Related Experiment Video
Updated: Feb 2, 2026

Author Spotlight: Marmoset Research - Scope and Challenges
Published on: June 9, 2023
Inter-Limb Muscle Synergy of Hands-and-Knees Crawling in Typical Developing Infants and Infants with Developmental
Insights
Infants with confirmed developmental delay showed fewer muscle synergies during crawling, suggesting impaired neuromuscular control. This finding may aid early diagnosis of cerebral palsy in infants.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Biomechanics
Background:
- Inter-limb muscle coordination is crucial for infant motor development.
- Crawling is a key milestone reflecting neuromuscular maturation.
- Understanding muscle synergies in crawling can reveal developmental differences.
Purpose of the Study:
- To quantify and compare inter-limb muscle coordination during crawling.
- To differentiate muscle synergy patterns between typically developing infants and those with developmental delay.
- To explore the potential of muscle synergy metrics as biomarkers for early diagnosis.
Main Methods:
- Collected surface electromyography and kinematic data from infants crawling.
- Analyzed eight arm and leg muscles and joint kinematics.
- Used nonnegative matrix factorization to identify muscle synergies.
Main Results:
- No significant difference in muscle synergies between typically developing and at-risk infants.
- Infants with confirmed developmental delay exhibited a reduced number of muscle synergies.
- Constrained neuromuscular control was indicated in infants with developmental delay.
Conclusions:
- Reduced muscle synergies in crawling may underlie motor impairments in developmental delay.
- Muscle synergy analysis shows promise as a biomarker for early cerebral palsy diagnosis.
- This metric offers insights into neuromuscular strategies in infant development.
Abstract:
The aim of this study was to quantify and compare the inter-limb muscle coordination during crawling between typically developing infants and infants with developmental delay. Typically developing (TD, $\text{N}=$20) infants and infants with at risk of developmental delay (ARDD, $\textbf{N}=$33) or confirmed developmental delayCDD, N=14) participated in this study. Surface electromyography of eight muscles from arms and legs and the corresponding joint kinematic data were collected while they were crawling on hands and knees at their self-selected velocity. The number of used inter-limb muscle synergies during crawling was identified by nonnegative matrix factorization algorithm. Our results showed that there was no significant difference in the number of used muscle synergies between ARDD and TD infants during crawling. However, a reduced number of synergies were identified in infants with CDD, as compared to that in TD and ARDD infants, indicating constrained neuromuscular control strategy during crawling in developmental delayed infants. The absence of inter-limb muscle synergies may be one of the mechanisms underlying the impairments of crawling in developmental delayed infants, who are at high risk of cerebral palsy. This result also suggests that the metrics of muscle synergy during infant crawling, such as the number of synergy, may be feasible as a biomarker for early diagnosis of infants with cerebral palsy.
Related Concept Videos
Drug Dosing: Infants and Children
Muscles of the Forearm that Move the Hand and Fingers
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Development of the Limb Synovial Joints
The mesenchymal stem cells differentiate into chondrocytes that form the hyaline cartilage, and later the cartilaginous model of the bone. This model further transforms into a bone. This process is known as endochondral ossification.
During development, the limbs...
Typical Model Studies
Knee Joint
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
Hand hygiene
Hand washing...

