Spontaneous kicking in fullterm and preterm infants: Are there leg asymmetries?

In the first few months of life, infants display spontaneous kicking which has been implicated as an important precursor to the development of later voluntary motor control. In the present study, the development of both intralimb and interlimb coordination in fullterm and low-risk preterm infants was examined by recording spontaneous kicking at 4 weekly intervals from 4 to 24 weeks of age. The relationship between the joint angles over this period was examined by measuring pairwise cross-correlation functions for the angular displacement curves of the hip, knee and ankle joints. In contrast to previous studies, intralimb coordination for both right and left legs was examined, and it was found that the legs produced different patterns of development. These patterns varied depending on which joint pair was investigated, and there was also evidence that leg asymmetries may be different for preterm and fullterm infants. This has possible implications for later hand and leg preferences. Interlimb coordination was also examined, and it appears that different patterns of development emerge for interlimb and intralimb coordination.PsycINFO classification: 2330; 2800     

Limb and gender differences in the development of coordination in early infancy

Young infants produce a variety of spontaneous arm and leg movements in the first few months of life. Coordination of leg joints has been extensively investigated, whereas arm joint coordination has mainly been investigated in the sitting position in the context of early reaching and grasping. The current study investigated arm and leg joint coordination of movements produced in the supine position in 10 fullterm infants aged 6, 12 and 18 weeks. Longitudinal comparisons within limbs (intralimb) as well as between limbs (interlimb, ipsilateral and contralateral) were made as well as an exploration of differences in the development for boys and girls. The relationship between the joint angles was examined by measuring pair-wise cross-correlation functions for the angular displacement curves of the leg (hip, knee and ankle) and arm (shoulder, elbow and wrist) joints of both the right and left side. Both the arms and legs were found to follow a similar pattern of intralimb coordination, although the leg joints were more tightly coupled than the arm joints, particularly the proximal with the middle joint. In support of earlier findings, differences in the development of the right and left side were identified. In addition, gender differences in joint coordination were found for both intralimb and interlimb coordination. This contrasts with the view that gender differences in motor development may be primarily a result of environmental influences.     

Developmental change in the neuropsychological functioning of very low birth weight infants

Research on very low birth weight (VLBW) infants has not carefully evaluated developmental patterns of neurological and neuropsychological functioning across time. This study reports on a broad range of developmental outcomes for VLBW infants of low (LR, n = 116) and high (HR, n = 84) medical risk compared to full term infants (FT, n = 120) across 6, 12, and 24 months of age. While low risk infants showed initial delays in most areas, faster rates of change in motor and neurological development resulted in catch-up by 2 years of age as compared to the FT infants. The lack of acceleration in development of mental skills demonstrates a persistent lag in this area. In contrast, HR infants showed initial delays in all areas as compared to both LR and FT infants with slower rates of change in mental and expressive language skills. Although faster rates of change were evident for HR infants in motor, neurological, and receptive language skills, scores in these areas remain lower than those for the LR and FT infants. The absence of accelerated rates of development for certain VLBW infants has implications for prognosis and patient access to early intervention services.     

Coordination of symmetrical and asymmetrical human gait

Most human gait forms assume symmetrical, alternating patterns of interlimb coordination (e.g., crawling, walking, running). Human galloping is a notable exception. In contrast to extensive information on galloping in animals, little is known about this gait in humans. Therefore, kinematic and topographical analyses of running and galloping were undertaken to investigate the manner in which the lower limbs are uncoupled to produce this asymmetrical gait. Seven adult females were filmed while running and galloping at their preferred speed. Analysis of the gaits revealed differences in the following: (a) preferred speed, (b) coupling between upper- and lower-limb girdles, and (c) point of foot fall (end-point trajectories). In contrast to clear differences in interlimb coordination, intralimb coordination was remarkably similar across gaits, although when galloping was adopted, the rear leg did show more variable change than the front leg.     

Development of infant leg coordination: Exploiting passive torques

Leg joint coordination systematically changes over the first months of life, yet there is minimal data on the underlying change in muscle torques that might account for this change in coordination. The purpose of this study is to investigate the contribution of torque changes to early changes in leg joint coordination. Kicking actions were analyzed of 10 full-term infants between 6 and 15-weeks of age using three-dimensional kinematics and kinetics. We found 11 of 15 joint angle pairs demonstrated a change from more in-phase intralimb coordination at 6-weeks to less in-phase coordination at 15-weeks. Although the magnitude of joint torques normalized to the mass of the leg remained relatively consistent, we noted more complex patterns of torque component contribution across ages. By focusing on the change in torques associated with hip–knee joint coordination, we found that less in-phase hip–knee joint coordination at 15-weeks was associated with decreased influence of knee muscle torque and increased influence of knee gravitational and motion-dependent torques, supporting that infants coordinate hip muscle torque with passive knee gravitational and motion-dependent torques to generate kicks with reduced active knee muscle torque. We propose that between 6 and 15-weeks of age less in-phase hip–knee coordination emerges as infants exploit passive dynamics in the coordination of hip and knee motions.     

Index for Volume 24

In this article, the development of the increasingly differentiated control of the joints necessary to transform the spontaneous leg movements of early infancy into adaptive and functional actions is described. The hypothesis—that increasing joint control requires the capability for disassociation of joint action, the active modulation of joint stiffness, and a transition from proximal to distal control of the joints—is proposed. Kinematic and kinetic analyses of the vertical kicks of infants 2 weeks, 3 months, and 7 months of age (as well as a comparative group of adults) indicated increasing joint independence as well as phase-dependent and joint-dependent control modifications. The kicks of the younger infants were dominated by a proximal control strategy and minimal adjustments of the limb energetics during the flexion and extension phases of the kick. By 7 months of age, much larger modulations of the kick phases were observed as well as increasing evidence of distal control. These results revealed kinematic and kinetic patterns of emerging limb control between 2 weeks and 7 months of age.     

Responsive parenting: establishing early foundations for social, communication, and independent problem-solving skills

Mothers whose infants varied in early biological characteristics (born at term, n = 120; born at very low birth weight [VLBW], n = 144) were randomized to a target group (n = 133) or developmental feedback comparison group (n = 131) to determine whether learning responsive behaviors would facilitate infant development. The target condition included videotaped examples, problem-solving activities, and mothers' critique of their own behaviors through video procedures across 10 home visits. All target versus comparison mothers showed greater increases across multiple responsiveness behaviors observed in 4 assessments conducted across 6-13 months of age; changes in emotionally supportive behaviors were strongest for target mothers of infants born at VLBW. Increased maternal responsiveness facilitated greater growth in target infants' social, emotional, communication, and cognitive competence, supporting a causal role for responsiveness on infant development. Although benefits were generally comparable across risk groups, aspects of social and emotional skills showed greater change for those born at VLBW. Evidence for responsiveness as a multidimensional construct was provided as well as the importance of different aspects of responsiveness mediating the effect of the intervention on different infant skill domains.     

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.     

Early interactive behaviours in preterm infants and their mothers: Influences of maternal depressive symptomatology and neonatal birth weight

The study evaluated the quality of preterm infant–mother interactions, considering severity of birth weight (ELBW and VLBW) and maternal depression, compared to full term babies. 69 preterm infants (29 ELBW and 40 VLBW) and 80 full-term (FT) infants and their mothers were recruited. At 3 months of corrected age, the quality of mother–infant interaction was evaluated through Global Rating Scales; moreover, infant level of development and maternal depression were assessed through Griffith Development Mental Scales and Edinburgh Postnatal Depression Scale. Results showed adequate sensitivity in preterm infants’ mothers and higher involvement with their infants, compared to full term mothers, but ELBW ones exhibited an intrusive interactive pattern and a higher prevalence of depressive symptoms. The study underlined the relevance of paying special attention to both ELBW infants and their mothers, in order to support the parenting role and the co-construction of early interactions.     

Adaptive Dynamics of the Leg Movement Patterns of Human Infants: III. Age-Related Differences in Limb Control

In this article, the development of the increasingly differentiated control of the joints necessary to transform the spontaneous leg movements of early infancy into adaptive and functional actions is described. The hypothesis-that increasing joint control requires the capability for disassociation of joint action, the active modulation of joint stiffness, and a transition from proximal to distal control of the joints-is proposed. Kinematic and kinetic analyses of the vertical kicks of infants 2 weeks, 3 months, and 7 months of age (as well as a comparative group of adults) indicated increasing joint independence as well as phase-dependent and joint-dependent control modifications. The kicks of the younger infants were dominated by a proximal control strategy and minimal adjustments of the limb energetics during the flexion and extension phases of the kick. By 7 months of age, much larger modulations of the kick phases were observed as well as increasing evidence of distal control. These results revealed kinematic and kinetic patterns of emerging limb control between 2 weeks and 7 months of age.     

Comparison of tongue muscle characteristics of preterm and full term infants during nutritive and nonnutritive sucking

Background

Independent oral feeding requires coordination of suck, swallow and breathe and the lingual musculature plays a significant role in this coordinative action. However, clinical benchmarks of lingual function fundamental to successful feeding have not been explored.

Aims

The present study tests our model for quantifying infant lingual force and size and compares the muscle measures of interest in two cohorts: healthy full-term infants (FT) (N = 5) and healthy preterm infants (PT) (N = 6).

Method

Using an instrumented pacifier and bottle nipple, we determined the resultant compressive forces applied to the nipple by the tongue during nutritive (NS) and nonnutritive sucking (NNS). Muscle size was estimated from measures of posterior tongue thickness using ultrasonography.

Results

After controlling for weight and post menstrual age, statistically significant differences were found between FT and PT infants beginning to feed for NNS frequency and NS tongue force. Clinically significant differences were detected for NNS tongue force and posterior tongue thickness. Additionally, PT infants demonstrated a significant difference in mean tongue force between NS and NNS and FT infants did not. FT infants demonstrated a significant difference in mean frequency between NS and NNS and PT infants did not. Linear regression indicated that mean posterior tongue thickness alone predicted 55% of the variance in NS force.

Conclusions

Results demonstrate the feasibility of our approach and suggest that infant tongue muscle characteristics necessary for successful feeding differ between healthy full term infants and preterm infants who are beginning oral feeding.     

Prereading skills of very-low-birth-weight prematurely born Finnish children

Our objective was to study the prereading skills of very-low-birth-weight (VLBW; ≤ 1500 g) prematurely born children at the age of five years. A regional cohort of 89 VLBW children and 152 full-term (FT) born children was assessed for letter knowledge, phonological processing, and speeded naming. Full-scale IQ (FSIQ) was assessed using a short version of WPPSI-R. The associations of parental and neonatal factors, and FSIQ with prereading skills were assessed. VLBW group had poorer prereading skills, and there were more VLBW children at-risk (performing < ?1 SD) compared to FT children in phonological processing (23% vs. 9%, p = .002), letter knowledge (27% vs. 14%, p = .017), and the accuracy of speeded naming (26% vs. 13%, p = .020). VLBW children had lower average FSIQ and Performance IQ (both comparisons p < .001) than FT controls, but Verbal IQ did not differ. When FSIQ was used as a covariate, VLBW children did not differ from the FT group in prereading skills indicating that they are at risk for more global developmental problems. Lower parental level of education as well as parent's reading problems were negatively associated with VLBW children's prereading skills. Positively, about 75% of VLBW children performed within the normal range in each individual prereading skill.     

Maternal concepts and expectations regarding a preterm infant

The objective of the present study was: (a) to identify the concerns, verbally expressed, of 50 mothers regarding their preterm infants (PT) and then compare their verbal expression with those of 25 mothers of full-term infants (FT); and (b) to correlate the mothers' verbal expressions with maternal and infant variables. The following instruments were used to compose and characterize the sample: Structure Clinical Interview for DSM III-R Non-Patient (SCID/NP), State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), and medical charts. Results showed that there was no difference between groups in term of mothers' expectations and conceptualizations; both groups exhibited predominantly positive expectations and concepts. In comparison with FT mothers, PT mothers verbally expressed more feelings and reactions predominantly negative or conflicting in relation to infant birth. Higher levels of maternal anxiety and depression in the PT Group were correlated with more verbal expressions about negative or conflicting emotions. In addition, lower birth weight, higher neonatal risk and longer length of stay in intensive care nursery of the infants were related with more negative or conflicting concepts by the mothers.     

Coordination of complex bimanual multijoint movements under increasing cycling frequencies: The prevalence of mirror-image and translational symmetry

The present study examined the principles underlying inter and intralimb coordination constraints during performance of bimanual elbow–wrist movements at different cycling frequencies (from 0.75 Hz to 2.50 Hz). Participants performed eight coordination tasks that consisted of a combination of in-phase (IN) and/or anti-phase (AN) coordination modes between both elbows and wrists (interlimb), with isodirectional (Iso) or non-isodirectional (NonI) coordination modes within each limb (intralimb). As expected, the principle of muscle homology (in-phase coordination), giving rise to mirror symmetrical movements with respect to the mid-sagittal plane, had a powerful influence on the quality of global coordinative behavior both between and within limbs. When this principle was violated (i.e., when the anti-phase mode was introduced in one or both joint pairs), the non-isodirectional intralimb mode exhibited a (de)stabilizing role in coordination, which became more pronounced at higher cycling frequencies. However, pattern loss with increasing cycling frequency resulted not only in convergence toward the more stable in-phase patterns with the elbows and wrists but also to the anti-phase patterns (which were associated with directional compatibility of within-limb motions). Moreover, participants generally preserved their initial mode of coordination (either in-phase or anti-phase) in the proximal joints (i.e., elbows) while shifting from anti-phase to in-phase (or vice versa) with their distal joint pair (i.e., wrists). Taken together, these findings reflect the impact of two immanent types of symmetry in bimanual coordination: mirror-image and translational symmetry.     

Effects of preterm birth and gender on temperament and behavior in children

The aim of the present study was to assess the direct and interactive effects of premature birth and gender on temperament and behavioral problems in 80 children aged 18–36 months. The sample was composed of children born preterm (PT; n = 44) and children born full-term (FT; n = 36). The children's mothers completed temperament (ECBQ) and behavioral problem (CBCL 1.5–5) assessments. Analyses of variance (ANOVA 2 × 2) were performed. With regard to temperament, PT children exhibited significantly higher scores on high-intensity pleasure and perceptual sensitivity and lower scores on discomfort, cuddliness, and Attentional Focusing compared with FT children. Girls scored higher on fear and discomfort compared with boys. With concern to behavioral problems, PT children scored higher on attention problems compared with FT children. No interactive effect of premature birth and gender on temperament or behavioral problems was found.     

The relationship between premature birth and caregiver first concern in toddlers with autism spectrum disorder: A brief report

The current study examines the relationship between premature birth and the age at which caregivers first become concerned with their child’s development in a sample of 84 toddlers with autism spectrum disorder (ASD). The participants were split into two groups: those born prematurely and those born full term. The results indicate that the age of caregiver first concern is significantly younger for those born prematurely than those born full term. The average age caregivers reported first becoming concerned about their child’s development was around 7 months for participants born prematurely and around 13 months for participants born full term. Possible explanations for the results and their implications are discussed.     

Modality of postural movement in men and women with both arms flexed during standing.

We investigated postural movement associated with bilateral arm flexion in response to a light signal during standing in 179 healthy men and women to assess whether individual and sex differences arc evident in the postural movement pattern. The following results were obtained. (a) A correlation of -.87 was noted between movement angles of the foot-leg and leg-trunk. (b) Individual differences in movement angle were approximately twice as large in the hip joint as in the ankle and knee joints, and the movement angle of the leg trunk showed approximately half the number of extension as flexion movements. (c) The postural movement pattern was categorized on the basis of the movement angle of the foot leg and leg trunk into the following three patterns: hip flexion, backward leaning, and hip extension. The percentages of subjects showing these patterns were 59.2%, 33.5%, and 7.3%, respectively. (d) The inclination angle reflecting the righting response showed a gradual increase in size in the order of trunk, head, and neck. However, the righting response was not controlled precisely enough to enable subjects to maintain the inclination angle in a quiet standing posture. (e) We identified a significant sex difference in the relative frequency of subjects in the postural movement pattern.     

Very Low Birth Weight and Attention Deficit/Hyperactivity Disorder

It is well recognized that reaction time performance of term-born children with a normal birth weight (NBW > 2500 g) who fulfill the DSM-IV criteria for attention deficit/hyperactivity disorder (ADHD) in the primary school age is sensitive for the presentation rate of stimuli. They have been found to perform more poorly in conditions of relatively slow event rates as compared with fast event rates. The purpose of the current study was to explore whether reaction time performance of children with very low birth weight (VLBW < 1500 g) with or without ADHD showed the same sensitivity for the factor presentation rate of stimuli compared to children with a normal birth weight plus ADHD. To this end, reaction time performance of four groups of children was compared on a Go/No-Go test with a fast presentation rate of 1 second and a slow presentation rate of 6 seconds. Groups were: children with VLBW plus ADHD, children with VLBW only, children born full term with normal birth weight (NBW >2500 g) plus ADHD, and children born full term without ADHD (the control group). Findings indicated that, compared to the non-ADHD groups, the groups with ADHD (NBW and VLBW) showed a more dramatic decline in their reaction time performance in the slow condition: a state regulation deficit. In addition, both groups showed a response inhibition deficit. No difference was found in reaction time performance between the groups of children with VLBW only and the control group.     

The influence of a long term exercise program on lower limb movement variability and walking performance in patients with peripheral arterial disease

The purpose of this study was to examine the effects of a 12 month exercise program on lower limb movement variability in patients with peripheral arterial disease (PAD). Participants (n = 21) with an appropriate history of PAD and intermittent claudication (IC) volunteered for this study and were randomly allocated to either a control group (CPAD–IC) (n = 11), which received normal medical therapy and a treatment group (TPAD–IC) (n = 10), which received normal medical therapy treatment and a 12 month supervised exercise program. All participants underwent 2D joint angular kinematic analysis during normal walking to assess lower limb movement variability and walking speed. Between-group differences were analyzed via mixed measures ANOVA. The 12 month supervised exercise program made no significant impact on the lower limb movement variability or walking speed of the TPAD–IC group as determined by either intralimb joint coordination or single joint analysis techniques. Long term supervised exercise programs do not appear to influence the lower limb movement variability of PAD–IC patients.     

From biological rhythms to social rhythms: Physiological precursors of mother-infant synchrony

Links between neonatal biological rhythms and the emergence of interaction rhythms were examined in 3 groups (N = 71): high-risk preterms (HR; birth weight <1,000 g), low-risk preterms (LR; birth weight =1,700-1,850 g), and full-term (FT) infants. Once a week for premature infants and on the 2nd day for FT infants, sleep-wake cyclicity was extracted from 4-hr observations and cardiac vagal tone was measured. At term age, infant orientation was tested with the Neonatal Behavior Assessment Scale. At 3 months, arousal modulation and emotion regulation were assessed, and mother-infant synchrony was computed from microanalysis of face-to-face interactions using time-series analysis. Sleep-wake amplitudes showed a developmental leap at 31 weeks gestation, followed by a shift in vagal tone at 34 weeks gestation. At term, differences among FT, LR, and HR infants were observed for biological rhythms in a linear-decline pattern. Sleep-wake cyclicity, vagal tone, newborn orientation, and arousal modulation were each uniquely predictive of mother-infant synchrony. The organization of physiological oscillators appears to lay the foundation for the infant's capacity to partake in a temporally matched social dialogue.