Development of perception in action in healthy and at-risk children

Devising effective assessment techniques and therapy for movement disorders in young children requires in-depth measures of the child's perceptuo-motor functioning. It is argued that the field of movement disorders can benefit from an ecological approach to perception and action, where perception subserves action and action influences perception. Three notions central to the ecological approach are described and illustrated with our recent research on infant and child perceptual and motor behaviour.

Lifting weights in neonates: developing visual control of reaching

To test whether newborn babies take account of external forces in moving their limbs, spontaneous arm-waving movements were measured while the baby lay supine with its head turned to one side. Free-hanging weights, attached to each wrist by strings passing over pulleys, pulled on the arms in the direction of the toes. The results showed the babies applied compensatory forces to keep the hand they faced moving in the same region. In contrast, the (invisible) contra-lateral hand was pulled down by the weights. In a second experiment, where the arms were occluded, both arms were pulled down, suggesting that sight of the arm was necessary in compensating for the weight. In a third, conclusive experiment the babies viewed the arm they were not facing on a small video-monitor and this time the babies kept the visible contra-lateral hand up despite the weights. The results challenge the general view that spontaneous arm movements of neonates are purposeless and either reflexive or due to spontaneous patterned efference to the muscles. Instead, the findings suggest that in waving their arms, neonates are developing visual control of reaching.

The functional significance of arm movements in neonates

Arm movements made by newborn babies are usually dismissed as unintentional, purposeless, or reflexive. Spontaneous arm-waving movements were recorded while newborns lay supine facing to one side. They were allowed to see only the arm they were facing, only the opposite arm on a video monitor, or neither arm. Small forces pulled on their wrists in the direction of the toes. The babies opposed the perturbing force so as to keep an arm up and moving normally, but only when they could see the arm, either directly or on the video monitor. The findings indicate that newborns can purposely control their arm movements in the face of external forces and that development of visual control of arm movement is underway soon after birth.

Development of prospective control of catching moving objects in preterm at-risk infants

Healthy term infants and infants classified as neurologically at-risk because of low birthweight and preterm birth were tested longitudinally between 20 and 48 weeks on the ability to use visual information predictively. Reaching for an object moving at different speeds was assessed; the object was occluded from view by a screen during the last part of its approach. At each infant's first reaching session, gaze anticipated the reappearance of the moving toy; however, onset of reaching and prospective control of gaze and hand varied considerably between the normal and at-risk groups. In addition, some at-risk infants geared their actions not to the time but to the distance that the toy was from the catching place, causing problems with faster-moving toys. The two children who anticipated least well were the only two of the at-risk group who were later diagnosed as having cerebral palsy.

Prospective control in catching by infants

Catching a moving object requires the ability to predict the future trajectory of the object. To test whether infants can use visual information predictively, reaching for a toy moving at different speeds was investigated in six infants around 11 months of age. The toy was occluded from view by a screen during the last part of its approach. Gaze arrived at the exit side of the screen and the hand started to move forward before the toy had disappeared behind the occluder; these actions were prospectively geared to certain times before the toy would reappear. In addition, hand-movement duration was found to be related to the time of reappearance of the toy--the information used to regulate duration of hand movement being picked up before the toy disappeared behind the occluder. In a longitudinal experiment, the development of predictive reaching was investigated in two infants between the ages of 20 and 48 weeks. At all ages studied, gaze anticipated the reappearance of the moving toy. However, anticipation with hand movement of the disappearance of the toy and the ability to gear actions prospectively to the time (instead of distance) the toy was away from certain points on the track developed relatively late and marked the transition to successfully catching faster-moving toys.

Common principle of guidance by echolocation and vision

1. Using echolocation, bats move as gracefully as birds through the cluttered environment, suggesting common principles of optic and acoustic guidance. We tested the idea by analysing braking control of bats (Macroderma gigas) flying through a narrow aperture with eyes covered and uncovered. 2. Though braking control would seem to require rapid detection of distance and velocity and computation of deceleration, simpler control is possible using the tau function of any sensory variable S that is a power function of distance to aperture. Tau function of S is tau (S) = S/S (the dot means time derivative). Controlled braking is achievable by keeping tau (S) constant. 3. Previous experiments indicated the tau (S) constant procedure is followed by humans and birds in visually controlling braking. Analysis of the bats' flight trajectories indicated they too followed the braking procedure using echolocation. 4. The tau function of echo-delay or of echo-intensity or of angle subtended by directions of echoes from two points on the approach surface could be used to control braking. Aperture size was modulated during flight on some trials in an attempt to test between these possibilities, but the results were inconclusive.

Effect of task on movement control in cerebral palsy: implications for assessment and therapy

In order to examine the possibility that children with cerebral palsy (CP) find abstract tasks, such as extending the arm as much as possible, more difficult than concrete tasks, such as reaching to grasp an object, nine hemiparetic children with CP and 12 nursery-school children were tested with both a concrete and an abstract task. The children with CP achieved a significantly larger range of movement in the concrete task, whereas the nursery-school children showed no difference between tasks. Thus the CP children's poorer performance on the abstract task did not fully reflect their movement capability. This means that conventional neurological measurements of limb function in cerebral palsy, which mainly use abstract tasks or passive movements, will give an incomplete picture of the child's action capability.