Changes in Motor and Sensory Development Following Complementary Massage Therapy in Children Aged 4–6 Years
DOI:
https://doi.org/10.24256/tunascendekia.v9i2.12208Keywords:
complementary massage, motor development, sensory development, preschool children, early childhood educationAbstract
Preschool age is a critical developmental period in which motor coordination, sensory processing, and adaptive responses become increasingly refined and support learning, independence, play, and participation in daily activities. Appropriate stimulation may strengthen developmental achievement and children’s responses to environmental demands. Complementary massage therapy has been considered a non-pharmacological stimulation that provides tactile, proprioceptive, and relaxation-related input. This study examined changes in motor and sensory development following complementary massage therapy among children aged 4–6 years. A quantitative quasi-experimental one-group pretest-posttest study was conducted at TK Aisyiyah Bustanul Athfal (ABA) Batangtoru, North Sumatra, Indonesia. Forty preschool children completed all stages of the study. Motor and sensory development were assessed before and after a structured complementary massage intervention using the same outcome measures. Paired-samples t tests were used to compare pretest and posttest scores, while Cohen’s dz was calculated to estimate effect size. The mean motor development score increased from 68.13 (SD = 4.76) to 82.50 (SD = 7.16), with a mean increase of 14.38 points, t(39) = 11.01, p < .001, Cohen’s dz = 1.74. Sensory development increased from 63.13 (SD = 4.03) to 81.13 (SD = 4.46), with a mean increase of 18.00 points, t(39) = 21.06, p < .001, Cohen’s dz = 3.33. These findings indicate statistically significant and large improvements in both outcomes. Complementary massage may serve as supportive developmental stimulation when delivered safely by trained personnel and integrated with age-appropriate educational activities. However, the absence of a control group limits causal interpretation. Future studies should use controlled multisite designs, validated assessment instruments, larger samples, and longer follow-up periods. These approaches are needed to determine whether observed improvements persist over time and represent clinically meaningful benefits for children.
References
Bolger, L. E., Bolger, L. A., O’Neill, C., Coughlan, E., O’Brien, W., Lacey, S., Burns, C., & Bardid, F. (2021). Global levels of fundamental motor skills in children: A systematic review. Journal of Sports Sciences, 39(7), 717-753. https://doi.org/10.1080/02640414.2020.1841405
Chen, D., Zhao, G., Fu, J., Shun, S., Su, L., He, Z., Chen, R., Jiang, T., Hu, X., Li, Y., & Shen, F. (2024a). Effects of structured and unstructured interventions on fundamental motor skills in preschool children: A meta-analysis. Frontiers in Public Health, 12, Article 1345566. https://doi.org/10.3389/fpubh.2024.1345566
Chen, S.-C., Lin, S.-L., Wang, M., Cheung, D. S.-T., Liang, J.-G., Cheng, Z.-Y., Yuen, C. S., & Yeung, W.-F. (2024b). Pediatric massage therapy in infants and children under 5 years: An umbrella review of systematic reviews. Heliyon, 10(16), Article e35993. https://doi.org/10.1016/j.heliyon.2024.e35993
Creswell, J. W. (2017). Research design: Qualitative, quantitative, and mixed methods approaches (4th ed.). Sage Publications.
Fadlalmola, H. A. (2024). Effects of massage on self-regulatory difficulties, tactile and oral abnormalities, and parenting stress in children with autism spectrum disorder: A systematic review and meta-analysis. International Journal of Therapeutic Massage & Bodywork, 17(4), 4-19. https://doi.org/10.3822/ijtmb.v17i4.1079
Flores, P., Coelho, E., Mourão-Carvalhal, M. I., & Forte, P. (2023). Association between motor and math skills in preschool children with typical development: Systematic review. Frontiers in Psychology, 14, Article 1105391. https://doi.org/10.3389/fpsyg.2023.1105391
Gándara-Gafo, B., & Beaudry-Bellefeuille, I. (2023). Convergent validity of two sensory questionnaires in Spain: Sensory Profile-2 and Sensory Processing Measure. Children, 10(9), 1516. https://doi.org/10.3390/children10091516
Jannah, M., Nawangsari, D., & Akaputri, D. E. (2025). Efektivitas Pijat Bayi Terhadap Peningkatan Motorik Pada Bayi Usia 6-12 Bulan di Klinik “A” Bogor. Jurnal Bidang Ilmu Kesehatan, 15(2), 177-182. https://doi.org/10.52643/jbik.v15i2.6296
Jeong, J., Franchett, E. E., Ramos de Oliveira, C. V., Rehmani, K., & Yousafzai, A. K. (2021). Parenting interventions to promote early child development in the first three years of life: A global systematic review and meta-analysis. PLoS Medicine, 18(5), Article e1003602. https://doi.org/10.1371/journal.pmed.1003602
Jones, D., Innerd, A., Giles, E. L., & Azevedo, L. B. (2020). Association between fundamental motor skills and physical activity in the early years: A systematic review and meta-analysis. Journal of Sport and Health Science, 9(6), 542-552. https://doi.org/10.1016/j.jshs.2020.03.001
Jones, S., Yu, M.-L., & Brown, T. (2024). Convergent validity between the school-age versions of the Sensory Processing Measure 2 (SPM2) and the Sensory Profile 2 (SP2): A pilot study. Australian Occupational Therapy Journal, 71(5), 718-732. https://doi.org/10.1111/1440-1630.12958
KEMENKES. (2025). Rahasia anak sehat dan cerdas, lakukan stimulasi tumbuh kembang! Dengan Buku KIA. Kementerian Kesehatan Republik Indonesia. https://ayosehat.kemkes.go.id/rahasia-anak-sehat-dan-cerdas-lakukan-stimulasi-tumbuh-kembang-dengan-buku-kia
Kristianingrum, D. Y., Setiarini, D. A. K., Fatoni, I., & Aini, I. (2022). Pengaruh Pijat Bayi Terhadap Peningkatan Motorik Kasar Pada Bayi. Jurnal Abdi Medika, 2(1), 24-28.
Licciardi, L., & Brown, T. (2023). An overview & critical review of the Sensory Profile–second edition. Scandinavian Journal of Occupational Therapy, 30(6), 758-770. https://doi.org/10.1080/11038128.2021.1930148
Lu, W. P., Tsai, W. H., Lin, L. Y., Hong, R. B., & Hwang, Y. S. (2019). The beneficial effects of massage on motor development and sensory processing in young children with developmental delay: A randomized control trial study. Developmental Neurorehabilitation, 22(7), 487-495. https://doi.org/10.1080/17518423.2018.1537317
Mahmood, Q. H., Habibullah, S., & Aurakzai, H. U. (2024). Effectiveness of simple and basic home-based exercise programs including pediatric massage executed by caregivers at their homes in the management of children with spastic cerebral palsy: A randomized controlled trial. Journal of Pediatric Rehabilitation Medicine, 17(1), 97-106. https://doi.org/10.3233/PRM-220135
Mayar, F. S., Sakti, R., Yanti, L., Erlina, B., Osriyenti, O., & Holiza, W. (2022). Pengaruh video pembelajaran gerak dan lagu untuk meningkatkan fisik motorik pada anak usia dini. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini, 6(4), 2619-2625. https://doi.org/10.31004/obsesi.v6i4.2081
Meilanie, R. S. (2021). Survei kemampuan guru dan orangtua dalam stimulasi dini sensori pada anak usia dini. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini, 5(1), 958-964. https://doi.org/10.31004/obsesi.v5i1.741
Rahmadani, F. N., Ananditha, K., Adinda, L. D., & Situmorang, T. S. R. (2025). Pengaruh Pijat Bayi Terhadap Perkembangan Motorik Anak Usia 0-2 Tahun: Literatur Review. NERSMID: Jurnal Keperawatan dan Kebidanan, 8(1), 8-19. https://doi.org/10.55173/nersmid.v8i1.235
Safitri, Y. A., Amran, H. F., Ningsih, R. A., Kirana, D. N., Zulfa, S. Z., Dale, D. S., & Ariyani, D. (2024). Penyuluhan kesehatan dan pemantauan perkembangan anak usia dini dengan pemanfaatan kuesioner pra skrining perkembangan di laboratorium Institut Kesehatan. Smart Dedication: Jurnal Pengabdian Masyarakat, 1(2), 119-127. https://doi.org/10.70427/smartdedication.v1i2.52
Shahbazi, M. (2021). Assessment of sensory processing characteristics in children between 0 and 14 years of age: A systematic review. Iranian Journal of Child Neurology, 15(1), 29-46. https://doi.org/10.22037/ijcn.v15i1.21274
Simangunsong, S. W., Machfudz, S., & Sitaresmi, M. N. (2012). Accuracy of the Indonesian child development pre-screening questionnaire. Paediatrica Indonesiana, 52(1), 6-9. https://doi.org/10.14238/pi52.1.2012.6-9
Stevenson, A., Wainwright, N., & Williams, A. (2023). Interventions targeting motor skills in pre-school-aged children with direct or indirect parent engagement: A systematic review and narrative synthesis. Education 3-13, 51(6), 1003-1016. https://doi.org/10.1080/03004279.2022.2034174
Telford, R. M., Olive, L. S., & Telford, R. D. (2022). The effect of a 6-month physical literacy intervention on preschool children's gross and fine motor skill: The Active Early Learning randomised controlled trial. Journal of Science and Medicine in Sport, 25(8), 655-660. https://doi.org/10.1016/j.jsams.2022.04.009
Tortella, P. H. (2022). Effects of free play and partly structured playground activity on motor competence in preschool children: A pragmatic comparison trial. International Journal of Environmental Research and Public Health, 19(13), Article 7652. https://doi.org/10.3390/ijerph19137652
Wahyuningrum, M. D., & Watini, S. (2022). Inovasi Model ATIK dalam meningkatkan motorik halus pada anak usia dini. Jurnal Obsesi: Jurnal Pendidikan Anak Usia Dini, 6(5), 5384-5396. https://doi.org/10.31004/obsesi.v6i5.3038
Wang, X., & Zhou, B. (2024). Motor development-focused exercise training enhances gross motor skills more effectively than ordinary physical activity in healthy preschool children: An updated meta-analysis. Frontiers in Public Health, 12, Article 1414152. https://doi.org/10.3389/fpubh.2024.1414152
World Health Organization [WHO]. (2018). Nurturing care for early childhood development: A framework for helping children survive and thrive to transform health and human potential. https://www.who.int/publications/i/item/9789241514064
Yang, Y., Mao, X., Li, W., Wang, B., & Fan, L. (2025). A meta-analysis of the effect of physical activity programs on fundamental movement skills in 3-7-year-old children. Frontiers in Public Health, 12, Article 1489141. https://doi.org/10.3389/fpubh.2024.1489141
Downloads
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2026 Yaumil Fauziah, Yulia Safitri, Yulia Fatma Nasution

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Please find the rights and licenses in Tunas Cedekia. By submitting the article/manuscript of the article, the author(s) agree with this policy. No specific document sign-off is required.
1. License
The non-commercial use of the article will be governed by the Creative Commons Attribution license as currently displayed on Creative Commons Attribution-ShareAlike 4.0 International License.
2. Author(s)' Warranties
The author warrants that the article is original, written by stated author(s), has not been published before, contains no unlawful statements, does not infringe the rights of others, is subject to copyright that is vested exclusively in the author and free of any third party rights, and that any necessary written permissions to quote from other sources have been obtained by the author(s).
3. User Rights
Tunas Cedekia's spirit is to disseminate articles published are as free as possible. Under the Creative Commons license, Tunas Cedekia permits users to copy, distribute, display, and perform the work for non-commercial purposes only. Users will also need to attribute authors and Tunas Cedekia on distributing works in the journal and other media of publications.
4. Co-Authorship
If the article was jointly prepared by more than one author, any authors submitting the manuscript warrants that he/she has been authorized by all co-authors to be agreed on this copyright and license notice (agreement) on their behalf, and agrees to inform his/her co-authors of the terms of this policy. Tunas Cedekia will not be held liable for anything that may arise due to the author(s) internal dispute. Tunas Cedekia will only communicate with the corresponding author.
5. Miscellaneous
Tunas Cedekia will publish the article (or have it published) in the journal if the article’s editorial process is successfully completed. Tunas Cedekia's editors may modify the article to a style of punctuation, spelling, capitalization, referencing and usage that deems appropriate. The author acknowledges that the article may be published so that it will be publicly accessible and such access will be free of charge for the readers as mentioned in point 3.
Â
Every accepted manuscript should be accompanied by "Copyright Transfer Agreement" prior to the article publication.

Tunas Cendekia: Jurnal Pendidikan Islam Anak Usia Dini is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0)