Sitting Acquisition and Early Communication Development: Are There Associations in Very Preterm Infants at Six Months

Valentina Graziosi1, Chiara Suttora1, Cecilia Gorini1

  • 1Department of Psychology "Renzo Canestrari", University of Bologna, 40127 Bologna, Italy.

PubMed

Insights

Motor and communication skills are linked in very preterm infants. Achieving sitting posture supports expressive language and vocalization, highlighting the need for integrated developmental assessments.

Area of Science:

  • Developmental Pediatrics
  • Neonatology
  • Speech-Language Pathology

Background:

  • Associations between early motor and communication development are established in typically developing populations.
  • The relationship between motor skills, particularly postural development, and communication advancements is less understood in very preterm infants.
  • Previous research has not sufficiently investigated these connections in the preterm population.

Purpose of the Study:

  • To describe gross and fine motor skills and receptive and expressive communication skills in very preterm infants at six months corrected age.
  • To investigate the associations between motor and communication skills, with a focus on sitting posture and vocal production.
  • To identify potential developmental delays and inform tailored intervention programs.

Main Methods:

  • Seventy very preterm infants (≤32 weeks) without major brain injuries were assessed using the Bayley Scales of Infant and Toddler Development, Third Edition (BSID-III).
  • Infants were categorized based on unsupported sitting ability: sitters, emerging sitters, and non-sitters.
  • Sitting posture duration and vocal utterance frequency were coded using specialized software (Interact and CHILDES).

Main Results:

  • Significant positive correlations were found between the motor composite score and overall/expressive language scores.
  • A negative association was observed between the duration of arms-supported sitting and vocal utterances.
  • Infants who achieved unsupported sitting (sitters) demonstrated significantly higher BSID-III expressive language scores and vocal utterance rates compared to non-sitters and emerging sitters.

Conclusions:

  • This study provides novel evidence linking early motor and vocal development in very preterm infants.
  • Sitting posture achievement is associated with enhanced expressive language and vocal production.
  • Integrating observational methods with standardized assessments is crucial for identifying developmental delays and planning interventions in this population.

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