Infants Born Preterm Demonstrate Impaired Object Exploration Behaviors Throughout Infancy and Toddlerhood

Lobo, Michele A.; Kokkoni, Elena; Cunha, Andréa Baraldi; Galloway, James C.

doi:10.2522/ptj.20130584

Cited by 46 publications

(37 citation statements)

References 61 publications

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“…17 The amount and variability of behavioral performance, and consequent information uptake and learning, is often diminished for children with disabilities. 18, 26, 27, 28 Devices like the P-WREX may allow young children to explore, gather information, play, and learn when it is critical in early development despite their existing movement limitations.…”

Section: Discussionmentioning

confidence: 99%

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Feasibility and Effectiveness of a Novel Exoskeleton for an Infant With Arm Movement Impairments

Babik

Kokkoni

Cunha

et al. 2016

Pediatric Physical Therapy

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Purpose To determine whether a novel exoskeletal device (Pediatric Wilmington Robotic Exoskeleton, P-WREX) is feasible and effective for intervention to improve reaching and object interaction for an infant with arm movement impairments. Methods An 8-month old with arthrogryposis was followed every two weeks during a 1-month baseline, 3-month intervention, and 1-month post-intervention. At each visit, reaching and looking behaviors were assessed. Results Within sessions, the infant spent more time contacting objects across a larger space, contacting objects with both hands, and looking at objects when wearing the P-WREX. Throughout intervention, the infant increased time contacting objects both with and without the device and increased bilateral active shoulder flexion. Conclusions 1) It may be feasible for families to use exoskeletons for daily intervention, 2) Exoskeletons facilitate immediate improvements in function for infants with impaired upper extremity mobility, and 3) Interventions using exoskeletons can improve independent upper extremity function across time.

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Section: Discussionmentioning

confidence: 99%

“…The types of behavioral analyses used in this study are well-established methods widely used in developmental research. 15, 16, 17, 18 …”

Section: Methodsmentioning

confidence: 99%

Feasibility and Effectiveness of a Novel Exoskeleton for an Infant With Arm Movement Impairments

Babik

Kokkoni

Cunha

et al. 2016

Pediatric Physical Therapy

Self Cite

View full text Add to dashboard Cite

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“…(Gibson 1988, Lobo, Kokkoni et al 2014) However, infants born preterm often have different early experiences in the Neonatal Intensive Care Unit (NICU) and medical factors that may alter their experiences in the first year of life. (Als, Duffy et al 2004, Vandenberg 2007) While it has been well documented that infants born preterm are at high-risk of cerebral palsy, developmental coordination disorder, and learning disabilities(Allen, Cristofalo et al 2011, Potharst, van Wassenaer-Leemhuis et al 2013, Serenius, Kallen et al 2013), there has been less research on how infants born preterm learn from the environment during the first year of life.…”

Section: Introductionmentioning

confidence: 99%

“…(de Vries and Fong 2006, Myowa-Yamakoshi and Takeshita 2006) Infants in the first weeks of life demonstrate their ability to use sensory information to adapt their hand position to explore objects. (Molina and Jouen 2004, Lobo, Kokkoni et al 2014) Infants as young as 3 months of age can learn to activate a mobile through their kicking in specific motor patterns, even if the pattern requires an uncoupling of typically coupled joint movements. (Sargent, Schweighofer et al 2014) While infants demonstrate the early ability to learn from the environment and modify motor patterns, these learned adaptations are task specific and do not directly transfer from one task, such as crawling, to another, such as walking.…”

Section: Introductionmentioning

confidence: 99%

“…(Fetters, Chen et al 2004, Heathcock, Bhat et al 2004) Infants born preterm adapt their hand positon to the properties of an object at an older age than infants born full term. (Lobo, Kokkoni et al 2014) Infants born preterm with neonatal brain injury have altered postural complexity which influences the development of motor behaviors. (Dusing, Izzo et al 2014)…”

Section: Introductionmentioning

confidence: 99%

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Infant born preterm have delayed development of adaptive postural control in the first 5 months of life

Dusing

Thacker

Galloway

2016

Infant Behavior and Development

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Preterm Birth and the Development of Visual Attention During the First 2 Years of Life

2021

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IMPORTANCE Preterm birth is associated with an increased risk for long-lasting attention deficits.Early-life markers of attention abnormalities have not been established to date but could provide insights into the pathogenesis of attention abnormalities and could help identify susceptible individuals.OBJECTIVE To examine whether preterm birth is associated with visual attention impairments in early life, and if so, in which attention functions and at which developmental period during the first 2 years of life.DATA SOURCES PubMed and PsycINFO were searched on November 17, 2019, to identify studies involving visual attention outcomes in infants born preterm vs full term. STUDY SELECTION Peer-reviewed studies from the past 50 years met the eligibility criteria if they directly assessed visual attention outcomes until the age of 2 years in generally healthy infants born preterm or full term. The selection process was conducted by 2 independent reviewers. DATA EXTRACTION AND SYNTHESISThe Meta-analysis of Observational Studies in Epidemiology (MOOSE) reporting guideline was followed. Random-effects models were used to determine standardized mean differences. The risk of bias was assessed both within and between studies. MAIN OUTCOMES AND MEASURES Five nascent indices of visual attention were analyzed,including very basic functions-namely, the abilities to follow and fixate on visual targets-and more complex functions, such as visual processing (ie, habituation), recognition memory (ie, novelty preference), and the ability to effortfully focus attention for learning. RESULTS A total of 53 studies were included, with 69 effect sizes and assessing a total of 3998 infants (2047 born preterm and 1951 born full term; of the 3376 for whom sex was reported, 1693 [50.1%] were girls). Preterm birth was associated with impairments in various attention indices, including visual-following in infancy (Cohen d, −0.77; 95% CI, −1.23 to −0.31), latency to fixate (Cohen d, −0.18; 95% CI, −0.33 to −0.02), novelty preference (Cohen d, −0.20; 95% CI, −0.32 to −0.08), and focused attention (Cohen d, −0.28; 95% CI, −0.45 to −0.11). In the neonatal period, preterm birth was associated with superior visual-following (Cohen d, 0.22; 95% CI, 0.03 to 0.40), possibly owing to the additional extrauterine exposure to sensory stimulation. However, this early association waned rapidly in infancy (Cohen d, -0.77; 95% CI, -1.23 to -0.31). CONCLUSIONS AND RELEVANCEThe findings suggest that preterm birth is associated with impingements to visual attention development in early life, as manifested in basic and then complex (continued) Key Points Question Is preterm birth associated with visual attention impairments in early life, and if so, in which attention functions? Findings This systematic review and meta-analysis of 53 studies including 2047 preterm-born and 1951 full-termborn neonates and infants found that preterm birth was significantly associated with impairments in visual attention functioning. Despite a shortterm advantage in visual-following in...

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Infants Born Preterm Demonstrate Impaired Object Exploration Behaviors Throughout Infancy and Toddlerhood

Cited by 46 publications

References 61 publications

Feasibility and Effectiveness of a Novel Exoskeleton for an Infant With Arm Movement Impairments

Feasibility and Effectiveness of a Novel Exoskeleton for an Infant With Arm Movement Impairments

Infant born preterm have delayed development of adaptive postural control in the first 5 months of life

Preterm Birth and the Development of Visual Attention During the First 2 Years of Life

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