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Published on: November 18, 2019
Temporal-spatial reach parameters derived from inertial sensors correlate to neurodevelopment in toddlers born
Katelyn Cahill-Rowley1, Jessica Rose2
1Department of Bioengineering, Stanford University, Stanford, CA, USA; Motion & Gait Analysis Laboratory, Lucile Packard Children's Hospital, Palo Alto, CA, USA; Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, CA, USA.
Insights
Very-low-birth-weight preterm toddlers show distinct upper-limb reaching patterns compared to typically-developing peers. These temporal-spatial reach parameters may serve as early indicators of motor function in at-risk infants.
Area of Science:
- Pediatric motor development
- Biomechanics of reaching
- Developmental pediatrics
Background:
- Upper-limb function assessment is crucial for children with motor impairments.
- Temporal-spatial reach parameters are established indicators of motor function.
- These parameters have not been previously quantified in toddler populations, particularly those at risk for motor impairment.
Purpose of the Study:
- To quantitatively characterize temporal-spatial reach parameters in typically-developing (TD) and very-low-birth-weight (VLBW) preterm toddlers.
- To investigate the relationship between reach parameters and fine motor skills in VLBW preterm toddlers.
- To explore the potential of these parameters as a clinical assessment tool for early motor function.
Main Methods:
- Recruited 47 VLBW preterm toddlers (<1500g birth-weight; ≤32 weeks gestation) and 22 TD toddlers.
- Assessed reaching at 18-22 months corrected age using wrist-worn inertial sensors (accelerometers, gyroscopes, magnetometers) and high-speed video.
- Derived reach time, path length, velocity, and acceleration parameters; VLBW group also received the Bayley Scales of Infant Development-3rd Edition (BSID-III).
Main Results:
- VLBW preterm toddlers exhibited significant differences in reach path length, velocity at contact, peak velocity, and acceleration compared to TD toddlers.
- Among preterm toddlers, shorter reach time, reduced time to peak velocity, and increased peak acceleration correlated with higher BSID-III fine motor scores.
- Preterm toddlers with below-average fine motor scores displayed significantly higher peak and contact velocities.
Conclusions:
- Preterm toddlers demonstrate substantial alterations in temporal-spatial reach parameters compared to their typically-developing peers.
- Specific reach parameters, including time to peak velocity and peak acceleration, are indicative of fine motor function in VLBW infants.
- These quantified reach parameters show promise as a sensitive and objective clinical assessment for early detection of motor impairments.
Abstract:
Temporal-spatial reach parameters are revealing of upper-limb function in children with motor impairments, but have not been quantified in a toddler population. This work quantitatively characterizes temporal-spatial reach in typically-developing (TD) and very-low-birth-weight (VLBW) preterm toddlers, who are at increased risk of motor impairment. 47 children born VLBW (<1500 g birth-weight; ≤32 weeks gestation) and 22 TD children completed a reaching assessment at 18-22 months of age, adjusted for prematurity. Inertial sensors containing accelerometers, gyroscopes and magnetometers were fixed to toddlers' wrists while they reached for a cube. Reach time, path length, velocity at contact, peak velocity magnitude and timing, acceleration at contact, and peak acceleration were derived from inertial-sensor and high-speed video data. Preterm children also received the Bayley Scales of Infant Development-3rd Edition (BSID-III). Compared to TD toddlers, preterm toddlers had significantly different reach path length, velocity at contact, peak velocity magnitude and timing, acceleration at contact, and peak acceleration. Among preterm toddlers, decreased reach time (rho = -.346, p = .018), decreased time to peak velocity (r = -.390, p = .007), and increased peak acceleration (r = .298, p = .044) correlated to higher BSID-III fine motor scores. Toddlers with below-average fine motor scores had significantly higher peak and contact velocity. Preterm toddlers demonstrated substantial differences in temporal-spatial reach parameters compared to TD toddlers, and evidence indicated several reach parameters were revealing of function and may be useful as a clinical assessment.
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