Another important factor to highlight is that the school environment influence is often reported on cognitive development. Thus, the issues assessed with the use of ITERS-R may not have addressed important points for fine motor development of children, as the scale generally approaches aspects related to cognitive stimulation in children, such as interaction with teachers, language stimulation, and established routines, among others. Therefore, it can be considered that there is lack of instruments to evaluate the school environment focusing on motor development of children and scales that are more representative of motor performance are required.