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Published on: April 19, 2024
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.
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.
Abstract:
Background: Research in typically and some atypically developing populations showed associations between early motor and communication development, documenting how postural development can support communicative advancements. However, these relations have scarcely been investigated in the preterm population. Aims: The present study aimed to describe motor (gross and fine motor) and communication (receptive and expressive) skills of very preterm infants at six months of corrected age and their associations, focusing on sitting posture achievement and early vocal production. Methods: Seventy very preterm infants (≤32 weeks) with no major brain injuries were assessed with the BSID-III for gross and fine motor skills, receptive and expressive language skills, and cognitive skills and were categorized as mastering (sitters), partially mastering (emerging sitters), or not mastering (non sitters) unsupported sitting. The proportional duration of sitting postures (caregiver supported, arms supported, and unsupported) in an observative section was coded with the Interact software (version 20.8.3.0). Frequency per minute of vocal utterances (vocalizations, babbling, and total) during a parent-infant play interaction was coded with the CHILDES software v11. Results: Correlational analyses showed significant positive associations between motor composite score and language scores (composite and expressive scaled) and between gross motor and expressive language scaled scores but a negative association between arms supported sitting duration and vocal utterances. In addition, ANCOVAs showed that sitters had significantly higher BSID-III expressive language scaled scores and vocal utterances than non sitters and emerging sitters. Conclusions: These findings brought new evidence linking early motor and vocal development in very preterm infants, emphasizing the importance of using observational tools alongside standardized ones to identify developmental delays and plan tailored intervention programmes.
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