Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant Crawling

Motor developmental delay (MDD) usually affects the inter-joint coordination for limb movement. However, the mechanism between the abnormal inter-joint coordination and MDD is still unclear, which poses a challenge for clinical diagnosis and motor rehabilitation of MDD in infant’s early l...

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Main Authors: Li Zhang, Chun F. Deng, Yuan Liu, Lin Chen, Nong Xiao, Sheng J. Zhai, Wen S. Hou, Yu X. Chen, Xiao Y. Wu
Format: Article
Language:English
Published: IEEE 2022-01-01
Series:IEEE Transactions on Neural Systems and Rehabilitation Engineering
Subjects:
Online Access:https://ieeexplore.ieee.org/document/9791360/
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author Li Zhang
Chun F. Deng
Yuan Liu
Lin Chen
Nong Xiao
Sheng J. Zhai
Wen S. Hou
Yu X. Chen
Xiao Y. Wu
author_facet Li Zhang
Chun F. Deng
Yuan Liu
Lin Chen
Nong Xiao
Sheng J. Zhai
Wen S. Hou
Yu X. Chen
Xiao Y. Wu
author_sort Li Zhang
collection DOAJ
description Motor developmental delay (MDD) usually affects the inter-joint coordination for limb movement. However, the mechanism between the abnormal inter-joint coordination and MDD is still unclear, which poses a challenge for clinical diagnosis and motor rehabilitation of MDD in infant’s early life. This study aimed to explore whether the joint activities of limbs during infant crawling are represented with kinematic synergies of joint angles, and evaluate the impacts of MDD on the inter-joint coordination using those synergies. 20 typically developing infants, 16 infants at risk of developmental delay, 11 infants at high risk of developmental delay and 13 infants with confirmed developmental delay were recruited for self-paced crawling on hands and knees. A motion capture system was employed to trace infants’ limbs in space, and angles of shoulder, elbow, hip and knee over time were computed. Kinematic synergies were derived from joint angles using principal component analysis. Sample entropy and Spearman’s rank correlation coefficients were calculated among those synergies to evaluate the crawling complexity and the symmetry of bilateral limbs, respectively. We found that the first two synergies with different contributions to the crawling movements sufficiently represented the joint angular profiles of limbs. MDD further delayed the development of motor function for lower limbs and mainly increased the crawling complexity of joint flexion/extension to some extent, but did not obviously change the symmetry of bilateral limbs. These results suggest that the time-varying kinematic synergy of joint angles is a potential index for objectively evaluating the abnormal inter-joint coordination affected by MDD.
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spelling doaj.art-b2477c35d0404adc9a8969853086ca1f2023-06-13T20:06:41ZengIEEEIEEE Transactions on Neural Systems and Rehabilitation Engineering1558-02102022-01-01301664167410.1109/TNSRE.2022.31809299791360Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant CrawlingLi Zhang0https://orcid.org/0000-0001-7712-2573Chun F. Deng1Yuan Liu2Lin Chen3Nong Xiao4Sheng J. Zhai5https://orcid.org/0000-0002-4219-2165Wen S. Hou6https://orcid.org/0000-0002-2201-4177Yu X. Chen7Xiao Y. Wu8Key Laboratory of Biorheological Science and Technology, Ministry of Education, Bioengineering College, Chongqing University, Chongqing, ChinaKey Laboratory of Biorheological Science and Technology, Ministry of Education, Bioengineering College, Chongqing University, Chongqing, ChinaDepartment of Rehabilitation Center Children’s Hospital, Chongqing Medical University, Chongqing, ChinaKey Laboratory of Biorheological Science and Technology, Ministry of Education, Bioengineering College, Chongqing University, Chongqing, ChinaDepartment of Rehabilitation Center Children’s Hospital, Chongqing Medical University, Chongqing, ChinaDepartment of Electrical and Computer Engineering, University of Nevada, Las Vegas, NV, USAKey Laboratory of Biorheological Science and Technology, Ministry of Education, Bioengineering College, Chongqing University, Chongqing, ChinaDepartment of Rehabilitation Center Children’s Hospital, Chongqing Medical University, Chongqing, ChinaKey Laboratory of Biorheological Science and Technology, Ministry of Education, Bioengineering College, Chongqing University, Chongqing, ChinaMotor developmental delay (MDD) usually affects the inter-joint coordination for limb movement. However, the mechanism between the abnormal inter-joint coordination and MDD is still unclear, which poses a challenge for clinical diagnosis and motor rehabilitation of MDD in infant’s early life. This study aimed to explore whether the joint activities of limbs during infant crawling are represented with kinematic synergies of joint angles, and evaluate the impacts of MDD on the inter-joint coordination using those synergies. 20 typically developing infants, 16 infants at risk of developmental delay, 11 infants at high risk of developmental delay and 13 infants with confirmed developmental delay were recruited for self-paced crawling on hands and knees. A motion capture system was employed to trace infants’ limbs in space, and angles of shoulder, elbow, hip and knee over time were computed. Kinematic synergies were derived from joint angles using principal component analysis. Sample entropy and Spearman’s rank correlation coefficients were calculated among those synergies to evaluate the crawling complexity and the symmetry of bilateral limbs, respectively. We found that the first two synergies with different contributions to the crawling movements sufficiently represented the joint angular profiles of limbs. MDD further delayed the development of motor function for lower limbs and mainly increased the crawling complexity of joint flexion/extension to some extent, but did not obviously change the symmetry of bilateral limbs. These results suggest that the time-varying kinematic synergy of joint angles is a potential index for objectively evaluating the abnormal inter-joint coordination affected by MDD.https://ieeexplore.ieee.org/document/9791360/Infant crawlingjoint angleskinematic synergiesmotor developmental delayprincipal component analysis
spellingShingle Li Zhang
Chun F. Deng
Yuan Liu
Lin Chen
Nong Xiao
Sheng J. Zhai
Wen S. Hou
Yu X. Chen
Xiao Y. Wu
Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant Crawling
IEEE Transactions on Neural Systems and Rehabilitation Engineering
Infant crawling
joint angles
kinematic synergies
motor developmental delay
principal component analysis
title Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant Crawling
title_full Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant Crawling
title_fullStr Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant Crawling
title_full_unstemmed Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant Crawling
title_short Impacts of Motor Developmental Delay on the Inter-Joint Coordination Using Kinematic Synergies of Joint Angles During Infant Crawling
title_sort impacts of motor developmental delay on the inter joint coordination using kinematic synergies of joint angles during infant crawling
topic Infant crawling
joint angles
kinematic synergies
motor developmental delay
principal component analysis
url https://ieeexplore.ieee.org/document/9791360/
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