BSITD-III is a reliable developmental rating scale, which is validated for children 0-42 months31 to measure cognitive, motor, language, social-emotional, and adaptive behavior. BSITD-III application occurs according to the child's age, with the first evaluation task corresponding to the age. In the present study, only the fine motor domain was evaluated. The tasks were scored by assigning 1 when the child was able to do the activity, attend certain requirements in the scale manual.31 The task was not scored (score 0) when the child did not perform or performed improperly the activity. When starting the test, the child was asked to perform three consecutive activities, otherwise, the researcher returned to the entry corresponding to the previous age, until the child perform correctly three consecutive activities. The assessment was stopped when the child did not perform five consecutive activities. The final score was transformed into a standard score ranging from 1 to 19 points, according to the tables contained in the manual.31 According to the BSITD-III, a mean of 10 and a standard deviation of 3 are considered. However, for the present study, the score is reclassified into 5 levels: below the average (<7); medium-low (7-9); medium (10); medium-high (11-13); and above average (>13). For BSITD-III application, three researchers were trained and obtained an inter-observer agreement rate of 98%.