Longitudinal assessment of leg motor activity and sleep patterns in infants with and without Down syndrome

Whether infants with Down syndrome (DS) perform leg movements with the same frequency and quality as their typical development (TD) counterparts is equivocal. Furthermore, the relationship between these early leg movements and later onset of locomotor milestones has only been partially explored. The aims of this study were two-fold: (1) to describe the longitudinal leg activity in infants with and without DS (3-6 months), and (2) to examine sleeping patterns and leg activity during the night. In addition, the relationships between leg activities and sleep patterns with locomotor development were explored. An activity monitor was placed monthly on the infant's ankle for 48 h. Data were analyzed to separate day-night, high-low activity, and sleep fragmentation. The results indicate that infants with DS produced more low intensity activity and more fragmented sleep. These findings are discussed in relation to the influence of early motor activity on achievement of functional motor behavior.     

Initial-state dependency of learning in young infants

With the aim of investigating the effect of the initial state of pre-learning on subsequent infant learning (i.e., the initial-state dependency), we observed the limb movements in 3-month-old infants in the course of a motor learning task. The session comprised 2-min pre-learning and 4-min learning periods, and the infants learned to move a toy using a string attached to either an arm (arm-based learning, Experiment 1) or a leg (leg-based learning, Experiment 2). Infants were assigned to low- and high-state groups in the initial-state condition according to the average velocity of the arm (Experiment 1) or leg (Experiment 2) movements during the pre-learning period. The results revealed that, during the learning period, infants in the low-state group increased the movement of their limbs, whereas those in the high-state group showed no significant changes in the movement of most of their limbs. These results suggest that infants demonstrating a low average velocity of movement in the initial state easily observed and learned the circular causality between self-produced movements and environmental changes. On the other hand, it seemed that infants demonstrating a high average velocity of movement in the initial state could not or did not need to increase their limb movements (the toy would already be shaking enough to form striking movements).     

Early and persistent motor difficulties in infants at-risk of developing autism spectrum disorder: A prospective study

Analyses were conducted in order to investigate motor development in younger siblings of children diagnosed with autism spectrum disorder (ASD). Infants at familial risk and low risk of developing ASD were tested longitudinally between the ages of 7 and 36 months. Data were analysed from motor scales on the Mullen Scales of Early Learning and the Vineland Adaptive Behaviour Scales at each age point. Significantly lower motor scores in at-risk infants were evident from the age of 7 months compared to the low-risk group. Infants who were later diagnosed with ASD demonstrated significantly poorer Fine Motor skills at 36 months than at-risk infants without any developmental difficulties. In addition, Gross Motor scores were highly correlated across the two measures for low-risk infants and infants who later developed ASD. Early motor difficulties may be an early indicator of a number of neurodevelopmental disorders, including ASD.     

Neurobehavioral reorganization in early infancy: Patterns of head orientation following lateral and midline holds

Head orientation was investigated in a longitudinal study of 37 infants, who were observed at ages 2, 4, 8, and 12 weeks, during a 60-second period that followed each of four (60 second) midline or lateral holds. When newborn, the infants tended to lie with their heads to the right, but this bias weakened over the first 3 postnatal months. This rightward motor bias was constrained further by such factors as sex and holding position; both factors had their strongest effect at 8 weeks. Finally, evidence was found for behavioral reorganization of postural orientation such that head orientation was less influenced by prior head positioning after than prior to 8 weeks.     

Baby steps: investigating the development of perceptual–motor couplings in infancy

There are cells in our motor cortex that fire both when we perform and when we observe similar actions. It has been suggested that these perceptual‐motor couplings in the brain develop through associative learning during correlated sensorimotor experience. Although studies with adult participants have provided support for this hypothesis, there is no direct evidence that associative learning also underlies the initial formation of perceptual–motor couplings in the developing brain. With the present study we addressed this question by manipulating infants’ opportunities to associate the visual and motor representation of a novel action, and by investigating how this influenced their sensorimotor cortex activation when they observed this action performed by others. Pre‐walking 7–9‐month‐old infants performed stepping movements on an infant treadmill while they either observed their own real‐time leg movements (Contingent group) or the previously recorded leg movements of another infant (Non‐contingent control group). Infants in a second control group did not perform any steps and only received visual experience with the stepping actions. Before and after the training period we measured infants’ sensorimotor alpha suppression, as an index of sensorimotor cortex activation, while they watched videos of other infants’ stepping actions. While we did not find greater sensorimotor alpha suppression following training in the Contingent group as a whole, we nevertheless found that the strength of the visuomotor contingency experienced during training predicted the amount of sensorimotor alpha suppression at post‐test in this group. We did not find any effects of motor experience alone. These results suggest that the development of perceptual–motor couplings in the infant brain is likely to be supported by associative learning during correlated visuomotor experience.     

One year after ischemic stroke: Changes in leg movement path stability in a speed–accuracy task but no major effects on the hands

First year after the stroke is essential for motor recovery. The main motor control strategy (i.e., faster movement production at the expense of lower movement accuracy and stability, or greater movement accuracy and stability at the expense of slower movement) selected by poststroke patients during a unilateral speed–accuracy task (SAT) remains unclear. We aimed to investigate the poststroke (12 months after stroke) effects on the trade-off between movement speed and accuracy, and intraindividual variability during a motor performance task. Healthy right-handed men (n = 20; age ∼ 66 years) and right-handed men after ischemic stroke during their post rehabilitation period (n = 20; age ∼ 69 years) were asked to perform a simple reaction task, a maximal velocity performance task and a SAT with the right and left hand, and with the right and left leg. In the hand movement trial, reaction time and movement velocity (V_max) in the SAT were slower and time to V_max in the SAT was longer in the poststroke group (P < .01). In the leg movement trial, poststroke participants reached a greater V_max in the SAT than the healthy participants (P < .01). The greatest poststroke effect on intraindividual variability in movements was found for movement path in the SAT, which was significantly greater in the legs than in the hands. Poststroke patients in the first year after stroke mainly selected an impulsive strategy for speed over hand and leg motor control, but at the expense of lower movement accuracy and greater variability in movement.     

The organization of spontaneous leg movements in newborn infants

Spontaneous, supine kicking in newborn (2- and 4-week-old) infants is described in terms of its temporal structure, interjoint coordination, and muscle activation characteristics as measured by surface electromyography. Phasic kick movements shoed a constrained temporal organization in the movement, but not the pause phases. Hip, knee, and ankle joints moved in temporal and spatial synchrony, and all three joints showed a rhythmical or periodic organization over time. EMGs revealed antagonist coactivation at the initiation of the flexor movement, but little or not extensor activity. The dorsal muscles, the gastrocnemius and hamstrings, showed less activity than the ventral pair, tibialis anterior and quadriceps. Burst and onset-to-peak durations were also constrained. As a result of neural mechanisms and biomechanical forces, newborn leg movements are structured muscle synergies. This organization has implications both for newborn functioning and for later development.     

Exploring cortical activation and connectivity in infants with and without familial risk for autism during naturalistic social interactions: A preliminary study

Behavioral signs of Autism Spectrum Disorder (ASD) are typically observable by the second year of life and a reliable diagnosis of ASD is possible by 2 to 3 years of age. Studying infants with familial risk for ASD allows for the investigation of early signs of ASD risk within the first year. Brain abnormalities such as hyper-connectivity within the first year may precede the overt signs of ASD that emerge later in life. In this preliminary study, we use functional near-infrared spectroscopy (fNIRS), an infant-friendly neuroimaging tool that is relatively robust against motion artifacts, to examine functional activation and connectivity during naturalistic social interactions in 9 high-risk (HR; older sibling with ASD) and 6 low-risk (LR; no family history of ASD) infants from 6 to 9 months of age. We obtained two 30-second baseline periods and a 5-minute social interaction period. HR infants showed reduced right and left-hemispheric activation compared to LR infants based on oxy (HbO₂) and deoxy (HHb) signal trends. HR infants also had greater functional connectivity than LR infants during the pre- and post-social periods and showed a drop in connectivity during the social period. Our findings are consistent with previous work suggesting early differences in cortical activation associated with familial risk for ASD, and highlight the promise of fNIRS in evaluating potential markers of ASD risk during naturalistic social contexts.     

Exploration and Selection of Intralimb Coordination Patterns in 3-Month-Old Infants

Through the exploration of their own capacities and the selection of adaptive responses, infants learn new motor solutions. Using a conjugate reinforcement mobile procedure, previous researchers have repeatedly shown that infants increase their leg kick frequency to control a mobile that is connected to their ankles. That traditional experimental design allows multiple motor solutions to the task and therefore provides limited information about the infants' capacity to explore and select specific motor solutions. The author designed a new experimental procedure to study infants' capacity to discover and adopt specific motor solutions. The new, constraining mobile reinforcement procedure requires a specific motor response and therefore the development of a more finely tuned perception—action map than has previously been experimentally demonstrated. To gain reinforcement from the mobile, infants had to produce a coordinated hip and knee extension within the same leg. The results from the 13 infant participants showed that they were capable of increasing their frequency of coordinated movements to make the mobile move. Those results suggest that infants at the age of 89–106 days are sensitive to intralimb coordination task requirements and are capable of mapping their own limb dynamics to the environmental information.     

Forming contextual categories in infancy

The role of context in categorization was examined in four experiments with 3-month-olds. In all experiments infants learned to kick their feet to activate a mobile on 3 successive days. Infants were trained with a different mobile exemplar during each daily session. Categorization of a physically dissimilar novel object (Butterfly) was assessed 1 to 14 days later. In Experiments 1A and 1B, infants were trained and tested in a highly distinctive context. They included Butterfly in the mobile category after 1 and 7, but not after 14, days (Experiment 1A). This latter result was due to a categorization failure because infants did respond to another novel exemplar of the original training series after 14 days (Experiment 1B). In Experiment 2A, infants who were passively exposed to Butterfly for 3 minutes in the distinctive context at the end of category training responded to Butterfly 1 day later when it was encountered “out of context.” This result was also obtained in Experiment 2B when the distinctive context was present only during the final training session. Taken together, these findings demonstrate that categorization of a novel object is influenced by the context present when the object is initially encountered and by previous encounters with that object in the category context. Clearly, infants are capable of contextual categorization very early in the first year of life.     

Predictions of developmental patterns during infancy: Assessments of children 0–1 years

The present study investigated how neonatal behavioural organization was related to later mental development during the first year of life. The study further investigated the relationship between early social affective behaviour and later mental development. A group of 40 infants was assessed five times during the infants' first year, at three and 14 days and at four, eight and 12 months. The Brazelton Neonatal Behavioural Assessment Scale (NBAS), the Duve method (a clinically based method for observation of social affective behaviour), and Griffiths' Mental Development Scales were used to assess the development of the infants. The results indicate that early predictive behavioural components can be identified. Neonatal state control capacity was related to motor development at both eight and 12 months. Social responsitivity at four months was related to hearing and speech at eight as well as at 12 months. The NBAS dimensions were good predictors of eight months performance, but were poor predictors of 12 months performance.     

The co‐construction of joint action between mothers and 2–4‐month‐old infants: the mother's role

The purpose of this longitudinal study was to describe object‐centred interactions between mothers and their 2–4‐month‐old infants, before and during the emergence of reaching and grasping movements. We hypothesized that when reaching movements emerge at around 3 months, mothers alternate between attention stimulation and reaching stimulation, before joint actions between mother and infant develop around objects. Twelve dyads were recorded when infants were 2 months, 3 months and 4 months. The interactive sessions lasted 5 min. Three age‐appropriate toys the infant could handle were available to the mother. A principal component analysis (PCA) was performed on verbal and non‐verbal maternal behaviours, motor infant behaviours and co‐occurrences of those behaviours. The developmental course of prehension in infants when playing with their mother follows similar pathways, as was described when they are observed alone. Mothers appeared to early scaffold prehension skills by verbal and non‐verbal means. Moreover, maternal behaviours change according to the infant's behaviour, and conversely, infant's behaviours influence maternal behaviours: mother plays first an active part in joint action, while later on, the infant achieves joint action when motor skills develop. Copyright © 2000 John Wiley & Sons, Ltd.     

Self-organizing systems and infant motor development

A dynamical systems approach is used to characterize early motor development. Contemporary theories of motor performance emphasize the self-organizing and autonomous properties of muscle synergies as an example of the dynamical behavior of complex, nonlinear systems. The organization of leg movements in infants is consistent with the dynamical approach. Using this perspective, we view skill development as a multidimensional, emergent phenomenon. The developmental principles derived from motor behavior may apply to other domains.     

Imitation in infancy: the development of mimicry

Parents of 162 infants ages 6 to 20 months modeled subsets of four of the same set of eight behaviors, each for a maximum of 3 min, and encouraged their infants to imitate. Proportions of infants producing each behavior (a) when it was modeled and (b) during modeling of a different behavior were compared to estimate the age at which infants mimicked each kind of behavior. No reproduction of these motor acts--that is, no mimicry--was observed at 6 months. Mimicry appeared to develop slowly through most of the 2nd year, emerging at different ages for different behaviors. The findings suggest that newborns' behavioral matching may not be continuous with mimicry later in infancy. Imitation is probably not one behavioral competency with one underlying mechanism. It is more likely a category of different ways of combining and using different types of knowledge, some of which develop across the first 2 years of life.     

The time course for language acquisition in biologically distinct populations: evidence from deaf individuals

The present study provides evidence that individuals who have different patterns of cerebral lateralization and who develop along different maturational time courses can attain comparable levels of language proficiency. Right-handed individuals with left-handed family members (left-handed familials, LHFs) showed a shorter sensitive period for language acquisition than did right-handed individuals with only right-handed family members (right-handed familials, RHFs). The shorter sensitive period for LHFs may be due to a focus on non-linguistic, word-based conceptual information during language acquisition. RHFs may focus on grammatical relations during language acquisition, which matures later than lexical knowledge. This suggests that there may be different patterns of cerebral lateralization for language in all normal populations as a function of familial handedness.     

Reduced asymmetry in motor skill learning in left-handed compared to right-handed individuals

Hemispheric specialization for motor control influences how individuals perform and adapt to goal-directed movements. In contrast to adaptation, motor skill learning involves a process wherein one learns to synthesize novel movement capabilities in absence of perturbation such that they are performed with greater accuracy, consistency and efficiency. Here, we investigated manual asymmetry in acquisition and retention of a complex motor skill that requires speed and accuracy for optimal performance in right-handed and left-handed individuals. We further determined if degree of handedness influences motor skill learning. Ten right-handed (RH) and 10 left-handed (LH) adults practiced two distinct motor skills with their dominant or nondominant arms during separate sessions two–four weeks apart. Learning was quantified by changes in the speed–accuracy tradeoff function measured at baseline and one-day retention. Manual asymmetry was evident in the RH group but not the LH group. RH group demonstrated significantly greater skill improvement for their dominant-right hand than their nondominant-left hand. In contrast, for the LH group, both dominant and nondominant hands demonstrated comparable learning. Less strongly-LH individuals (lower EHI scores) exhibited more learning of their dominant hand. These results suggest that while hemispheric specialization influences motor skill learning, these effects may be influenced by handedness.     

Functional lateralization of the human premotor cortex during sequential movements

A neurological truism is that each side of the brain controls movements on the opposite side of the body. Yet some left hemisphere brain lesions cause bilateral impairment of complex motor function and/or ideomotor apraxia. We report that the left dorsal premotor cortex of normal right-handed people plays a fundamental role in sequential movement of both right and left hands. Subjects performed sequential finger movements during functional magnetic resonance imaging of the motor cortices. In right-handed subjects, the volume of activated dorsal premotor cortex showed a left hemispheric predominance during hand movements. We suggest that the observed left premotor dominance contributes to the lateralization found in lesion studies.     

Child Age and Planum Temporale Asymmetry

Investigations using in vivo magnetic resonance (MR) morphometry have shown that left-right asymmetry of the planum temporale (PT) is a structural correlate of hemispheric functional asymmetries in adult humans (e.g., handedness, language representation). Postmortem studies of brains of fetuses and newborns have demonstrated that PT asymmetry becomes visible as early as in the last gestational trimester. The same studies could not clarify when the full (adult) degree of PT asymmetry is reached during brain development and whether this process may be influenced by functional specialization during childhood. We examined 61 neuropsychiatrically normal right-handed children aged 3 to 14 years (mean age +/-SD, 8.4 +/- 2. 7 years; cross-sectional study). MR morphometry showed no change in PT or planum parietale asymmetry with increasing age or brain volume. An unexpected gender difference of unknown significance emerged, with girls displaying a stronger leftward PT asymmetry, independently of age. For the age range studied, the results suggest that functional differentiation follows a structural asymmetry that is already "preset." Copyright 1999 Academic Press.     

How are social-emotional and behavioral competences and problems at age 1 year associated with infant motor development? A general population study

Based on limitations in previous research evidence, we concluded that more research is needed for deeper understanding of how social-emotional and behavioral (SEB) outcomes among infant-toddler-aged children in the general population are associated with early motor development. In this study, we investigated associations between early competencies and problems, as measured by the Brief Infant-Toddler Social and Emotional Assessment (BITSEA), and the timing of achievement of the main gross and fine motor milestones usually attained during the first year of life in a general population context. The study sample consisted of 515 infants (mean age 12.9 [SD 0.9] months) and their parents (514 mothers, 434 fathers), who were recruited in child health centers in Northern Finland. The infants were divided into two groups, based on their BITSEA screen status, and motor milestone achievement ages were compared across BITSEA screen status No Concern and Of-Concern infants. An Of-Concern screen status on the maternal and paternal Competence scale and Autism spectrum disorder (ASD) item cluster was associated with later infant achievement ages for gross motor milestones. By contrast, infants who were screened to be in the Of-Concern range on the maternal Problem scale achieved gross motor milestones earlier than infants with the corresponding No Concern screen status. No significant associations were found between the paternal Problem scale screen status and infant motor development. In further analyses, the strongest associations were found between an Of-Concern screen status on the paternal Competence scale and ASD item cluster and infant motor development. The findings indicate that the inclusion of infant motor developmental information may assist early identification and the clinical interpretation of parental reports of early SEB problems. Clinical implications of the current findings are discussed in the paper.     

Rapid Gains in Speed of Verbal Processing by Infants in the 2nd Year

Infants improve substantially in language ability during their 2nd year. Research on the early development of speech production shows that vocabulary begins to expand rapidly around the age of 18 months. During this period, infants also make impressive gains in understanding spoken language. We examined the time course of word recognition in infants from ages 15 to 24 months, tracking their eye movements as they looked at pictures in response to familiar spoken words. The speed and efficiency of verbal processing increased dramatically over the 2nd year. Although 15-month-old infants did not orient to the correct picture until after the target word was spoken, 24-month-olds were significantly faster, shifting their gaze to the correct picture before the end of the spoken word. By 2 years of age, children are progressing toward the highly efficient performance of adults, making decisions about words based on incomplete acoustic information.