Infants born preterm and infants born full‐term generate more selective leg joint movement during the scaffolded mobile task

Bibliographic Data

ID16782859
AuthorsJoungwon Alexander Kim (0000-0003-0383-0205, University of Southern California, corresponding author), Linda Fetters (University of Southern California), Mugino Kubo (0000-0002-8233-0251, Niigata University of Health and Welfare), Kathryn L Havens (0000-0002-9865-9879, University of Southern California), Sandrah P Eckel (0000-0001-6050-7880, University of Southern California), Brian Sargent (0000-0002-2261-6610, University of Southern California)
Year2021
Volume26
Issue5
Pages756-769
Publication date2021-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInfancy (JOURNAL)
Journal identifiersISSN: 1525-0008 • E-ISSN: 1532-7078
PublisherWiley (PUBLISHER • GB)
DOI10.1111/infa.12424
PMID34288368
OpenAlexW3185998095
LanguageEN
References cited25

Infants born very preterm (PT), prior to 32 weeks gestation, are at increased risk of developing cerebral palsy. Children with spastic cerebral palsy have impaired selective leg joint movement, which contributes to lifelong walking limitations. We investigated whether infants born PT generated more selective hip–knee joint movement (e.g., hip flexes as knee extends) while participating in a scaffolded mobile task. Infants born PT and infants born full‐term (FT) at 4 months corrected age participated in a scaffolded mobile task for 2–3 consecutive days. The scaffolded mobile task required infants to raise their legs vertically over a virtual threshold. Three threshold heights (low, middle, and high) were used to test whether the middle and high heights encourage infants to move their legs more selectively. Fifteen infants born FT learned the task and showed more selective hip–knee movement at each of the three threshold heights on the day that they learned, compared with their baseline spontaneous kicking. Thirteen infants born PT learned the task and showed more selective hip–knee movement on their learning day, but only when the middle and high thresholds were used. The results show that the scaffolded mobile task effectively encouraged infants to generate more selective hip–knee joint movement

Cerebral palsy · Knee Joint · Physical medicine and rehabilitation · Spastic · Spastic cerebral palsy · Cerebral Palsy and Movement Disorders · Infant Development and Preterm Care · Medicine · Neonatal and fetal brain pathology · Psychology · Surgery