Additional weight influences the reaching behavior of low-risk preterm infants

Aline Martins de Toledo1, Daniele de Almeida Soares, Eloisa Tudella

  • 1School of Physical Therapy, University of Brasilia, Brasilia, Brazil. toledo_am@yahoo.com.br

Insights

Adding weight to limbs affects how preterm infants reach. This study found weight disturbances alter movement patterns and grasping success in preterm infants compared to full-term infants.

Area of Science:

  • Developmental neuroscience
  • Infant motor control
  • Biomechanics

Background:

  • Preterm infants often exhibit motor delays compared to full-term infants.
  • Understanding the impact of external forces on infant motor development is crucial for early intervention.
  • Reaching behavior is a key indicator of sensorimotor development in infants.

Purpose of the Study:

  • To investigate how additional limb weight influences the reaching behavior of preterm infants.
  • To compare the reaching kinematics of preterm and full-term infants under a weight-loading condition.
  • To identify specific changes in movement patterns and grasp success associated with added weight in preterm infants.

Main Methods:

  • Nine low-risk preterm and 10 full-term infants (5-7 months corrected age) participated.
  • Infants performed reaching tasks towards a toy under two conditions: baseline and with a weighted bracelet (20% of upper limb mass).
  • Reaching kinematics, including straightness index, mean velocity, movement units, and grasp success, were analyzed.

Main Results:

  • Additional weight reduced reaching straightness and increased movement velocity in preterm infants.
  • Unsuccessful grasps increased in preterm infants at 5 and 7 months with added weight.
  • Preterm infants demonstrated fewer movement units and fewer unsuccessful grasps at 6 months compared to full-term infants.

Conclusions:

  • Weight disturbances significantly alter the intrinsic dynamics of reaching movements in preterm infants.
  • These findings highlight the sensitivity of preterm infant motor control to external perturbations.
  • The study suggests that altered biomechanical conditions impact motor learning and execution in early development.