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Published on: July 26, 2022
Development of postural adjustments in sitting position during the first half year of life
Asa Hedberg1, Eva Brogren Carlberg, Hans Forssberg
1Neuropaediatric Research Unit, Q2:07, Karolinska Institutet, Department of Woman and Child Health, Astrid Lindgrens Children's Hospital, 171 76 Stockholm, Sweden. asa.hedberg@kbh.ki.se
Insights
Infant postural adjustments develop significantly from 1 to 5 months, with a temporary dip at 3 months. Postural responses become more coordinated with motor behavior after this developmental transition.
Area of Science:
- Developmental motor control
- Infant biomechanics
- Neuroscience
Background:
- Understanding the development of postural control in infants is crucial for assessing motor development.
- Early postural adjustments are foundational for upright stability and complex motor skills.
- Limited research exists on how infants develop postural responses to external disturbances.
Purpose of the Study:
- To investigate the development of postural adjustments in healthy term infants from 1 to 5 months of age.
- To analyze the relationship between postural activity and spontaneous motor behavior during development.
- To identify age-specific changes and patterns in infant postural control.
Main Methods:
- Studied 40 healthy term infants (1-5 months old) and included data from 26 older infants (6-10 months).
- Recorded surface electromyograms (EMG) of neck, trunk, and leg muscles during sudden postural perturbations (forward/backward surface displacements).
- Analyzed video recordings of spontaneous motor behavior alongside EMG data.
Main Results:
- Postural adjustments were direction-specific and highly variable across all ages studied.
- A transient decrease in postural activity was observed around 3 months of age.
- Following this period, direction-specific postural activity, particularly dorsal activity, correlated with spontaneous motor behavior.
Conclusions:
- Infant postural development is characterized by increasing direction-specific adjustments and variability.
- A transient dip in postural activity at 3 months suggests a critical developmental phase.
- The maturation of postural control is linked to the development of spontaneous motor behaviors.
Abstract:
Little is known about the development of postural adjustments during early ontogeny. We examined postural adjustments due to sudden perturbations during sitting in 40 healthy term infants (28 males, 12 females) assessed in groups of eight at 1, 2, 3, 4, and 5 months of age. Surface electromyograms of neck, trunk, and leg muscles were recorded while the infants were exposed to a random series of horizontal forward and backward displacements of the surface of support. Video recordings of spontaneous motor behaviour were analyzed. For part of the analyses, previously collected data on 26 infants aged 6 to 10 months were included. In general, postural adjustments at all ages were direction specific and showed large variation. Within the variation developmental changes could be observed, revealing a transient decrease in postural activity at 3 months of age. After this transition, direction-specific postural activity was correlated with spontaneous motor behaviour. This was true, in particular, for dorsal postural activity. The clinical relevance of these findings is discussed.
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