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Updated: Aug 11, 2026

Preterm EEG: A Multimodal Neurophysiological Protocol
Published on: February 18, 2012
Tonic and phasic orientation in full-term and preterm infants
Insights
Infant attention development, including visual orienting, appears biologically timed. Both preterm and full-term infants show similar developmental trends, suggesting limited impact from early extrauterine experiences on these attentional behaviors.
Area of Science:
- Developmental psychology
- Neuroscience
- Pediatrics
Background:
- Infant attention is crucial for learning and development.
- Understanding the developmental trajectories of different attentional components is essential.
Purpose of the Study:
- To investigate the developmental timelines of phasic (attention-getting) and tonic (attention-holding) orienting in infants.
- To compare attentional development in preterm versus full-term infants.
Main Methods:
- Tested 33 full-term and 38 preterm infants (mean 30 weeks gestation) on visual orienting responses.
- Measured latency to turn toward stimuli (phasic) and duration of initial fixation (tonic).
- Analyzed data against postconceptional age.
Main Results:
- Turning latency decreased linearly from 36 to 120 weeks postconception.
- Fixation duration decreased abruptly around 53 weeks postconception.
- Preterm and full-term infants exhibited similar developmental trends for both orienting types.
- Phasic orientation was faster in preterm infants within the first 30 days, with no difference in fixation times.
Conclusions:
- Infant visual orienting behaviors (phasic and tonic) follow biologically determined developmental timetables.
- Premature birth and extrauterine experience appear to have minimal impact on these specific attentional development trends.
- Phasic and tonic orienting develop independently in early infancy and are not fully mature at birth.
Abstract:
Thirty-three full-term infants and thirty-eight preterm infants (on average born at 30 weeks gestation) were tested for their latency to turn toward checkered stimulus patterns (phasic orienting or "attention-getting") and for the duration of their initial fixation (tonic orienting or "attention-holding"). Plotted against the logarithm of the subjects' postconceptional age, turning latency fell linearly between 36 and 120 weeks, while fixation time fell abruptly at 53 weeks. Preterm and full-term infants showed the same developmental trends, implying that both of these attentional behaviors are biologically timetabled and that neither is greatly affected by premature extrauterine experience. Unexpectedly, phasic orientation in the first 30 postnatal days was significantly faster in preterm than in full-term infants, and fixation times failed to differ. Despite the necessary functional integration of phasic and tonic orienting in mature visual scanning and attention, the present results suggest an independence in their early postnatal development and that neither is mature at birth.
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