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.

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