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Development of adaptive motor behaviour in typically developing infants
K R Heineman1, K J Middelburg, M Hadders-Algra
1Department of Paediatrics - Developmental Neurology, University Medical Center Groningen, Groningen, The Netherlands.
Insights
Infants reliably develop adaptive motor behaviors starting around 6 months, with noticeable transitions peaking between 8 and 15 months. These crucial motor skills emerge gradually and are specific to each function.
Area of Science:
- Developmental Pediatrics
- Motor Control
- Infant Motor Development
Background:
- Infants progressively acquire motor skills during development.
- Selecting adaptive motor strategies is key to motor repertoire expansion.
- Understanding the emergence of adaptive motility is crucial for developmental assessment.
Purpose of the Study:
- To reliably assess the presence of adaptive motor behavior in infants.
- To identify the age of onset for clinically observable transitions to adaptive motility.
- To examine specific motor functions including abdominal progression, sitting, reaching, and grasping.
Main Methods:
- A reliability study involved 38 assessments of infants aged 4-18 months.
- A longitudinal study included 30 typically developing infants with nine assessments from 3-18 months.
- Adaptive motor strategies were scored using standardized video-recordings of spontaneous motor behavior.
Main Results:
- Good intra- and interobserver reliability was achieved.
- Clinically observable transitions to adaptive motor selection began around 6 months.
- These transitions peaked between 8 and 15 months, developing gradually and varying by motor function.
Conclusions:
- Adaptive motor behavior in infants can be reliably observed.
- Gradual development of adaptive motor behavior begins around 6 months at function-specific ages.
- Neurophysiologic changes precede clinically observed adaptive motor transitions.
Aim:
During motor development, infants learn to select adaptive motor strategies out of their motor repertoire. The aim of this study is twofold: first, to investigate whether the presence of adaptive motor behaviour can be observed reliably, and second, to explore the ages at which clinically observable transition to adaptive motility emerges for four specific motor functions: abdominal progression, sitting motility, reaching and grasping.
Methods:
The reliability part of the study included 38 assessments of term and preterm infants in the age range of 4-18 months. The longitudinal prospective study included 30 term born typically developing infants with nine assessments between 3 and 18 months. On the basis of standardized video-recordings of spontaneous motor behaviour, the presence of adaptive motor strategies was scored.
Results:
Intra- and interobserver reliability were good. Clinically observable transitions to adaptive selection started to emerge from 6 months onwards and peaked between 8 and 15 months. Transitions developed gradually and occurred at specific ages for different motor functions.
Conclusion:
Transition to adaptive motor behaviour can be observed reliably. Adaptive motor behaviour develops gradually from 6 months onwards at function-specific ages. Comparison of our results to literature showed that changes measured by neurophysiologic methods precede clinically observed transitions.
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