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Purpose: To track the development of motor skills in children with Prader-Willi Syndrome (PWS) during preschool age, and compare the motor development with defined age norms. Design: An explorative multicase study. Materials: Six children with PWS, recruited from Frambu Resource Centre for Rare Disorders. When entering the study, none had received growth hormone treatment (GHT). Five started about the age of four. Methods: Each child was assessed five times, between the age of two and five, using the Motor Scale of Bayley-II Scales of Infant Development and the Functional Mobility Skills Scale in Pediatric Evaluation of Disability Inventory. Motor development milestones were reported by the parents. Results: All children were significantly delayed in motor development, and showed variations in developmental patterns. A question was raised about a potential relationship between duration of tube feeding and motor development. GHT by the age of four seemed to have limited influence on the individual trajectories of motor scores. Conclusion: The findings of the delayed motor development in children with PWS support present knowledge and highlight the need for standardized follow-up of these children during preschool age.

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