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.

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