Longitudinal study of unimanual actions and grasping forces during infancy

Sgandurra, Giuseppina; Cecchi, Francesca; Serio, S.M.; Maestro, M. Del; Laschi, Cecilia; Dario, P.; Cioni, Giovanni

doi:10.1016/j.infbeh.2012.01.003

Cited by 25 publications

(20 citation statements)

References 26 publications

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“…It is built on several studies carried out over the last years [15, 17–20, 43] in infants without brain lesions. According to our experience, there are some limitations in performing high-quality home-based EI that could be different from family to family because home environments are various and difficult to control.…”

Section: Discussionmentioning

confidence: 99%

Early intervention at home in infants with congenital brain lesion with CareToy revised: a RCT protocol

Sgandurra

Beani

Giampietri³

et al. 2018

BMC Pediatr

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BackgroundCongenital brain lesions expose infants to be at high-risk for being affected by neurodevelopmental disorders such as cerebral palsy (CP). Early interventions programs can significantly impact and improve their neurodevelopment. Recently, in the framework of the European CareToy (CT) Project (www.caretoy.eu), a new medical device has been created to deliver an early, intensive, customized, intervention program, carried out at home by parents but remotely managed by expert and trained clinicians. Reviewing results of previous studies on preterm infants without congenital brain lesion, the CT platform has been revised and a new system created (CT-R).This study describes the protocol of a randomised controlled trial (RCT) aimed to evaluate, in a sample of infants at high-risk for CP, the efficacy of CT-R intervention compared to the Infant Massage (IM) intervention.Methods/designThis RCT will be multi-centre, paired and evaluator-blinded. Eligible subjects will be preterm or full-term infants with brain lesions, in first year of age with predefined specific gross motor abilities. Recruited infants will be randomized into CT-R and IM groups at baseline (T0). Based on allocation, infants will perform an 8-week programme of personalized CareToy activities or Infant Massage. The primary outcome measure will be the Infant Motor Profile. On the basis of power calculation, it will require a sample size of 42 infants. Moreover, Peabody Developmental Motor Scales-Second Edition, Teller Acuity Cards, standardized video-recordings of parent-infant interaction and wearable sensors (Actigraphs) will be included as secondary outcome measures. Finally, parents will fill out questionnaires (Bayley Social-Emotional, Parents Stress Index). All outcome measures will be carried out at the beginning (T0) and at end of 8-weeks intervention period, primary endpoint (T1). Primary outcome and some secondary outcomes will be carried out also after 2 months from T1 and at 18 months of age (T2 and T3, respectively). The Bayley Cognitive subscale will be used as additional assessment at T3.DiscussionThis study protocol paper is the first study aimed to test CT-R system in infants at high-risk for CP. This paper will present the scientific background and trial methodology.Trial registrationNCT03211533 and NCT03234959 (www.clinicaltrials.gov).

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Section: Discussionmentioning

confidence: 99%

Early intervention at home in infants with congenital brain lesion with CareToy revised: a RCT protocol

Sgandurra

Beani

Giampietri³

et al. 2018

BMC Pediatr

Self Cite

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“…This illustrates the importance of being able to judge the relationship between the affordance of an object and one's own abilities (Olmos et al, 2000). Sgandurra et al (2012) summarize the findings of studies of prehension development so far available. Their own investigation demonstrates the importance of toy selection and of infant position in activity or taskbased training.…”

Section: Motor Developmentmentioning

confidence: 92%

The changing face of intervention in infants with cerebral palsy

Shepherd¹

2014

Cerebral Palsy in Infancy

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“…Reaching is an acquired skill at around 3-4 months [8]. In one study, ten typically developing infants were evaluated longitudinally from 4 to 9 months of age with a sensorized toy [9]. Results indicated that unimanual (one-hand) reaches increased with age while bimanual (two-hand) reaches decreased significantly [9].…”

Section: Interaction Metricsmentioning

confidence: 99%

“…In one study, ten typically developing infants were evaluated longitudinally from 4 to 9 months of age with a sensorized toy [9]. Results indicated that unimanual (one-hand) reaches increased with age while bimanual (two-hand) reaches decreased significantly [9]. Another study with preterm infants showed that these infants exhibit more bimanual reaching actions than full-term infants [10].…”

Section: Interaction Metricsmentioning

confidence: 99%

Quantifying infant physical interactions using sensorized toys in a natural play environment

Goyal

Torres

Rai

et al. 2017

2017 International Conference on Rehabilitation Robotics (ICORR)

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Infants with developmental delays must be detected early in their development to minimize the progression of motor and neurological impairments. Our objective is to quantify how sensorized toys in a natural play environment can promote infant-toy physical interactions. We created a hanging elephant toy, equipped with an inertial measurement unit (IMU), a pressure transducer, and multiple feedback sensors, to be a hand-grasping toy. We used a 3 DoF robotic model with inputs from the IMU to calculate multiple kinematic metrics and an equation to calculate haptic metrics from the pressure transducer. Six typical infants were tested in the gym set-up. Three infants interacted with the toy for more than half the trial time. The youngest infant exhibited the largest toy displacement with ΔD = 27.6 cm, while the oldest infant squeezed the toy with the largest mean pressure of 4.5 kPa. More data on on both typical and atypical infants needs to be collected. After testing atypical infants in the SmarToyGym set-up, we will be able to identify interaction metrics that differentiate atypical and typical infants.

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Longitudinal study of unimanual actions and grasping forces during infancy

Cited by 25 publications

References 26 publications

Early intervention at home in infants with congenital brain lesion with CareToy revised: a RCT protocol

Early intervention at home in infants with congenital brain lesion with CareToy revised: a RCT protocol

The changing face of intervention in infants with cerebral palsy

Quantifying infant physical interactions using sensorized toys in a natural play environment

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