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.