Developmental course of general movements in early infancy. II. EMG correlates

M Hadders-Algra1, L A Van Eykern, A W Klip-Van den Nieuwendijk

  • 1Department of Developmental Neurology, University Hospital Groningen, The Netherlands.

Insights

Muscle coordination in infants develops from writhing to fidgety general movements (GM). Despite expectations, co-activation, not reciprocal activation, dominated, with motor unit sensitivity changes influencing movement patterns.

Area of Science:

  • Developmental neuroscience
  • Motor control
  • Infant motor development

Background:

  • Early infant motor development involves significant changes in movement patterns.
  • Understanding muscle coordination is crucial for assessing neurological development.

Purpose of the Study:

  • To investigate developmental changes in muscle coordination during the first postnatal months.
  • To analyze the transition of general movements (GM) from 'writhing' to 'fidgety' patterns.
  • To examine the underlying muscle activation patterns during spontaneous infant movements.

Main Methods:

  • Simultaneous polymyography and video recordings of 22 healthy infants from birth.
  • Longitudinal observation of spontaneous movements during the first postnatal months.
  • Analysis of muscle co-contraction and reciprocal activation patterns.

Main Results:

  • General movements transitioned from 'writhing' to 'fidgety' character within the first two months.
  • Co-activation of antagonistic muscle groups remained the predominant pattern, contrary to hypothesis.
  • With age, shorter burst durations, reduced amplitude, and decreased tonic activity were observed.
  • Development of rapid arm movements ('swipes' and 'swats') with reciprocal shoulder muscle activity by the third month.

Conclusions:

  • Motor unit sensitivity changes, due to spinal and supraspinal reorganization, likely underlie observed developmental adjustments.
  • Bistable properties of motoneurones are hypothesized to play a key role in neonatal and infant motor control.
  • While co-activation persists, specific reciprocal patterns emerge for goal-directed movements like 'swats'.