Skip to main content
Log in

Introduction of a method for quantitative evaluation of spontaneous motor activity development with age in infants

  • Research Article
  • Published:
Experimental Brain Research Aims and scope Submit manuscript

Abstract

Coordination between perception and action is required to interact with the environment successfully. This is already trained by very young infants who perform spontaneous movements to learn how their body interacts with the environment. The strategies used by the infants for this purpose change with age. Therefore, very early progresses in action control made by the infants can be investigated by monitoring the development of spontaneous motor activity. In this paper, an objective method is introduced, which allows the quantitative evaluation of the development of spontaneous motor activity in newborns. The introduced methodology is based on the acquisition of spontaneous movement trajectories of the feet by 3D movement analysis and subsequent calculation of specific movement parameters from them. With these movement-based parameters, it was possible to provide an objective description of age-dependent developmental steps in healthy newborns younger than 6 months. Furthermore, it has been shown that pathologies like infantile cerebral palsy influence development of motor activity significantly. Since the introduced methodology is objective and quantitative, it is suitable to monitor how newborns train their cognitive processes, which will enable them to cope with their environment by motor interaction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Adde L, Rygg M, Lossius K, Oberg GK, Stoen R (2007) General movement assessment: predicting cerebral palsy in clinical practise. Early Hum Dev 83:13–18. doi:10.1016/j.earlhumdev.2006.03.005

    Article  PubMed  Google Scholar 

  • Albers S, Jorch G (1994) Prognostic-significance of spontaneous motility in very immature preterm infants under intensive-care treatment. Biol Neonate 66:182–187

    Article  PubMed  CAS  Google Scholar 

  • Bos AF, van Loon AJ, Martijn A, van Asperen RM, Okken A, Prechtl HFR (1997) Spontaneous motility in preterm, small-for-gestational age infants I. Quantitative aspects. Early Hum Dev 50:115–129

    Article  PubMed  CAS  Google Scholar 

  • Bos AF, Martijn A, van Asperen RM, Hadders-Algra M, Okken A, Prechtl HFR (1998) Qualitative assessment of general movements in high-risk preterm infants with chronic lung disease requiring dexamethasone therapy. J Pediatr 132:300–306

    Article  PubMed  CAS  Google Scholar 

  • Bos AF, Dibiasi J, Tiessen AH, Bergman KA (2002) Treating preterm infants at risk for chronic lung disease with dexamethasone leads to an impaired quality of general movements. Biol Neonate 82:155–158. doi:10.1159/000063612

    Article  PubMed  CAS  Google Scholar 

  • Bruggink JLM, Van Braeckel KN, Bos AF (2010) The early motor repertoire of children born preterm is associated with intelligence at school age. Pediatrics 125:E1356–E1363. doi:10.1542/peds.2009-2117

    Article  PubMed  Google Scholar 

  • Burger M, Louw QA (2009) The predictive validity of general movements—a systematic review. Eur J Paediatr Neurol 13:408–420. doi:10.1016/j.ejpn.2008.09.004

    Article  PubMed  Google Scholar 

  • Butcher PR, van Braeckel K, Bouma A, Einspieler C, Stremmelaar EF, Bos AF (2009) The quality of preterm infants’ spontaneous movements: an early indicator of intelligence and behaviour at school age. J Child Psychol Psychiatry 50:920–930. doi:10.1111/j.1469-7610.2009.02066.x

    Article  PubMed  Google Scholar 

  • Cioni G, Ferrari F, Einspieler C, Paolicelli PB, Barbani MT, Prechtl HFR (1997a) Comparison between observation of spontaneous movements and neurologic examination in preterm infants. J Pediatr 130:704–711

    Article  PubMed  CAS  Google Scholar 

  • Cioni G, Prechtl HFR, Ferrari F, Paolicelli PB, Einspieler C, Roversi MF (1997b) Which better predicts later outcome in fullterm infants: quality of general movements or neurological examination? Early Hum Dev 50:71–85

    Article  PubMed  CAS  Google Scholar 

  • Cioni G, Bos AF, Einspieler C, Ferrari F, Martijn A, Paolicelli PB, Rapisardi G, Roversi MF, Prechtl HFR (2000) Early neurological signs in preterm infants with unilateral intraparenchymal echodensity. Neuropediatrics 31(5):240–251

    Google Scholar 

  • Corbetta D, Bell MA (2009) Embodied mind and learning in infancy: a tribute to Esther Thelen-Embodied changes in reaching and the brain as infants learn to walk. J Sport Exerc Psychol 31:S10–S11

    Google Scholar 

  • Corbetta D, Thelen E, Johnson K (2000) Motor constraints on the development of perception-action matching in infant reaching. Infant Behav Dev 23:351–374

    Article  Google Scholar 

  • Darsaklis V, Snider LM, Majnemer A, Mazer B (2011) Predictive validity of Prechtl’s method on the qualitative assessment of general movements: a systematic review of the evidence. Dev Med Child Neurol 53:896–906. doi:10.1111/j.1469-8749.2011.04017.x

    Article  PubMed  Google Scholar 

  • Einspieler C, Prechtl HFR (2005) Prechtl’s assessment of general movements: a diagnostic tool for the functional assessment of the young nervous system. Ment Retard Dev Disabil Res Rev 11:61–67. doi:10.1002/Mrdd.20051

    Article  PubMed  Google Scholar 

  • Einspieler C, Prechtl HFR, Ferrari F, Cioni G, Bos AF (1997) The qualitative assessment of general movements in preterm, term and young infants—review of the methodology. Early Hum Dev 50:47–60

    Article  PubMed  CAS  Google Scholar 

  • Einspieler C, Cioni G, Paolicelli PB et al (2002) The early markers for later dyskinetic cerebral palsy are different from those for spastic cerebral palsy. Neuropediatrics 33:73–78

    Article  PubMed  CAS  Google Scholar 

  • Ferrari F, Cioni G, Einspieler C et al (2002) Cramped synchronized general movements in preterm infants as an early marker for cerebral palsy. Arch Pediatr Adolesc Med 156:460–467

    PubMed  Google Scholar 

  • Galloway JC, Thelen E (2004) Feet first: object exploration in young infants. Infant Behav Dev 27:107–112

    Article  Google Scholar 

  • Groen SE, de Blecourt ACE, Postema K, Hadders-Algra M (2005) General movements in early infancy predict neuromotor development at 9 to 12 years of age. Dev Med Child Neurol 47:731–738. doi:10.1017/S0012162205001544

    Article  PubMed  Google Scholar 

  • Guzzetta A, Mercuri E, Rapisardi G et al (2003) General movements detect early signs of hemiplegia in term infants with neonatal cerebral infarction. Neuropediatrics 34:61–66

    Article  PubMed  CAS  Google Scholar 

  • Hadders-Algra M (2004) General movements: a window for early identification of children at high risk for developmental disorders. J Pediatr 145:S12–S18. doi:10.1016/j.jpeds.2004.05.017

    Article  PubMed  Google Scholar 

  • Hadders-Algra M, Groothuis AMC (1999) Quality of general movements in infancy is related to neurological dysfunction, ADHD, and aggressive behaviour. Dev Med Child Neurol 41(6):381–391

    Google Scholar 

  • Heinze F, Hesels K, Breitbach-Faller N, Schmitz-Rode T, Disselhorst-Klug C (2010) Movement analysis by accelerometry of newborns and infants for the early detection of movement disorders due to infantile cerebral palsy. Med Biol Eng Comput 48:765–772. doi:10.1007/s11517-010-0624-z

    Article  PubMed  Google Scholar 

  • Meinecke L, Breitbach-Faller N, Bartz C, Damen R, Rau G, Disselhorst-Klug C (2006) Movement analysis in the early detection of newborns at risk for developing spasticity due to infantile cerebral palsy. Hum Mov Sci 25:125–144. doi:10.1016/j.humov.2005.09.012

    Article  PubMed  CAS  Google Scholar 

  • Nakajima Y, Einspieler C, Marschik PB, Bos AF, Prechtl HFR (2006) Does a detailed assessment of poor repertoire general movements help to identify those infants who will develop normally? Early Hum Dev 82:53–59. doi:10.1016/j.earlhumdev.2005.07.010

    Article  PubMed  Google Scholar 

  • Palmer FB (2004) Strategies for the early diagnosis of cerebral palsy. J Pediatr 145:S8–S11. doi:10.1016/j.jpeds.2004.05.016

    Article  PubMed  Google Scholar 

  • Paro-Panjan D, Neubauer D, Kodric J, Bratanic B (2005) Amiel-Tison neurological assessment at term age: clinical application, correlation with other methods, and outcome at 12 to 15 months. Dev Med Child Neurol 47:19–26. doi:10.1017/S0012162205000046

    Article  PubMed  Google Scholar 

  • Platt MJ, Cans C, Johnson A, Surman G, Topp M, Torrioli MG, Krageloh-Mann I (2007) Trends in cerebral palsy among infants of very low birthweight (<1500 g) or born prematurely (<32weeks) in 16 European centres: a database study. Lancet 369:43–50. doi:10.1016/S0140-6736(07)60030-0

    Article  PubMed  Google Scholar 

  • Prechtl HFR (1990) Qualitative changes of spontaneous movements in fetus and preterm infant are a marker of neurological dysfunction. Early Hum Dev 23:151–158

    Article  PubMed  CAS  Google Scholar 

  • Prechtl HFR (1997) State of the art of a new functional assessment of the young nervous system. An early predictor of cerebral palsy. Early Hum Dev 50:1–11

    Article  PubMed  CAS  Google Scholar 

  • Prechtl HFR (2001) General movement assessment as a method of developmental neurology: new paradigms and their consequences—the 1999 Ronnie Mac Keith lecture. Dev Med Child Neurol 43:836–842

    Article  PubMed  CAS  Google Scholar 

  • Prechtl HFR, Einspieler C, Cioni G, Bos AF, Ferrari F, Sontheimer D (1997) An early marker for neurological deficits after perinatal brain lesions. Lancet 349:1361–1363

    Article  PubMed  CAS  Google Scholar 

  • Rau G, Disselhorst-Klug C, Schmidt R (2000) Movement biomechanics goes upwards: from the leg to the arm. J Biomech 33:1207–1216

    Article  PubMed  CAS  Google Scholar 

  • Rochat P (1998) Self-perception and action in infancy. Exp Brain Res 123:102–109

    Article  PubMed  CAS  Google Scholar 

  • Rovee-Collier C (1999) The development of infant memory. Curr Dir Psychol Sci 8:80–85

    Article  Google Scholar 

  • Rovee-Collier CK, Sullivan MW, Enright M, Lucas D, Fagen JW (1980) Reactivation of infant memory. Science 208:1159–1161

    Article  PubMed  CAS  Google Scholar 

  • Seme-Ciglenecki P (2003) Predictive value of assessment of general movements for neurological development of high-risk preterm infants: comparative study. Croat Med J 44:721–727

    PubMed  Google Scholar 

  • Thelen E (1995) Origins of origins of motor control. Behav Brain Sci 18:780–783

    Article  Google Scholar 

  • Yokochi K, Shimabukuro S, Kodama M, Kodama K, Hosoe A (1993) Motor function of infants with athetoid cerebral palsy. Dev Med Child Neurol 35:909–916

    Article  PubMed  CAS  Google Scholar 

  • Yokochi K, Yokochi M, Kodama K (1995) Motor function of infants with spastic hemiplegia. Brain Dev 17:42–48

    Article  PubMed  CAS  Google Scholar 

  • Zuk L, Harel S, Leitner Y, Fattal-Valevski A (2004) Neonatal general movements: an early predictor for neurodevelopmental outcome in infants with intrauterine growth retardation. J Child Neurol 19:14–18

    PubMed  Google Scholar 

Download references

Acknowledgments

The authors gratefully acknowledge the financial support provided by the German Research Council (Deutsche Forschungsgemeinschaft DFG, DI 596/5-1).

Conflict of interest

None declared.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Catherine Disselhorst-Klug.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Disselhorst-Klug, C., Heinze, F., Breitbach-Faller, N. et al. Introduction of a method for quantitative evaluation of spontaneous motor activity development with age in infants. Exp Brain Res 218, 305–313 (2012). https://doi.org/10.1007/s00221-012-3015-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00221-012-3015-x

Keywords

Navigation