Where Infants Go: Real-Time Dynamics of Locomotor Exploration in Crawling and Walking Infants

Exploring the Efficacy of a Dynamic Harness System on Gross Motor Development and Motivation for Infants With Down Syndrome: A Pilot Study

PURPOSE

To explore the benefits of a Partial Body Weight Support (PBWS) harness system within a play enriched environment on gross motor development and mastery motivation of infants with Down Syndrome (DS).

METHODS

A randomized crossover study with 17 pre-walking infants with DS in two conditions-play with or without the harness engaged-each for 3×/week over 3 weeks with a 1-week washout. Assessments took place at baseline, crossover, and completion.

RESULTS

Statistically and clinically significant changes were evident on the Gross Motor Function Measure-88; however, there were no significant changes in parent-reported mastery motivation.

CONCLUSION

The combination of PBWS harness system support and high frequency-facilitated play within an enriched play environment positively affected gross motor development. The intervention did not impact mastery motivation skills, and the direct impact of the harness remains unclear.

Perceptions and experiences of first mobility aid provision for young children with cerebral palsy in the United States: a mixed-methods study

PURPOSE

The purpose of this study was to establish and understand the provision process and impacts of first mobility aids for children with cerebral palsy (CP) in the United States - specifically orthoses, walkers and gait-trainers.

METHODS

We performed a mixed-methods study including surveys and semi-structured interviews of caregivers of young children with CP (n = 10) and clinicians who work with young children with CP (n = 29). We used content analysis for the surveys and inductive coding for the interviews.

RESULTS

Four themes emerged: (1) first mobility aids have mixed impacts and use patterns, (2) there is varied caregiver education and understanding about mobility aids, (3) clinician knowledge, consistency and connection impact care and (4) numerous access barriers exist for families, and there are still opportunities for improvement across all domains.

CONCLUSIONS

This research provides insights into the lived experiences of clinicians and caregivers of young children with CP regarding the prescription, provision, use and impact of first mobility aids, specifically ankle foot orthoses and walkers/gait trainers. This study not only provides researchers and clinicians with an understanding of the current status of the prescription and provision process in the United States, but also offers suggestions for improvements of the process and mobility aids themselves. These results have implications for future research, mobility aid, design and the provision process of first mobility aids.

The development of gait and mobility: Form and function in infant locomotion

The development of locomotion can be described by its form (i.e., gait) and its function (i.e., mobility). Both aspects of locomotion improve with experience. Traditional treatises on infant locomotion focus on form by describing an orderly progression of postural and locomotor milestones en route to characteristic patterns of crawling and walking gait. We provide a traditional treatment of gait by describing developmental antecedents of and improvements in characteristic gait patterns, but we highlight important misconceptions inherent in the notion of "milestones". Most critically, we argue that the prevailing focus on gait and milestones fails to capture the true essence of locomotion-functional mobility to engage with the world. Thus, we also describe the development of mobility, including the use of mobility aids for support and propulsion. We illustrate how infants find individual solutions for mobility and how the ability to move cascades into other domains of development. Finally, we show how an integration of gait and mobility provides insights into the psychological processes that make locomotion functional. This article is categorized under: Psychology > Motor Skill and Performance Psychology > Development and Aging.

Natural-ish behavior: The interplay of culture and context in shaping motor behavior in infancy

What is natural behavior and how does it differ from laboratory-based behavior? The "natural" in natural behavior implies the everyday, complex, ever-changing, yet predictable environment in which children grow up. "Behavior" is motor action and is foundational to psychology, as it includes all things to function in everyday environments. Is behavior demonstrated in the laboratory un-natural? Suppose behavior emerges spontaneously, in a context that is most common to the animal but an observer is there to document it using particular research tools. Is that behavior natural or natural-ish? Methods can powerfully affect conclusions about infant experiences and learning. In the lab, tasks are typically narrowly constrained where infants and children have little opportunity to display the variety of behaviors in their repertoire. Data from naturalistic observations may paint a very different picture of learning and development from those based on structured tasks, exposing striking variability in the environment and behavior and new relations between the organism and its environment. Using motor development as a model system, in this chapter we compare frameworks, methods, and findings originating in the lab and in the field, applied and adapted in different settings. Specifically, we recount our journey of pursuing the study of cultural influences on motor development in Tajikistan, and the challenges, surprises, and lessons learned.

An update of the development of motor behavior

This primer describes research on the development of motor behavior. We focus on infancy when basic action systems are acquired-posture, locomotion, manual actions, and facial actions-and we adopt a developmental systems perspective to understand the causes and consequences of developmental change. Experience facilitates improvements in motor behavior and infants accumulate immense amounts of varied everyday experience with all the basic action systems. At every point in development, perception guides behavior by providing feedback about the results of just prior movements and information about what to do next. Across development, new motor behaviors provide new inputs for perception. Thus, motor development opens up new opportunities for acquiring knowledge and acting on the world, instigating cascades of developmental changes in perceptual, cognitive, and social domains. This article is categorized under: Cognitive Biology > Cognitive Development Psychology > Motor Skill and Performance Neuroscience > Development.

Open Science Considerations for Descriptive Research in Developmental Science

Descriptive developmental research seeks to document, describe, and analyze the conditions under which infants and children live and learn. Here, we articulate how open-science practices can be incorporated into descriptive research to increase its transparency, reliability, and replicability. To date, most open-science practices have been oriented toward experimental rather than descriptive studies, and it can be confusing to figure out how to translate open-science practices (e.g., preregistration) for research that is more descriptive in nature. We discuss a number of unique considerations for descriptive developmental research, taking inspiration from existing open-science practices and providing examples from recent and ongoing studies. By embracing a scientific culture where descriptive research and open science coexist productively, developmental science will be better positioned to generate comprehensive theories of development and understand variability in development across communities and cultures.

Infant embodied attention in context: Feasibility of home-based head-mounted eye tracking in early infancy

Social communication emerges from dynamic, embodied social interactions during which infants coordinate attention to caregivers and objects. Yet many studies of infant attention are constrained to a laboratory setting, neglecting how attention is nested within social contexts where caregivers dynamically scaffold infant behavior in real time. This study evaluates the feasibility and acceptability of the novel use of head-mounted eye tracking (HMET) in the home with N = 40 infants aged 4 and 8 months who are typically developing and at an elevated genetic liability for autism spectrum disorder (ASD). Results suggest that HMET with young infants with limited independent motor abilities and at an elevated likelihood for atypical development is highly feasible and deemed acceptable by caregivers. Feasibility and acceptability did not differ by age or ASD likelihood. Data quality was also acceptable, albeit with younger infants showing slightly lower accuracy, allowing for preliminary analysis of developmental trends in infant gaze behavior. This study provides new evidence for the feasibility of using in-home HMET with young infants during a critical developmental period when more complex interactions with the environment and social partners are emerging. Future research can apply this technology to illuminate atypical developmental trajectories of embodied social attention in infancy.

Learning to Move in a Changing Body in a Changing World

Infants of all species learn to move in the midst of tremendous variability and rapid developmental change. Traditionally, researchers consider variability to be a problem for development and skill acquisition. Here, we argue for a reconsideration of variability in early life, taking a developmental, ecological, systems approach. Using the development of walking in human infants as an example, we argue that the rich, variable experiences of infancy form the foundation for flexible, adaptive behavior in adulthood. From their first steps, infants must cope with changes in their bodies, skills, and environments. Rapid growth spurts and a continually expanding environment of surfaces, elevations, and obstacles alter the biomechanical constraints on balance and locomotion from day to day and moment to moment. Moreover, infants spontaneously generate a variable practice regimen for learning to walk. Self-initiated locomotion during everyday activity consists of immense amounts of variable, time-distributed, error-filled practice. From infants' first steps and continuing unabated over the next year, infants walk in short bursts of activity (not continual steps), follow curved (not straight) paths, and take steps in every direction (not only forward)-all the while, accompanied by frequent falls as infants push their limits (rather than a steady decrease in errors) and explore their environments. Thus, development ensures tremendous variability-some imposed by physical growth, caregivers, and a changing environment outside infants' control, and some self-generated by infants' spontaneous behavior. The end result of such massive variability is a perceptual-motor system adept at change. Thus, infants do not learn fixed facts about their bodies or environments or their level of walking skill. Instead, they learn how to learn-how to gauge possibilities for action, modify ongoing movements, and generate new movements on the fly from step to step. Simply put, variability in early development is a feature, not a bug. It provides a natural training regimen for successfully navigating complex, ever-changing environments throughout the lifespan. Moreover, observations of infants' natural behavior in natural, cluttered environments-rather than eliciting adult-like behaviors under artificial, controlled conditions-yield very different pictures of what infants of any species do and learn. Over-reliance on traditional tasks that artificially constrain variability therefore risks distorting researchers' understanding of the origins of adaptive behavior.

Infant locomotion shapes proximity to adults during everyday play in the U.S

Learning to walk expands infants' access to the physical environment and prompts changes in their communicative behaviors. However, little is known about whether walking also shapes infants' proximity to their adult social partners during everyday activities at home. Here we followed 89 infants (42 boys, 47 girls; 92% White, not Hispanic or Latino) longitudinally and documented connections between infant locomotion and infant-adult proximity on two timescales: (1) across developmental time, by comparing data from a session when infants could only crawl to a later session when they could walk (M walk onset = 12.15 months, range = 8-15); and (2) in real time, by testing whether the amount of time that infants spent in motion (regardless of their locomotor status) related to their interpersonal distance to adults. The developmental transition to walking corresponded to a significant, but modest, decrease in infant-adult proximity. Infants' moment-to-moment locomotion, however, was strongly related to patterns of interpersonal distance: infants who spent more time in motion spent less time near adults and instigated more proximity transitions, resulting in shorter and more dispersed bouts of proximity throughout sessions. Findings shed new light on how infants' motor achievements can reverberate across other domains of development, and how changes in infant development that researchers often observe over months arise from infants' moment-to-moment experiences.

Locomotion development and infants' object interaction in a day‐care environment

This longitudinal study examined the relationship between the development of locomotion and infants' interaction with others involving objects. Observations took place in a multi-person situation-a day-care class-for one-year-old infants for 1 year. The study participants were 13 infants and 7 caregivers (all Japanese). Frequencies of infants' manual contact with objects and moving before contact with them did not differ according to locomotion developmental level. However, infants who began walking engaged in more social interactions than those who were cruising or crawling. Throughout all locomotor developmental periods, social interactions increased in frequency when more caregivers were present. As infants began to walk, they moved more prior to social interactions, had more frequent bidirectional and triadic social interactions, and moved and interacted more often with others during a single object episode. These results suggest that crawlers' engagement with objects is relatively object-oriented, while for walkers, locomotion seems to be driven by social stimuli. Infants who have begun to walk moved among caregivers and peers in a multi-person environment and developed more elaborated social interactions through objects.

Ride-on car training using sitting and standing postures for mobility and socialization in young children with motor delays: a randomized controlled trial

PURPOSE

To examine the effects of ride-on car (ROC) training using different postures on mobility and social function in children with motor delays in comparison with conventional therapy.

MATERIALS AND METHODS

Thirty-eight children (22 males, 16 females) with motor delays were recruited and randomly assigned to three groups: ROC training while sitting (ROC-Sit, n = 15; mean age, 20.25 months; standard deviation [SD], 5.29), ROC training while standing (ROC-Stand, n = 12; mean age, 24.80 months; SD, 8.42), and conventional therapy (control, n = 11; mean age: 20.25 months, SD: 5.37). All groups underwent 2-h training sessions twice weekly over a 12-week intervention phase. The Pediatric Evaluation of Disability Inventory and Goal Attainment Scaling were performed before and after the intervention and at follow-up sessions after 12 weeks.

RESULTS

Mobility and goal achievement improved significantly in all groups after the intervention (p < 0.001; p < 0.0001). However, social function improved significantly only in the ROC-Stand group (p = 0.001), which had the highest number of participants showing clinically meaningful changes in mobility and social function.

CONCLUSION

Increased practice and caregivers' involvement can improve children's mobility and goal achievement. Adopting a standing posture in an ROC can enhance social function.IMPLICATIONS FOR REHABILITATIONProviding active exploratory experience through ride-on cars or practicing specific skills can improve children's mobility function.Ride-on car training in a standing posture allows children to access their distal environment visually, resulting in improved social function.Setting goals with caregivers maximizes the effects of treatment on goal achievement.

Mothers talk about infants' actions: How verbs correspond to infants' real-time behavior

Infants learn nouns during object-naming events-moments when caregivers name the object of infants' play (e.g., ball as infant holds a ball). Do caregivers also label the actions of infants' play (e.g., roll as infant rolls a ball)? We investigated connections between mothers' verb inputs and infants' actions. We video-recorded 32 infant-mother dyads for 2 hr at home (13 month olds, n = 16; 18 month olds, n = 16; girls, n = 16; White, n = 23; Asian, n = 2; Black, n = 1; other, n = 1; multiple races, n = 5; Hispanic/Latinx, n = 2). Dyads were predominantly from middle-class to upper middle-class households. We identified each manual verb (e.g., press, shake) and whole-body verb (e.g., kick, go) that mothers directed to infants. We coded whether infants displayed manual and/or whole-body actions during a 6-s window surrounding the verb (i.e., 3 s prior and 3 s after the named verb). Mothers' verbs and infant actions were largely congruent: Whole-body verbs co-occurred with whole-body actions, and manual verbs co-occurred with manual actions. Moreover, half of mothers' verbs corresponded precisely to infants' concurrent action (e.g., infant pressed button as mother said, "Press the button"). In most instances, mothers commented on rather than instigated infants' actions. Findings suggest that verb learning is embodied, such that infants' motor actions offer powerful cues to verb meanings. Furthermore, our approach highlights the value of cross-domain research integrating infants' developing motor and language skills to understand word learning. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Longitudinal study of foot pressures during real-world walking as infants develop from new to confident walkers

Onset of walking in infants leads to regular cyclic loading of the plantar foot surface for the first time. This is a critical period for evolving motor skills and foot structure and function. Plantar pressure literature typically studies gait only once walking is established and under conditions that artificially constrain the walking direction and bouts compared to how infants move in the real-world. We therefore do not know how the foot is loaded when self-directed walking is first achieved and whether it changes as walking is practiced. Research question How do pressures on the plantar foot in real-world walking change from new to confident walking? Methods Fifty-seven infants participated in a two-site longitudinal study. Bespoke child-friendly spaces incorporated large pressure platforms and video. Data was collected at two milestones: new (403 days) and confident (481 days) walking. Steps were defined as walking straight or turning medially/laterally. Pressure variables were calculated for eight-foot regions and compared between milestones. Results Confident walking resulted in more steps (median: 18 v 35) and almost twice as many turning steps. During straight-line steps, confident walking increased peak pressures in the medial heel (median: 99.3 v 106.7kPa, p < .05) and lateral forefoot (median: 53.9 v 65.3kPa, p < .001) and reduced medial toe pressure (median: 98.1 v 80.0kPa, p < .05). Relative medial midfoot contact area reduced (median: 12.4 v 11.2%, p < .05) as absolute foot contact increased. A faster transition across stance and a reduced relative contact time in the forefoot were recorded in confident walking. Significance Pressures change rapidly as walking is initiated with significant differences in foot loading evident within an average 77 days. Importantly, these changes differ in straight and turning walking. Continued reliance on assessment of straight-line walking during early stages of ambulation likely fails to characterise 26% of steps experienced by infant feet.

An interactionist perspective on the development of coordinated social attention

Infants' ability to coordinate their attention with other people develops profoundly across the first year of life. Mainly based on experimental research focusing on infants' behavior under highly controlled conditions, developmental milestones were identified and explained in the past by prominent theories in terms of the onset of specific cognitive skills. In contrast to this approach, recent longitudinal research challenges this perspective with findings suggesting that social attention develops continuously with a gradual refinement of skills. Informed by these findings, we argue for an interactionist and dynamical systems view that bases observable advances in infant social attention skills on increasingly fine-tuned mutual adjustments in the caregiver-infant dyad, resulting in gradually improving mutual prediction. We present evidence for this view from recent studies leveraging new technologies which afford the opportunity to dynamically track social interactions in real-time. These new technically-sophisticated studies offer unprecedented insights into the dynamic processes of infant-caregiver social attention. It is now possible to track in much greater detail fluctuations over time with regard to object-directed attention as well as social attention and how these processes relate to one another. Encouraged by these initial results and new insights from this interactionist developmental social neuroscience approach, we conclude with a "call to action" in which we advocate for more ecologically valid paradigms for studying social attention as a dynamic and bi-directional process.

Communication changes when infants begin to walk

Learning to walk allows infants to travel faster and farther and explore more of their environments. In turn, walking may have a cascading effect on infants' communication and subsequent responses from caregivers. We tested for an inflection point-a dramatic shift in the developmental progression-in infant communication and caregiver responses when infants started walking. We followed 25 infants longitudinally over 7 months surrounding the onset of walking (mean walk onset age = 11.76 months, SD = 1.56). After learning to walk, the pace of gesture growth (but not vocalization growth) increased substantially, and infants increasingly coordinated gestures and vocalizations with locomotion (e.g., by walking to a caregiver and showing off a toy bear). Consequently, caregivers had more opportunities to respond contingently to their infants during walking months compared to crawling months (e.g., "What did you find? Is that your bear?"). Changes in communication were amplified for infants who began walking at older ages, compared to younger walkers. Findings suggest that learning to walk marks a point in development when infants actively communicate in new ways, and consequently elicit rich verbal input from caregivers.

In-Home Mobility Training With a Portable Body Weight Support System of an Infant With Down Syndrome

PURPOSE

To report on the feasibility of an open-area, portable body weight support system (PBWSS) for in-home use and overground mobility training in an infant with Down syndrome.

SUMMARY OF KEY POINTS

The family used the PBWSS on average 4 days/week and for a mean duration of 27.9 minutes/day. Within sessions, the infant's mobility in the open area was greater with PBWSS assistance. The infant's mobility increased whereas variable trends were noted in the infant's motor, language, and cognitive development.

CONCLUSIONS

The long-term and frequent use of the PBWSS by this family provided opportunities to practice on emerging motor skills and exploratory actions that may have had a positive effect on her mobility and overall development.

RECOMMENDATION FOR CLINICAL PRACTICE

High-dose, body weight-supported training on emerging motor skills is feasible in the infants' natural environments. Future studies using a large sample will quantify the effects.

Intentional action processing across the transition to crawling: Does the experience of self-locomotion impact infants' understanding of intentional actions?

Motor developmental milestones in infancy, such as the transition to self-locomotion, have cascading implications for infants' social and cognitive development. The current studies aimed to add to this literature by exploring whether and how crawling experience impacts a key social-cognitive milestone achieved in infancy: the development of intentional action understanding. Study 1 used a cross-sectional, age-held-constant design to examine whether locomotor (n = 36) and prelocomotor (n = 36) infants differ in their ability to process a failed intentional reaching action. Study 2 (n = 124) further probed this question by assessing how variability in locomotor infants' experience maps onto variability in their failed intentional action understanding. Both studies also assessed infants' tendency to engage in triadic interactions to shed light on whether self-locomotion impacts intentional action understanding directly or indirectly via changes in infants' interactions with social partners. Altogether, results showed no evidence for the role of self-locomotion in the development of intentional action understanding. Locomotor and prelocomotor infants did not differ in their failed action understanding or levels of triadic engagement (Study 1) and individual differences in days of crawling experience, propensity to crawl during play, and maximum crawling speed failed to predict infants' intentional action understanding or triadic engagement (Study 2). Explanations for these null findings and alternative influences on the development of intentional action understanding are considered.

Using head-mounted eye-trackers to study sensory-motor dynamics of coordinated attention

In this chapter, we introduce recent research using head-mounted eye-trackers to record sensory-motor behaviors at a high resolution and examine parent-child interactions at a micro-level. We focus on one important research topic in early social and cognitive development: how young children and their parents coordinate their visual attention in social interactions. We start by introducing head-mounted eye-tracking and recent studies conducted using this method. We then present two sets of novel analysis techniques that examine how manual actions of parents and children with and without hearing loss contribute to their attention coordination. In the first set of analyses, we investigated different pathways parents and children used to coordinate their visual attention in toy play. After that, we used Sankey diagrams to represent the temporal dynamics of parents' and children's manual actions prior to and during coordinated attention. These two sets of analyses allowed us to explore how participants' sensory-motor behaviors contribute to the establishment and maintenance of coordinated attention. More generally, head-mounted eye-tracking allows us to ask new questions and conduct new analyses that were not previously possible. With this new sensing technology, the results here highlight the importance of understanding early social interaction from a multimodal, embodied view.

Transition From Crawling to Walking Changes Gaze Communication Space in Everyday Infant-Parent Interaction

Acquisition of walking changes not only infants' locomotion itself but also infants' exploratory behavior and social interaction, such as gaze communication. To understand the ecological context in which gaze communication occurs and how it changes with walking development from the point of view of the spatial arrangement of infants, parents, and objects, we analyzed longitudinal data of daily eye contact scenes recorded from head-mounted eye trackers worn by parents as infants grew from 10 to 15.5 months, focusing on infant-parent distance and the number of objects between the dyad. A Bayesian state-space model revealed that the interpersonal distance at which infants initiated eye contact with their parents increased with the time ratio of walking to crawling. This result could not be explained by the developmental change in the amount of time that the infants were far from the parents, which is not limited to the gaze communication context. Moreover, the interpersonal distance at which the parents initiated eye contact with the infants did not increase with the time ratio of walking to crawling. The number of objects on the floor between infants and parents at the time of eye contact increased with interpersonal distance. Taken together, these results indicate that the transition from crawling to walking changes the ecological context in which infants initiate gaze communication to a visual environment characterized by a larger interpersonal distance and, therefore, more objects cluttered between the dyad. The present study has wider implications for the developmental change of shared attention in conjunction with walking development.

Postural, Visual, and Manual Coordination in the Development of Prehension

We investigated the real-time cascade of postural, visual, and manual actions for object prehension in 38 6- to 12-month-old infants (all independent sitters) and eight adults. Participants' task was to retrieve a target as they spun past it at different speeds on a motorized chair. A head-mounted eye tracker recorded visual actions and video captured postural and manual actions. Prehension played out in a coordinated sequence of postural-visual-manual behaviors starting with turning the head and trunk to bring the toy into view, which in turn instigated the start of the reach. Visually fixating the toy to locate its position guided the hand for toy contact and retrieval. Prehension performance decreased at faster speeds, but quick planning and implementation of actions predicted better performance.