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Jurnal Keperawatan Indonesia
Articles
10.7454/jki.v29i2.1944
Submitted: 2025-08-26
Published: 2026-07-30

Effects of Montessori-Based Stimulation on Fine and Gross Motor Development Among Children with Stunting: A Quasi-Experimental Study

Midwifery Study Program, STIKES Abdurahman Palembang, Indonesia
School of Nursing and Applied Sciences, Lincoln University, Petaling Jaya, Malaysia
Midwifery Study Program, STIKES Abdurahman Palembang, Indonesia
Midwifery Study Program, STIKES Abdurahman Palembang, Indonesia
Midwifery Study Program, STIKES Abdurahman Palembang, Indonesia
Nursing Study Program, STIKES Bina Husada College of Health Sciences, Palembang, Indonesia
conventional fine motor gross motor Montessori stunting

Abstract

Stunting affects not only physical growth but also several aspects of child development, including gross and fine motor skills. Early stimulation interventions, such as Montessori-based activities, have been proposed to enhance developmental outcomes through structured sensorimotor experiences. This study aimed to evaluate the effects of Montessori-based stimulation on motor development among children with stunting and to compare its outcomes with those of conventional stimulation. A quasi-experimental study with intervention and control groups was conducted among 120 children with stunting aged 36–59 months. Participants were allocated to either a Montessori group (n = 60) or a conventional stimulation group (n = 60). The intervention was delivered over 12 weeks, three times per week, with each session lasting 60 minutes. Gross and fine motor development were assessed before and after the intervention using the Pre-Screening Developmental Questionnaire. Within-group changes were analyzed using the Wilcoxon signed-rank test, while between-group differences were examined using the Mann–Whitney U test. The Montessori group showed significant improvements in gross motor development (p = 0.028) and fine motor development (p = 0.003). In the conventional group, only fine motor development improved significantly (p = 0.046), whereas changes in gross motor development were not statistically significant (p = 0.144). However, no significant differences were observed between the Montessori and conventional groups in post-intervention comparisons (p > 0.05). Montessori-based stimulation may contribute to improvements in gross and fine motor development among children with stunting. However, the absence of significant between-group differences suggests that Montessori-based stimulation was not superior to conventional stimulation during the study period. Further studies with larger samples and randomized controlled designs are needed to clarify its role in supporting developmental outcomes in children with stunting.

References

  1. Abessa, T.G., Worku, B.N., Wondafrash, M., Girma, T., Valy, J., Lemmens, J., Bruckers, L., Kolsteren, P., & Granitzer, M. (2019). Effect of play-based family-centered psychomotor/psychosocial stimulation on the development of severely acutely malnourished children under six in a low-income setting: A randomized controlled trial. BMC Pediatrics, 19, 336. doi: 10.1186/s12887-019-1696-z.
  2. Andreinie, R., Sekartini, R., Chandra, D.N., Mudjihartini, N. (2024). Factors affecting stunting in children aged 6-23 months in South Sumatra Province, Indonesia. Malaysian Journal of Nutrition, 30 (2), 129–142. doi:10.31246/mjn-2023-0101.
  3. Basri, H., Hadju, V., Zulkifli, A., & Syam, A. (2021). Stunted and stimulation affect child development in Jeneponto District, Indonesia. Turkish Journal of Physiotherapy and Rehabilitation, 32 (3), 15018–15022.
  4. Beekum, M.V., Berger, J., Geystelen, J.V., Hondru, G., Som, S.V., Theary, C., Laillou, A., Poirot, E., Bork, K.A., Wieringa, F.T., Fortin, S. (2022). The associations between stunting and wasting at 12 months of age and developmental milestones delays in a cohort of Cambodian children. Scientific Reports, 12, 17859. doi: 10.1038/s41598-022-22861-2.
  5. Cai, Y., Li, K., & Wang, Z. (2025). The relationship between fundamental motor skills and executive function in children : A stratified analysis by age and sex. Frontiers in Psychology, 16, 1669915. doi: 10.3389/fpsyg.2025.1669915.
  6. Dewi, N.P.D.A.M., Iswhari, N.K.D.D., Sari, N.L.M.R.W., Bayantara, I.N.G., & Putra, I.G.E. (2025). A systematic review: Factors that affect the development of gross motor skills of early childhood. Jurnal Kesehatan, Sains, dan Teknologi (JAKASAKTI), 4 (2), 601–611. doi: 10.36002/js.v4i2.4020.
  7. Dulal, S., Prost, A., Karki, S., Saville, N., & Merom, D. (2021). Characteristics and effects of integrated nutrition and stimulation interventions to improve the nutritional status and development of children under 5 years of age: A systematic review and meta-analysis. BMJ Global Health, 6 (7), e003872. 10.1136/bmjgh-2020-003872.
  8. Haskas, Y. (2020). Gambaran stunting di Indonesia: Literatur review [Overview of stunting in Indonesia: A literature review]. Diagnosis: Jurnal Ilmiah Kesehatan, 15 (2), 154–157. Retrieved from: https://jurnal.stikesnh.ac.id/index.php/jikd/article/view/179.
  9. Hati, F.S., & Pratiwi, A.M. (2019). The effect of education giving on the parent’s behavior about growth stimulation in children with stunting. NurseLine Journal, 4 (1), 12–20. doi: 10.19184/nlj.v4i1.8628.
  10. Jiang, S., Zeng, N., Ng, J.Y.Y., Chong, K.H., Zeng, T., Leung, S.K.Y., & Ha, A.S. (2025). Effects of physical activity interventions on fundamental movement skills and cognitive function in early childhood: A systematic review and network meta-analysis. Journal of Sport and Health Science, 15, 101085. doi: 10.1016/j.jshs.2025.101085.
  11. Kusumawardani, L.H., Nani, D., & Sulistiani, S. (2020). Improving gross motor skill development through the Montessori method in children aged 3-5 years. Sri Lanka Journal of Child Health, 49 (4), 347–352. doi: 10.4038/sljch.v49i4.9266.
  12. Marshall, C. (2017). Montessori education: A review of the evidence base. npj Science of Learning, 2, 11. doi: 10.1038/s41539-017-0012-7.
  13. Meylia, K.N., Siswati, T., Paramashanti, B.A., & Hati, F.S. (2022). Fine motor, gross motor, and social independence skills among stunted and non-stunted children. Early Child Development and Care, 192 (1), 95–102. doi: 10.1080/03004430.2020.1739028.
  14. Muhoozi, G.K.M., Atukunda, P., Diep, L.M., Mwadime, R., Kaaya, A.N., Skaare, A.B., Willumsen, T., Westerberg, A.C., & Iversen, P.O. (2017). Nutrition, hygiene, and stimulation education to improve growth, cognitive, language, and motor development among infants in Uganda: A cluster-randomized trial. Maternal and Child Nutrition, 14, e12527. doi: 10.1111/mcn.12527.
  15. Ministry of Health of the Republic of Indonesia. (2023). Hasil Survei Status Gizi Indonesia (SSGI) Tahun 2022 [Results of the Indonesian Nutritional Status Survey (SSGI) 2022]. Badan Kebijakan Pembangunan Kesehatan (Health Development Policy Agency). Retrieved from: https://www.badankebijakan.kemkes.go.id/en/laporan-hasil-survei/.
  16. Naguib, N.M., Aly, M.G., Elshennawy, S., & Eltalawy, H.A. (2022). Effect of montessori on children development: Systematic review. Teikyo Medical Journal, 45 (1), 5729–5741. Retrieved from: https://www.teikyomedicaljournal.com/volume/TMJ/45/01/effect-of-montessori-on-children-development-systematic-review-626670399f5ea.pdf.
  17. Nurfia, Y.T. (2024). Stimulasi perkembangan bahasa anak usia dini dengan riwayat stunting [Stimulation of language development in early childhood with a history of stunting]. PSYCOMEDIA: Jurnal Psikologi, 4 (1), 50–56. doi: 10.35316/psycomedia.2024.v4i1.50-56
  18. Primayanti, I., Isyani, I., & Muliyani, S.E. (2022). Pengaruh modifikasi alat peraga montessori terhadap kemampuan motorik kasar [The effect of modified montessori teaching aids on gross motor skills]. Jurnal Porkes, 5 (1), 292–303. doi: 10.29408/porkes.v5i1.5985
  19. Roscoe, C.M.P., Taylor, N., Weir, N., Flynn, R.J., & Pringle, A. (2024). Impact and implementation of an early years fundamental motor skills intervention for children aged 4–5 years. Children, 11 (4), 416. doi: 10.3390/children11040416.
  20. Santoso, Y.D., Efendi, F., Kurnia, I.D., Susanti, I.A., Pramono, A.P., & Habibie, A.N. (2020). The correlation between parental stimulation and motor development in stunted toddlers. International Journal of Psychosocial Rehabilitation, 24 (7), 9134–9139.
  21. Sumartini, E. (2023). Studi literatur: Stunting dan masalah perkembangan motorik anak [Literature study: Stunting and children's motor development issues]. Jurnal Kesehatan Mahardika, 10 (2), 14–23. doi: 10.54867/jkm.v10i2.163.
  22. Triswanti, T., Herawati, N., & Indah, I.S.M. (2025). Association between nutritional status and gross motor skills development in children aged 1-3 years at posyandu in situ udik health center area. International Journal of Public Health, 2 (1), 107–114. doi: 10.62951/ijph.v2i1.335.
  23. UNICEF Indonesia. (2023). Laporan tahunan 2022 UNICEF Indonesia [UNICEF Indonesia Annual Report 2022]. Retrieved from: https://www.unicef.org/indonesia/id/laporan/laporan-tahunan-2022.
  24. Upadhyay, R.P., Taneja, S., Strand, T.A., Sommerfelt, H., Hysing, M., Mazumder, S., Bhandari, N., Martines, J., Dua, T., Kariger, P., & Bahl, R. (2022). Early child stimulation, linear growth and neurodevelopment in low birth weight infants. BMC Pediatrics, 22, 586. doi: 10.1186/s12887-022-03579-6.
  25. Vatansever, A.G., & Ahmetoğlu, E. (2019). A way to teach practical life skills in special education: Montessori pedagogy. European Journal of Special Education Research, 5 (2), 1–16. doi: 10.5281/zenodo.3544457
  26. WHO. (2021). Reducing stunting in children: Equity considerations for achieving the Global Nutrition Targets 2025. Retrieved from: https://iris.who.int/bitstream/handle/10665/260202/9789241513647-eng.pdf.

How to Cite

Rahmadaniah, I., bin Sansuwito, T., Anggeriani, R., Lamdayani, R., Rahmadayanti, A. M., & Wisuda, A. C. (2026). Effects of Montessori-Based Stimulation on Fine and Gross Motor Development Among Children with Stunting: A Quasi-Experimental Study. Jurnal Keperawatan Indonesia, 29(2), 152–161. https://doi.org/10.7454/jki.v29i2.1944