibr">(Unit, 1978)</ref>. The standardized Edinburgh Reading Test is a test of word recognition, and items were carefully selected to cover a wide age range of ability from 7 to 13 years in a form suitable to straddle the 10-year cohort. The test contained 67 items that examined vocabulary, syntax, sequencing, comprehension, and retention. The final reading score was their overall accuracy on the standardized Edinburgh Reading Test (hereafter called Reading_10years).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Math</head><p>Math ability at age 10 was assessed with the Friendly Maths Test, which was developed by BCS researchers and collaborators who specialized in mathematics instruction <ref type="bibr">(Butler et al., 1997</ref>; University of London, Institute of Education, Centre for Longitudinal Studies, 2016). This measure was piloted in Bristol schools each on 400 children before administration in the actual study. The Friendly Maths Test consisted of a total of 72 multiple choice questions and covered the primary rules of arithmetic: number skills, fractions, measures in a variety of forms, algebra, geometry, and statistics. The final math score was their overall accuracy on the Friendly Maths Test (hereafter called Math_10years).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Income and Class</head><p>Gross weekly family income was collected at 10 years of age, in the form of a 6-point scale with the following brackets: under &#163;35, &#163;35-&#163;49, &#163;50-&#163;99, &#163;100-&#163;149, &#163;150-&#163;199, &#163;200-&#163;249, and &#163;250&#254;. Income data were not collected at the 16-year data point. Social class was collected at 42 months, in the form of a 6-point scale with the following brackets: Social Class I, Social Class II, Social Class IIINM, Social Class IIIM, Social Class IV, and Social Class V. This British system of decreasing social class (where Social Class I represents the elite class) roughly maps onto the different income brackets <ref type="bibr">(Giddens, 1972)</ref>, though the class variable is descending and the income variable is ascending.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Gender</head><p>Gender of the children was recorded as binary (0 = female, 1 = male) at 42 months. This variable is assumed not to have changed across all data points.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Analyses</head><p>All analyses were conducted in Stata I/C 16.0 <ref type="bibr">(Hamilton, 2012)</ref>. We first ran baseline correlations to examine the relationship between motor skills in infancy and early childhood, as well as the relationship between reasoning at 10 years and reasoning at 16 years. Our primary analyses included the following eight ordinary least squares (OLS) regression models listed below, which tested for relationships between fine and gross motor abilities during infancy and early childhood and reasoning at 10 and 16 years (adolescence), controlling for gender, income at 10 years, and class during early childhood. Due to missing data for different variables, each model included different sample sizes (shown below each model). All models used robust standard errors. All models were run first as OLS regressions and then as Poisson models to account for the nonnormal, count nature of the dependent variables; results were virtually identical across specifications, so OLS was used for final analysis.</p><p>Additional regression and sensitivity analyses were run in Stata. Mediation analyses were conducted with structural equation modeling in Stata, using bootstrapped confidence intervals set to 95% confidence level with 500 Monte Carlo draws, and indirect effects were estimated with ACME <ref type="bibr">(Shrout &amp; Bolger, 2002)</ref>.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Results</head></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Correlations Among Primary Measures</head><p>Descriptive statistics for all variables can be found in Table <ref type="table">1</ref>.Correlations between all primary measures can be found in Table <ref type="table">2</ref>.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Regression Results</head><p>Fine motor skills. during infancy significantly positively predicted reasoning ability at 10 years of age but did not significantly predict reasoning ability at 16 years of age (see Table <ref type="table">3</ref>). Fine motor skills during early childhood significantly positively predicted reasoning ability at both 10 years of age and 16 years of age (see Table <ref type="table">4</ref>). A 1.0-standard-deviation increase in fine motor skills during early childhood predicted about a .21-standard-deviation increase in reasoning ability at both 10 years and 16 years of age. No significant relationship emerged between gross motor skills during infancy or early childhood and reasoning at either 10 or 16 years of age (Tables <ref type="table">5</ref> and<ref type="table">6</ref>).</p><p>Based on our initial findings, we ran additional regression models to test whether gross or fine motor skills predicted unique variance in reasoning ability at different ages. We ran all four of the regression models of fine motor skills on reasoning including gross motor skills at the appropriate time point:</p><p>Results indicate that gross motor skills did not predict reasoning in any model and that fine motor skills at infancy marginally positively predicted reasoning ability at 10 years and remained nonsignificant at 16 years of age (Tables <ref type="table">7</ref> and<ref type="table">8</ref>). Fine motor skills during early childhood, however, still significantly positively predicted reasoning at 10 years of age and 16 years of age, even when controlling for gross motor abilities during early childhood (see Table <ref type="table">8</ref>).  </p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Developmental Specificity of Fine Motor to Reasoning Cascade</head><p>Building on the previous analysis, we tested whether fine motor skills during early childhood accounted for significant unique variance in reasoning at ages 10 and 16, when controlling for fine motor skills in infancy. Across both models, fine motor skills in early childhood significantly predicted unique variance in visuospatial reasoning at 10 and 16 years of age, even when controlling for fine motor skills during infancy (Table <ref type="table">S1</ref>).</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Mediation Analyses</head><p>We further investigated whether the link between early motor skills and adolescent deductive reasoning statistically mediated the relationship between early fine motor skills and math and reading performance, established in previous empirical studies <ref type="bibr">(Cameron et al., 2012;</ref><ref type="bibr">Dinehart &amp; Manfra, 2013;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Pagani &amp; Messier, 2012;</ref><ref type="bibr">Son &amp; Meisels, 2006)</ref>. We found that fine motor skills in infancy and early childhood were significantly positively associated with both reading and math at 10 years of age (Tables <ref type="table">S2</ref> and<ref type="table">S3</ref>). This established Path C (fine motor to reading and math) in our mediation models (Figures <ref type="figure">3</ref> and<ref type="figure">4</ref>), and Path A (fine motor to reasoning) was established in the Regression Results section (Tables <ref type="table">3</ref> and<ref type="table">4</ref>). To establish Path B (reasoning to reading and math), we examined whether reasoning at 10 years of age was associated with math and reading at 10 years of age when controlling for fine motor skills, gender, and income at 10 years and class in early childhood. We found significant positive associations between reasoning and both math and reading in all models (Tables <ref type="table">S4</ref> and<ref type="table">S5</ref>).</p><p>Finally, we tested whether the association between fine motor skills during infancy and visuospatial deductive reasoning at 10 years of age statistically mediated the association between fine motor skills during infancy and reading and math at 10 years of age. In addition, we tested whether the association between fine motor skills during early childhood and visuospatial deductive reasoning at 10 years of age statistically mediated the association between fine motor skills during early childhood and reading (see Figure <ref type="figure">3</ref>) and math (see Figure <ref type="figure">4</ref>) at 10 years of age. All models controlled for gender, income at 10 years, and class at 42 months.</p><p>Results showed that the links between fine motor skills during infancy with both math and reading scores were significantly mediated by adolescent reasoning (indirect effects of reasoning: Reading_10years: z =1.99,p = .046; Math_10years: z =2 .3,p = .01). In addition, the links between fine motor skills during early childhood with both math and reading scores were also significantly mediated by adolescent reasoning (Reading_10years: z =8 . 6 1 ,p , .001; see Figure <ref type="figure">3</ref>; Math_10years: z =8 . 3 5 ,p , .001; see Figure <ref type="figure">4</ref>). All mediations were partial in nature as the direct effect was still significant; however, at least 50% of the total effect was accounted for by the link between early fine motor skills and reasoning in all four models.</p><p>See the online supplemental materials for additional results. These additional results include the following: interaction with class, interaction with gender, strength of effects, sensitivity analysis, and analyses verifying the continuous nature of the class and income variables.</p></div>
<div xmlns="http://www.tei-c.org/ns/1.0"><head>Discussion</head><p>The present study provides initial evidence for a developmental cascade between fine motor skills in early childhood and visuospatial  deductive reasoning in late childhood and adolescence. Specifically, we found that fine motor skills during early childhood significantly positively predicted reasoning in adolescence (at both 10 and 16 years of age), even when controlling for gender and income and for gross motor skills. In addition, fine motor skills during infancy significantly positively predicted reasoning at 10 years of age but not 16 years of age. Building on prior work demonstrating the link between early motor skills and enhanced cognitive abilities in adolescence <ref type="bibr">(Cameron et al., 2012;</ref><ref type="bibr">Dinehart &amp; Manfra, 2013;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Pagani &amp; Messier, 2012;</ref><ref type="bibr">Son &amp; Meisels, 2006)</ref>, the current results demonstrate that early fine motor skills are also related to a distant domain of cognition during adolescence: visuospatial deductive reasoning. Critically, we found that fine motor skills during early childhood showed stronger and longer-lasting effects on reasoning than fine motor skills during infancy. In fact, fine motor skills during early childhood predicted unique variance in reasoning at ages 10 and 16 even when controlling for fine motor skills during infancy. This suggests that fine motor skills by early childhood are more important in predicting reasoning than skills by infancy, likely indicating that the period between infancy and early childhood is a crucial time for fine motor development with respect to future reasoning ability. Furthermore, our findings are consistent with mental model theory, which proposes that deductive reasoning is supported by spatial cognition <ref type="bibr">(Johnson-Laird, 1980</ref><ref type="bibr">, 2004</ref><ref type="bibr">, 2010)</ref>. Spatial cognition causally depends on the use and development of motor skills <ref type="bibr">(Ozel et al., 2004;</ref><ref type="bibr">Voyer &amp; Jansen, 2017;</ref><ref type="bibr">Wexler al., 1998;</ref><ref type="bibr">Wohlschl&#228;ger &amp; Wohlschl&#228;ger, 1998)</ref>, and all three of these processes (reasoning, spatial cognition, and motor skills) share common neural substrates in the premotor cortex, parietal cortex, and cerebellum <ref type="bibr">(Cona &amp; Scarpazza, 2019;</ref><ref type="bibr">Eslinger et al., 2009;</ref><ref type="bibr">Goel et al., 1998;</ref><ref type="bibr">Guell et al., 2018;</ref><ref type="bibr">Prabhakaran et al., 1997;</ref><ref type="bibr">Rizzolatti &amp; Luppino, 2001;</ref><ref type="bibr">Rowe et al., 2002;</ref><ref type="bibr">Wertheim &amp; Ragni, 2018;</ref><ref type="bibr">et al., 1997)</ref>. Based on this evidence, we had hypothesized that early fine motor skills might support the development of reasoning in adolescence as the development of these skills might facilitate more fine-tuned spatial mapping during mental model construction in reasoning, which would allow for improved performance. The present results directly support that hypothesis and provide further support for mental model theory by providing a developmental framework for the connection between early fine motor skills and adolescent reasoning.</p><p>Critically, these findings provide new evidence that the link between early fine motor skills and visuospatial deductive reasoning in adolescence statistically mediates the previously established connection between early fine motor skills and both reading and math ability-accounting for over 50% of the effect. The previously established connection between early fine motor skills and later academic achievement in reading and math <ref type="bibr">(Cameron et al., 2012;</ref><ref type="bibr">Dinehart &amp; Manfra, 2013;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Pagani &amp; Messier, 2012;</ref><ref type="bibr">Son &amp; Meisels, 2006)</ref> has been theorized to be bridged by visuospatial processing as development of fine motor skills could facilitate the acquisition of spatially based representation competencies (i.e., mental modeling ability) in math and reading <ref type="bibr">(Cameron et al., 2016;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Son &amp; Meisels, 2006)</ref>. Specifically, improved mental modeling ability in the context of math and reading could lead to better conceptual understanding and automaticity of word/number to visual mapping <ref type="bibr">(Bower &amp; Morrow, 1990;</ref><ref type="bibr">Cameron et al., 2016;</ref><ref type="bibr">Chinnappan, 1998;</ref><ref type="bibr">Glenberg et al., 1987;</ref><ref type="bibr">Gogus, 2013;</ref><ref type="bibr">Greca &amp; Moreira, 2000;</ref><ref type="bibr">Grissmer et al., 2010;</ref><ref type="bibr">Halford, 2014;</ref><ref type="bibr">McNamara et al., 1991;</ref><ref type="bibr">Son &amp; Meisels, 2006)</ref>. The present study  is the first to directly test this hypothesis and the theoretical model in Figure <ref type="figure">1</ref>. We found initial evidence that visuospatial deductive reasoning (i.e., mental modeling ability) could be a potential mechanism for the motor-cognitive developmental cascade between early fine motor skills and reading and math during adolescence. It is important to note, however, that no causal conclusions can be made based on the results of our mediation analysis. These results demonstrate the need for researchers to measure reasoning ability (in both visuospatial and verbal domains) in future longitudinal studies of child development as this will allow for further examination of the development of this understudied ability and how the development of reasoning may support other developmental cascades.</p><p>An important limitation of this study is that we did not have measures of spatial cognition. It is conceivable that spatial cognition in middle childhood mediates early childhood fine motor skills and visuospatial deductive reasoning, but it is also possible that fine motor skills transfer directly to reasoning. Another limitation is that we lacked a measure of verbal deductive reasoning during adolescence-a developmental connection between fine motor skills and verbal deductive reasoning would demonstrate even further transfer between skills (i.e., fine motor skills in tracing shapes predict not only reasoning about visuospatial shapes but also reasoning about completely verbal, nonspatial stimuli). In addition, much of mental model literature is based upon verbal deductive reasoning <ref type="bibr">(Johnson-Laird, 1980</ref><ref type="bibr">, 2004</ref><ref type="bibr">, 2010)</ref>. Last, the BCS did not include any neural measurement to determine which brain resources might subserve the developmental connection between fine motor skills and reasoning. Future research should add measures of spatial cognition, verbal deductive reasoning, and neuroimaging to test connections between fine motor skills and reasoning.</p><p>Notably, we did not find evidence that gross motor skills predicted reasoning during adolescence, despite hypothesizing that the differentiation between allocentric and egocentric spatial processing facilitated by gross motor development might support spatialization of abstract concepts in reasoning. One possible explanation is that the gross motor skills task included in the current data set (collected in the 1970s) was not as sensitive as modern measures of gross motor skills. Namely, all of the items were scored on a 1/0 basis for correct or incorrect, whereas modern tasks facilitate continuous measurement of different levels of performance (i.e., 0 to 5). This limitation also applies to the fine motor task, administered via pencil and paper in the current study-this measure could be made more sensitive using modern methods, such as the tracing tasks administered via touch screen tablets <ref type="bibr">(Flatters et al., 2014;</ref><ref type="bibr">Giles et al., 2018)</ref>. Alternatively, it is possible that fine motor skills share a unique connection to visuospatial deductive reasoning that gross motor skills do not. Last, it is possible that the developmental relationships observed in the present study and data set could be cohort specific to children growing up in the 1970s. It is conceivable that modern technological advances and changes in children's average physical activity could change the developmental trajectory between early motor skills and adolescent reasoning ability, perhaps advancing or delaying the connection or  eliminating it entirely. Future research should examine whether the results of the present study can be replicated in later cohorts. Despite these limitations and outstanding questions, the present findings have broader implications for the field of early motor intervention. Motor development is closely monitored and intervened upon during infancy and early adulthood <ref type="bibr">(Mahoney et al., 2004)</ref>. Although these intervention programs are typically motivated by their ability to improve children's long-term motor outcomes, the present findings demonstrate that these early intervention programs may also yield benefits in adolescent visuospatial deductive reasoning. Furthermore, the present findings indicate a potential mechanism (i.e., mental  modeling ability) that would explain why early motor intervent i o np r o g r a m sh a v eb e e nl i n k e dt oi m p r o v e m e n t si nm a t ha n d reading outcomes. Overall, the present study and its findings highlight the importance of early motor intervention programs and contextualize the impact of those interventions on later cognitive and academic skills.</p></div>
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