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Updated: Feb 15, 2026

A Method for Quantifying Upper Limb Performance in Daily Life Using Accelerometers
Published on: April 21, 2017
Developmental progression and side specialization in upper-limb movements from 4 to 8 years in children born preterm
Erik Domellöf1, Anna-Maria Johansson1,2, Louise Rönnqvist1
1a Department of Psychology , Umeå University , Umeå , Sweden.
Insights
Children born preterm (PT) show developmental changes in upper-limb movement, with less evident side preference compared to fullterm (FT) peers. Lower gestational age (GA) correlates with greater movement differences, suggesting delayed brain specialization.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Understanding motor development in preterm children is crucial for early intervention.
- Preterm birth can impact neurodevelopmental trajectories, including motor skills.
- Limited research exists on upper-limb movement organization differences between preterm and fullterm children.
Purpose of the Study:
- To investigate developmental changes in upper-limb movement organization in children aged 4-8 years.
- To compare movement patterns between children born preterm (PT) and fullterm (FT).
- To explore the relationship between gestational age (GA) and motor development in PT children.
Main Methods:
- Kinematic recordings of precision-demanding unimanual movements.
- Lateral preference assessments.
- Study included 37 children (18 PT) aged 4-8 years.
Main Results:
- All children showed improved movement kinematics with age.
- PT children exhibited less pronounced side preference compared to FT children.
- Lower GA was associated with greater upper-limb kinematic deviances in PT children.
Conclusions:
- Preterm birth is associated with distinct upper-limb movement organization and delayed side-specialization.
- Gestational age is a significant factor influencing motor development outcomes in PT children.
- Findings align with research on altered hemispheric connections in very preterm infants.
Abstract:
This study investigated developmental changes and differences in upper-limb movement organization from 4 to 8 years of age in children born preterm (PT) and fullterm (FT). Kinematic recordings of precision-demanding unimanual movements and lateral assessments were carried out in 37 children (18 PT). All children, particularly children born PT, displayed considerable gain in movement kinematics. Contrary to controls, children born PT displayed persistently less-evident side preference. Gestational age (GA) contributed significantly to kinematic differences shown, with larger upper-limb deviances in the lowest GAs, in agreement with cross-sectional findings of altered hemispheric connections and delayed side-specialization among children born very PT.
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