The development of reaching behavior in low-risk preterm infants

This longitudinal study investigated the development of reaching behavior in the seated position in preterm infants at the ages of 5–7 months by analyzing kinematic variables (straightness and adjustment indexes, movement unit, mean and final velocities). The correlation between kinematic variables and grasping was verified. The participants were nine low-risk preterm infants with no cerebral lesions. Ten fullterm infants served as control. In both groups, kinematic variables remained unchanged over age, except for the adjustment index, which was higher at 6 months in the preterm group. Successful grasping increased in both groups over age and it was shown to be negatively correlated with mean velocity in the preterm infants. At the ages of 6 and 7 months, preterms showed lower mean and final velocities and higher adjustment index when compared with fullterms. The relative constancy in the kinematic variables suggests that, after having explored the action possibilities during the acquisition phase, the infants selected an adaptative pattern to perform the reaching movements. Slower movements and greater adjustments may be functional strategies of preterms to achieve successful grasps.     

Brief reaching training with “sticky mittens” in preterm infants: Randomized controlled trial

ObjectiveTo examine whether a brief reaching training with sticky mittens was effective to improve reaching behavior in newly reaching preterm infants.MethodsIn this randomized controlled trial, twenty four 5-month-old (±16-week-old corrected age) preterm infants were randomly allocated into experimental or control groups. Infants were assessed three times in a single session: pretraining (immediately before training), posttraining (immediately after training), and retention (4 min after the posttraining). During training, infants in the experimental group wore open fingers Velcro covered mittens. Training consisted of one 4-minute session of stimulated reaching using Velcro covered toys. Controls did not receive the training. During assessments, infants were placed in a baby chair and toys without Velcro were offered at their midline for 2 min. Number of total reaches, proximal adjustments and distal adjustments of reaching were primary outcomes. Grasping was a secondary outcome.ResultsGroups were similar in the pretraining. In the posttraining, trained infants performed greater amount of total reaches and bimanual reaches than untrained infants. Greater amount of bimanual reaches in trained infants was maintained in the retention test. Distal adjustments and grasping outcome were not influenced by the training.ConclusionsA brief-term training with open fingers sticky mittens benefited reaching behavior and favored retention of increased bimanual reaches in newly reaching late preterm infants. However, it was not sufficient to influence hand openness and early grasping.     

Additional weight influences the reaching behavior of low-risk preterm infants

The authors investigated the influence of additional weight in the reaching behavior of preterm infants. Nine low-risk preterm and 10 full-term infants age 5-7 months participated. A toy was presented in two procedures: (a) baseline and (b) additional weight (bracelet with weight of 20% of the infant's upper limb mass). The additional weight reduced the straightness index at 5 months, increased the mean velocity and decreased the movement units at all months, and increased unsuccessful grasps at 5 and 7 months in preterm infants. Preterm infants showed less movement units at all months and less unsuccessful grasps at 6 months compared with full-term infants. Weight disturbance seems to change the intrinsic dynamics involved in reaching movements of 5-7-month-old preterm infants.     

Does late preterm birth impact trunk control and early reaching behavior?

The aims of the study were to 1) verify the level of trunk control longitudinally and reaching behavior while sitting in two positions in late preterm (LPT) and full-term (FT) infants, 2) determine whether the level of trunk control relates to reaching outcomes. Twenty LPT infants and 36 infants born FT were assessed via three in-lab visits: at 6, 7, and 8 months. At each visit, the Segmental Assessment of Trunk Control (SATCo) and reaching assessment were performed, where the infants were positioned sitting in the ring and at 90° of flexion of hips, knees, and ankles. Accurate manual support to the trunk was provided in each visit. LPT infants presented a lower level of trunk control over time. LPT infants presented a higher percentage of unimanual reaches and successful grasping at 7 months' visit, and a higher number of reaches at 8 months' visit compared to FT infants. The sitting positions did not influence reaching performance. The level of trunk control relates to functional reaching strategies only in FT infants. This study might provide insights for clinicians for understanding the level of trunk control, the importance of reaching behaviors for exploration, and considering these behaviors as strategies for intervention.     

Preparation for grasping an object: a developmental study

The development of visually controlled grasping actions was studied in two experiments. An optoelectronic technique (SELSPOT) was used to monitor the opening and closing of the hand during reaching actions by measuring the change in the distance between thumb and index finger. The purpose of Experiment 1 was to establish an adult criterion for the development. It was shown that adults started closing the hand around the target well before touch and that the timing was dependent on the size of the target. The hand started to close earlier when grasping a small rather than a large target. In addition, the degree of hand opening was also less for a small than for a large target. In Experiment 2 it was shown that infants who were 5-6, 9, and 13 months of age also controlled their grasping actions visually and started closing the hand around the target in anticipation of the encounter rather than as a reaction to the encounter. However, the strategy of the two younger age groups was different from that of adults. They started closing the hand closer to the time of contact with the target than did the 13-month-olds, who were comparable to adults in this respect. The timing was not dependent on the size of the target in any of the infant groups. In all age groups, reaching and grasping were most commonly organized in a continuous way; that is, the hand started to close without any interruption in the approach. The opening of the hand was found to be adjusted to target size in the 9- and 13-month-olds but not in the 5-6 month olds.     

Lateralization of the Approach Movement and the Prehension Movement in Infants from 4 to 7 Months

The aim of the study was to analyse lateralized preferences during reaching and grasping in infants relative to changes in manual actions from 4 to 7 months of age. Reaching and grasping movements with visual fixation were studied with objects placed in one of three places on a table: to the left, to the right and in the midline of the infant. Although the two lateralized objects were approached and grasped with ipsilateral hand, movements towards the object in the midline were most often performed with a preferential hand. There was preferential use of the left hand for reaching around the fourth month, then a preferential use of the right hand for grasping from the sixth month. The shape of the left hand during reaching movements terminated in the vicinity of the object. The slower the speed, the closer the hand came to the object. The onset of the prehension was associated with a preferential use of the right hand, which performed grasping, more finely than the left hand. Thus, manual specialization is already present in early infancy: the left hand appears to be dedicated to spatial calibration and the right hand to the task of prehension.     

Linked proximal and distal changes in the reaching behavior of 5- to 12-month-old human infants grasping objects of different sizes

This study evaluates age-related proximal and distal changes in reaching organization for objects of different sizes. To this end, eight objects ranging from 2 to 9 cm diam. were presented to 23 infants ages 5 to 12 months. Proximal control was determined by the relative frequencies of bimanual reaching for large and small objects. Distal control was assessed by hand opening and orientation with respect to an object, and by the proportion of the object being included within hand opening at touch. Five-month-old infants tended to reach bimanually regardless of object size. Starting at 7 to 8 months, infants tended to reach for large objects bimanually more often than for small ones. Only at 11 to 12 months did reaching closely reflect the object’s diameter. The frequency of thumb-index finger angle opening during the approach phase also increased after 7 to 8 months of age, as well as the adjustment of the angle to the object diameter and the proportion of the object within hand opening at touch. Proximal and distal changes appeared coupled at 5 to 6 months, when the few subjects showing evidence of some proximal adjustments to object size were also those who exhibited some distal adjustments. After they started to appear, however, proximal and distal adjustments seemed to be independent, as revealed by the lack of correlation of proximal and distal changes between 7 and 12 months.     

Preterm infants' responses in early joint attention interactions

The joint attention behaviors of 46 preterm (25 low risk and 21 high risk) and 25 full-term infants at 6 months of age were compared in videotaped interactions with their mothers. The main objective of the study was to investigate whether preterm infants (of varying degrees of risk) and their mothers showed different joint attention behaviors (i.e., coordination of their attention to people and objects) than full-term infants and their mothers. Results revealed that the preterm infants, regardless of degree of risk, showed similar patterns of responding in joint attention interactions with their mothers as the full-term infants. The preterms' severity of early medical complications was related to the frequency with which reaching for toys occurred rather than the amount of time spent in episodes of joint engagement. In addition, the preterms moved their attention away from joint engagement more often than full-terms. There were no group differences for maternal joint attention behaviors.     

Spatio-temporal parameters in infant's reaching movements are influenced by body orientation

Many studies have demonstrated that the seated position is more effective in promoting reaching movements when compared with supine. The aim of this longitudinal study was to verify the effect of seated and supine positions on spatio-temporal parameters of reaching in 4-6-month-old infants. Four infants were observed during reaching trials in both positions. A total of 235 reaches were analyzed by using the 3D movement reconstruction. Our results showed that frequency of reaching and straightness index increased over age. Significant differences between the positions were observed at 4 months, when the frequency increased and the duration and deceleration time decreased in the seated position. There were no significant differences at 5 and 6 months. These findings suggest that young infants are able to change kinematical parameters of reaching to adapt themselves to intrinsic and extrinsic constraints (i.e. age and position).     

Age Changes in Interlimb Coupling and the Development of Bimanual Coordination

Changes in interlimb coupling, and their role in the development of bimanual coordination, were studied longitudinally in 6- to 12-month-old infants (N = 6). Infants were observed while they were reaching for simple objects of 2 different sizes. Their use of a uni-versus bimanual strategy for reaching as well as the coupling of their bimanual movements were compared; progress in bimanual coordination of complementary movements was evaluated on 8 different bimanual tasks. The bimanual tasks involved an asymmetrical cooperation between the 2 hands. Although spatiotemporal coupling of bimanual reaching movements did not decrease during the age period studied, infants around 7 months of age used their 2 hands infrequently for reaching. Occurrences of bimanual reaching were particularly low at the session preceding the first bimanual success at a bimanual task. This suggests that the temporal coincidence between greater independence of the 2 hands and progress in bimanual coordination of complementary movements acts in 2 directions: Infants may be more at ease when using their 2 hands in differentiated patterns as the hands move less in synchrony, but, in turn, they may be less likely to move their hands in synchrony as the anticipate mirror manipulations of the object less. The frequency of bimanual reaches increased toward the end of the 1st year. This might have been caused by an increase in the repertoire of bimanual asymmetrical object manipulations and by the fact that the development of bimanual coordination allows infants to manipulate objects with complementary movements even after a bimanual approach toward the object.     

Motor training at 3 months affects object exploration 12 months later

The development of new motor skills alters how infants interact with objects and people. Consequently, it has been suggested that motor skills may initiate a cascade of events influencing subsequent development. However, only correlational evidence for this assumption has been obtained thus far. The current study addressed this question experimentally by systematically varying reaching experiences in 40 three‐month‐old infants who were not reaching on their own yet and examining their object engagement in a longitudinal follow‐up assessment 12 months later. Results revealed increased object exploration and attention focusing skills in 15‐month‐old infants who experienced active reaching at 3 months of age compared to untrained infants or infants who only passively experienced reaching. Further, grasping activity after – but not before – reaching training predicted infants’ object exploration 12 months later. These findings provide evidence for the long‐term effects of reaching experiences and illustrate the cascading effects initiated by early motor skills.     

Is Segmental Trunk Control Related to Gross Motor Performance in Healthy Preterm and Full-Term Infants?

Abstract

The authors’ aim was to verify the correlation between segmental trunk control and gross motor performance in healthy preterm (PT) and full-term (FT) infants aged 6 and 7?months and to verify if there are differences between groups. All infants were assessed at 6 and 7?months by means of Segmental Assessment of Trunk Control (SATCo) to identify the exact level of segmental trunk control and Alberta Infant Motor Scale (AIMS) to measure gross motor performance. A significant correlation between segmental trunk control and gross motor performance was found in healthy PT infants at 7?months and FT infants at 6?months. PT infants showed a delay on segmental trunk control at 6 and 7?months and in supported standing posture at 6?months compared with FT infants. Segmental trunk control and gross motor performance showed an important relationship in healthy PT and FT infants, mainly in sitting posture.     

Motor constraints on the development of perception-action matching in infant reaching

Previous studies on reaching and grasping have suggested that infants need considerable experience at both seeing and touching in order to develop responses adapted to the environment. Such an account, however, does not reveal how appropriate perception-action matching emerges from these repeated experiences at seeing and touching. The present research addresses this issue by investigating the dynamics of perceiving and acting in 5- to 9-month-old infants as they saw, reached for, touched, and grasped objects of different sizes and texture. To gain insights into the mechanisms of change that underlie pattern formation, we observed infants’ responses as a function of time, as infants reached for and manipulated objects successively. We found that the developmental process by which appropriate perception-action matching emerges is tied to important changes in the motor system. Before 8 months, infants’ reaching responses are constrained by systemic motor tendencies that conflict with the process of perceptual-motor mapping. When these motor tendencies disappear, infants are able to use and integrate visual and haptic information to scale their actions to objects. These results are consistent with a dynamic systems approach, which views behavioral changes and their underlying psychological processes as the product of continuous tensions and interactions between the organism’s own constraints and the characteristics of the task at hand.     

Cognitive development in 7- to 24-month-old extremely/very-to-moderately/late preterm and full-term born infants: The mediating role of focused attention

The present study analyzed the links between prematurity, attention, and global cognitive performance in infancy and early childhood. At 7 months, focused attention (FA) was examined with an object examination task in 93 preterm infants (39 of them born extremely/very preterm, 54 born moderately/late preterm, and 38 infants born full-term). Global cognition was assessed at 7 and 24 months with the Bayley-II cognitive scale. Groups did not differ with respect to global cognitive performance but FA of infants born extremely/very preterm was significantly lower than in infants born moderately/late preterm. FA correlated significantly with both prematurity and cognitive performance at 7 months of age but not with global cognition in childhood. Findings point to a subtle adverse effect of prematurity on early attention and reveal evidence for the mediating role of FA on the effect of prematurity on cognition.     

Perception and production of object-related grasping in 6-month-olds

In this study, 6-month-olds’ perception of an object-related human grasping action was compared with their level of grasping performance using a within-participants design. In the action perception task, infants were presented with the video of an actor’s grasping movement toward an occluded target object. Subsequently, an expected and an unexpected final state of this grasping movement were presented simultaneously, and infants’ looking times were measured. In the action production task, infants were presented with three graspable objects. Infants’ grasping behavior was coded to be either palmar or thumb-opposite grasping. Results indicate that infants who were already able to perform a thumb-opposite grasp differentiated between the two final states in the action perception task by looking longer toward the unexpected final state. In contrast, infants who showed only palmar grasps looked equally long toward both final states. This finding supports the assumption that action perception and action control are already closely related in infants as young as 6 months.     

The ontogeny of infant bimanual reaching during the first year

Handedness and pattern of coordination during bimanual reaching were assessed separately for six groups of infants, 7 to 12 months old. Infants reached bimanually for a transparent toy-filled box. On some presentations of the box a low barrier was placed in the path of either the right or left hand, while on other presentations there was no barrier. The youngest and two oldest groups of infants were more likely than the other age groups to perform simultaneous bimanual reaches with no barrier present, but when a barrier was present the 11-month-olds were most likely to continue to perform simultaneous reaches. This suggests that while infants as young as 7 months perform simultaneous reaches, the organization of these reaches may be different than for older infants. Hand-use preference contributed significantly to selection of a lead hand in non-simultaneous bimanual reaching. The 8-month group, which had the highest proportion of infants with a hand preference, was the only group likely to hit the barrier when it was placed on the nonpreferred side. Hand preference may, thus, bias the use of information about what the environment affords for action.     

Inferring the size of a goal object from an actor's grasping movement in 6‐ and 9‐month‐old infants

The present study applied a preferential looking paradigm to test whether 6‐ and 9‐month old infants are able to infer the size of a goal object from an actor's grasping movement. The target object was a cup with the handle rotated either towards or away from the actor. In two experiments, infants saw the video of an actor's grasping movement towards an occluded target object. The aperture size of the actor's hand was varied as between‐subjects factor. Subsequently, two final states of the grasping movement were presented simultaneously with the occluder being removed. In Experiment 1, the expected final state showed the actor's hand holding a cup in a way that would be expected after the performed grasping movement. In the unexpected final state, the actor's hand held the cup at the side which would be unexpected after the performed grasping movement. Results show that 6‐ as well as 9‐month‐olds looked longer at the unexpected than at the expected final state. Experiment 2 excluded an alternative explanation of these findings, namely that the discrimination of the final states was due to geometrical familiarity or novelty of the final states. These findings provide evidence that infants are able to infer the size of a goal object from the aperture size of the actor's hand during the grasp.     

Visual exploration of reaching space during left and right arm movements in 6-month-old infants

Infant's manual laterality and eye-hand coordination emerge during the second part of the first year of life with the development of reaching. Nevertheless, little is known about the potential asymmetric characteristics of this coordination. The aim of this study was to describe visuo-spatial exploration in 6-month-old infants during reaching, according to the hand used. More specifically, we examined if the use of the left or the right hand was linked to a specific type of visual exploration. Gaze direction during goal-directed reaching towards an object placed on the table was measured with a remote ASL 504 eye tracker (Bedford MA). Twelve babies aged 6 months were observed during six reaching sessions, alterning three sessions with an object on the left side of the subject and three with an object on the right side. Gaze direction and some hand variables (hand activity, hand opening and hand position from the body) were coded with The Observer software. Results showed that babies visually explore their reaching space differently according to the hand used: they look more at the object when they use their right hand and more around the object when they use their left hand; they also look more often at their left hand than at their right one. These results suggest that an asymmetric visuo-manual coordination exists as early as 6 months: vision seems to support (1) left hand during reaching for evaluate distances from object to baby by means of visual feedbacks and (2) right hand for identify what sort of object is. Results are discussed in light of manual specialization and specific hemispheric skills at this age.     

Maternal cradling bias in baboons: The first environmental factor affecting early infant handedness development?

The most emblematic behavioral manifestation of human brain asymmetries is handedness. While the precise mechanisms behind the development of handedness are still widely debated, empirical evidences highlight that besides genetic factors, environmental factors may play a crucial role. As one of these factors, maternal cradling behavior may play a key role in the emergence of early handedness in the offspring. In the present study we followed 41 Papio anubis infants living in social groups with their mother for which direction (e.g., left- or right-arm) and degree of maternal cradling-side bias were available from a previous published study. We assessed hand preferences for an unimanual grasping task at three developmental stages: (A) 0–4, (B) 4—6, and (C) 9–10 months of age. We found that individual hand preferences for grasping exist as soon as the first months of age, with a population-level left-handedness predominance, being stable until 6 months; to wit the period during which juveniles are mainly carried by their mothers. More importantly, this early postnatal handedness is positively correlated with maternal cradling lateralization. Interestingly, hand preferences assessed later in the development, once juveniles are no longer carried (i.e., from 9 to 10 months of age), are less dependent from the maternal cradling bias and less consistent with the earlier developmental stages, especially in infants initially cradled on the right maternal side. Our findings suggest that the ontogenetic dynamics of the infant's hand preference and its changes might ultimately rely on the degree of infant dependence from the mother across development.     

Reaching skills of infants born very preterm predict neurodevelopment at 2.5 years

The purpose was to investigate associations between quality of reaching for moving objects at 8 months corrected age and neurodevelopment at 2.5 years in children born very preterm (gestational age (GA), 24–31 weeks). Thirtysix infants were assessed while reaching for moving objects. The movements were recorded by a 3D motion capture system. Reaching parameters included aiming, relative length of the reach, number of movement units, proportion of bimanual coupled reaches and number of hits. Neurodevelopment was assessed at 2.5 years by the Bayley Scales of Infant Development III. There were strong associations between infant reaching kinematics and neurodevelopment of cognition and language but the patterns differed: in children born extremely preterm (GA < 28 weeks), planning and control of reaching was strongly related to outcome, while in children born very preterm (GA 28–31 weeks) number of hits and bimanual strategies were of greater relevance. In conclusion, for extremely preterm infants, basic problems on how motion information is incorporated with action planning prevail, while in very preterm infants the coordination of bimanual reaches is more at the focus. We conclude that the results reflect GA related differences in neural vulnerability and that early motor coordination deficits have a cascading effect on neurodevelopment.