CHAMGAP
VERIFIEDPassed the Codex final verification and publication gate. Evidence-verification cutoff: 2026-08-04. AI was used for research and drafting; the existence of all 2 cited sources was verified at the original page, followed by blind grading, adversarial audit, and build validation. Methodology v1.0.
Verdict No. 2237 · Search date 2026-08-04 · Methodology v1.0

Tummy time,
does it really help with Improved motor development through four months corrected age?

30-Second Summary
C
Evidence Grade C · 54 · Safety caution
A short-term motor-score signal in preterm infants was not confirmed by the main outcome and came from a high-attrition trial
Prone positioning should be used only while the infant is awake and directly supervised. Sleep should remain supine, and medically unstable preterm infants require guidance from their clinical team.
What the
research shows
The grade is C. A single Brazilian trial randomized 31 preterm infants, but only 18 remained through four months corrected age. Bayley-III motor composite scores assessed by a blinded examiner were higher at two and four months, while the registered main outcome, prone head-elevation angle, did not differ between groups.
What the
ads claim
This is a short post-discharge trial in preterm infants. It does not establish long-term walking or motor benefit in healthy term infants.
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Useful facts when choosing a product

  • The target was at least 20 minutes daily while awake and supervised.
  • Head elevation was the angle from the ear tragus to the support surface measured from video with Kinovea software.
  • The four-month corrected-age visit occurred one month after the intervention ended and included 18 infants.
ID

Chamgap Semantic Classification Code

Candidate index · review held

UNK.at-least-of-supervised-prone-play-after-discharge.UNK.motor-development-through-corrected-age.improve.usual-care

Unknown > At least of supervised prone play after discharge > Unknown > motor development through corrected age > Improvement claim > Usual care

An automated migration candidate, not an issued permanent code; exact claim scope remains under review. This machine-generated migration candidate helps retrieval but is not a permanent assignment. The original verdict ID and URL remain authoritative.

Download semantic index (JSON) · Codebook v1

Gap Measurement · Verdict 2237 · C 54
What advertising claims
What independent, higher-quality research supports
△ GAP
01

What the research actually shows

The trial enrolled 31 preterm infants born at 30 to 36 weeks 6 days and weighing under 2,500 g in a low-income setting in northeast Brazil, 16 intervention and 15 usual care. Parents were asked to provide at least 20 minutes of daily prone play with weekly telemonitoring and to record minutes in a booklet. A blinded examiner assessed Bayley-III motor and cognitive composites at two and four months corrected age. Twenty-six were assessed at two months and 18 at four months, eight versus ten. The paper did not provide a group summary of actual minutes, so attainment of the 20-minute target could not be verified.

02

Why this is classified as C (54)

A large short-term signal on blinded Bayley-III motor scores is offset by failure of the main outcome, only 31 randomized infants, and major attrition, giving C with 54 points.

Counterpoint. Parents recorded the three-month head-elevation video, but other visits used blinded assessment. Long-term independent walking, disability, and life function were not measured.

Rejudgment record. Cross-check applied — Large short-term signal on blinded secondary Bayley-III assessment, null main head-elevation outcome, small sample, and major attrition

Stored scoring profile
EndpointPSymptom or function itself is the target - including patient reports and performance tests
ReplicationR1Single confirmatory trial
IndependenceI2Decisive evidence is publicly or non-profit funded
Effect sizeE+Meets the clinically important threshold

Stored derived and displayed grades match; this is not a current recalculation or validity check (C).

Sub-claim grades by effect

This ingredient is marketed for several effects. A single overall grade blends strong and weak claims together, so each effect is graded separately here. The overall grade reflects the strongest disconfirming or core claim.

Effect (sub-claim)GradeBasis
Improved prone head-elevation angleDThe main outcome showed no between-group difference.
Improved Bayley-III motor scoreCA large short-term difference appeared on blinded secondary assessment, but only 18 completed.

Cross-check — AI research and Codex final gate

AI was used for research and drafting. Blind grading, adversarial audit, and the methodology boundary rules were then reapplied before Codex performed the final evidence, grade, copy, and build checks. If a grade cannot be narrowed, both evidence positions and their reasons are published.
03

Evidence Table

StudyDesignSampleFundingEndpointResultWeight
Sampaio SSS et al. 2024Single-blind randomized clinical trial31 randomized; 26 assessed at two months and 18 at four months corrected agePublic support from CAPES Code 001 and CNPqMain prone head-elevation angle; secondary Bayley-III motor and cognitive compositesNo between-group head-elevation difference; reported motor effects d=2.81 at two months and 1.46 at four monthsSmall short-term evidence with major attrition
§

Receipt — 2 References

All 2 cited sources were verified for existence at the original page (as of 2026-08-04).

Sampaio SSS, Amorim Rodrigues NA, Souza TLG, et al. Cognitive and motor improvement by tummy time practice in preemies from low-income settings: a randomized clinical trial. Front Psychol. 2024;15:1289446. PMID: 39359963. DOI: 10.3389/fpsyg.2024.1289446.
checked
Brazilian Registry of Clinical Trials. RBR-2nwkr47.
checked
Research and draft: AI used · Cross-check: blind grading and adversarial audit
Final verification and publication gate: Codex · Evidence date: 2026-08-04 · Corrections: none

Cite this verdict

Tummy time x improved motor development in preterm infants Evidence Grade C card
[Chamgap] Tummy time x improved motor development in preterm infants — Evidence Grade C·54. 2 cited sources checked. Source: https://chamgap.com/en/verdicts/sports/tummy-time-preterm-infant-motor-development/ · CC BY 4.0

CC BY 4.0 — free to use with attribution; do not distort grades, numbers, or verdict meaning.

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What this document does and does not do

Chamgap is an information source. It reports what research has and has not confirmed; it does not tell readers what to take or buy. That decision belongs to readers and, when needed, medical or legal professionals. This verdict reflects literature available up to the search date and may change as new research appears. Nothing here is medical advice.