About this trial
This study aims to investigate the neural mechanisms involved in the development of reach-to-grasp function in infants. Reaching and grasping are crucial motor skills that develop early in infancy and are essential for later motor and cognitive milestones. Understanding how these skills emerge and the underlying neural processes can provide valuable insights into both typical and atypical development.
The study will focus on infants aged 3 to 9 months, a critical period for the development of reach-to-grasp skills. A total of 100 infants will be recruited, including 50 full-term infants and 50 preterm infants (born \<36 weeks gestational age). Reach-to-grasp function will be evaluated through a cross-sectional assessment at a single time point. Functional near-infrared spectroscopy (fNIRS) will be used as the brain imaging technique to measure brain activity during the reach-to-grasp task. The use of fNIRS will allow for a non-invasive assessment of neural activity in real time, providing insights into the brain mechanisms supporting the development of motor skills. The findings may offer important information about the neural basis of motor development in infancy, particularly in the context of preterm birth.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
3-9 months old
can tolerate the fNIRS cap
performs at least 2 grapsing attempts with one hand within one minute when prompting the hand with a toy
Disqualifiers
history of periferal neurological lesion such as plexus brachialis lesion
presence of epilepsia, congenital brain malformation,
no informed consent
severe visual impairments
Trial population
infants between 3 an 9 months old, living in Flanders (Belgium) born full term or preterm.
Trial design
Cohort
Cross-sectional
Treatments tested in this trial
Not listed
Trial groups
Trial outcomes
Primary outcomes
fNIRS laterality index
Difference in brain activitity over the sensorimotor cortex between left and right hemisphere during bilateral grasping. Averaged brain activity of the 10 blocks of bimanual grasping.
Secondary outcomes
fNIRS bimanual activity
Averaged brain activity during the 10 blocks of bimanual reach-to-grasp movements.
fNIRS unmanual left-sided activity
Averaged brain activity during the 10 blocks of unilateral left-sided reach-to-grasp movements.
Hand assessment for Infants (HAI)
An assessment of hand function. It has been developed for infants at risk of developing cerebral palsy (CP) in the age range of 3-12 months. The HAI intends to measure the degree and quality of goal directed actions performed with each hand separately as well as with both hands together. Items are scored based on a video-taped play session eliciting upper limb activity. It results in three scales 1. both hand measure: a criterian referenced overall measure of hand function based on all 17 items total raw score ranges ; 0-58 HAI-unit scale: 0-100 Higher score indicates better ability 2. each hand sum score: a unimanual criterion referenced subscale based on 12 out of 17 items, score rated for each hand seperatly raw score ranges: 0-24 higher score indicates better ability 3. percentage of difference between hands : percent calculated by the differences in left and right each hand sum score higer value indicate bigger difference between hands age norm references available
Hammersmith infant neurological examination (HINE)
Hammersmith infant neurological examniation is a standardized neurological exam for infants adjusted age 2 to 24 months. The HINE evaluates nerve function, movements, reflexes and reactions, posture, and tone and can help clinicians identify movement disorders including cerebral palsy (CP). 26 items scoring 0-3 total score : 0-78 Higher score indicates more optimal developement normative data for age-matched, typically developing infants helps determine if the score is optimal or suboptimal.
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