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  • 1.
    Andersson, Gerd
    et al.
    Habiliteringscentrum, Region Västerbotten.
    Renström, Barbro
    Habiliteringscentrum, Region Västerbotten.
    Blaszczyk, Izabela
    Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Hand Surgery.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Hand Surgery. Habiliteringscentrum, Region Västerbotten.
    Upper-extremity Spasticity-reducing Treatment in Adjunct to Movement Training and Orthoses in Children with Cerebral Palsy at Gross Motor Function- and Manual Ability Classification System Levels IV-V: A Descriptive Study2019In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431Article in journal (Refereed)
    Abstract [en]

    Covering a 20-year period of work with children with severe cerebral palsy (CP) within a Swedish habilitation service, changes in passive wrist extension with fingers extended (PWE-FE) and current hand function are described and compared between children receiving systematic upper-extremity treatment with botulinum neurotoxin type A and intervention programs from before 7 years of age (Group 1, n = 7), those whom for various reasons did not undergo this treatment (Group 2, n = 10), and those not having the option to receive treatment until later during childhood/adolescence (Group 3, n = 8). Group 3 showed more critical and less normal PWE-FE values for both wrists, and poorer hand function scores, particularly compared with Group 1. Findings cautiously suggest that repeated upper-extremity spasticity-reducing treatment and movement training/orthoses from an early age may help prevent critical loss of passive range of motion of the wrist joint flexion/extension and promote hand function development in children with severe CP.

  • 2.
    Bäckström, Anna
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rosander, Kerstin
    von Hofsten, Claes
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Action planning in relation to movement performance in 6-year-old children with autism spectrum disorder2019Conference paper (Refereed)
    Abstract [en]

    Introduction: Recent research proposes problems with action planning as part of atypical motor functioning in children with autism spectrum disorder (ASD), although findings are inconsistent. This study investigated relations between action planning and movement performance in 6-year-old children with and without ASD.

    Patients and methods: 3D kinematic recordings of preferred arm/hand performance on a sequential peg rotation task with varying complexity of goal insertion (four endpoints and either visual or occluded goal display at onset) were conducted in 6 children with ASD (MAge = 6.4) and 6 typically developing (TD) controls (MAge = 6.5).

    Results: Analyses revealed significant (p < .05) group and task-endpoint differences for movement segmentation (number of movement units, MUs) and 3D movement distance. Children with ASD generally displayed more MUs and longer distances than controls and all children showed increased MUs and movement distance on more complex task-endpoints. TD controls showed significantly shorter movement initiation latency (MIL) durations than ASD in the visual condition and evidently longer MILs in the occluded than visual condition. In contrast, no difference between goal display conditions was shown for the ASD group.

    Conclusion: Children with ASD generally had longer movement distances and more segmented movements than controls, suggesting less efficient movement performance. Movement performance was not evidently affected by goal display condition in either group. However, the lack of MIL differences between goal display conditions within the ASD group indicates reduced pre-planning, possibly affecting movement execution efficiency.

  • 3.
    Dahlström, Carolin
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Nygård, Malin
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Uni- and bimanual goal-directed arm movement organization in children at 6-9 years: Effects of a preterm birth2014In: Congress Programme. 1st Clinical Movement Analysis Word Conference, 2014, p. 110-110Conference paper (Refereed)
    Abstract [en]

    INTRODUCTION and AIM

    Psychomotor deficits are more commonly reported among children born preterm (PT) than those born full-term (FT). Further, evidence exists for more covert motor problems in children born preterm at school age [1]. Such findings may be associated with a more immature spatiotemporal model of movements and lower cognitive functioning in children born PT than FT [2]. The main aim of this study was to investigate the effects of gestational age (GA) on uni- and bimanual goal-directed arm movement organization and on cognitive functioning in children at school age.

    PATIENTS/MATERIALS and METHODS

    Participants consisted of 88 children between 6-9 years of age (M = 7.7 years; 40 PT, 19 girls; 48 FT, 22 girls) without known developmental delays or deviations. Children born PT were divided into two subgroups: moderately PT (M-PT), 34-36 weeks’ gestation (GW), and very PT (V-PT), < 34 GW. Movement kinematics were examined during performance of a goal-directed task, where the participants pushed three buttons in a sequential order in two different directions (vertical or horizontal) with either the right or left hand (unimanual) and with both hands simultaneously (bimanual). Movements were recorded by a 6-camera movement registration system (240Hz, ProReflex) and the number of movement units (MUs) was derived from head, shoulders, elbow, and wrist movement velocity profiles. Cognitive function in terms of verbal IQ (VIQ) and full scale IQ (FSIQ) was measured by the Wechsler Intelligence Scale for Children, 4th edition (WISC-IV).

    RESULTS

    Overall, a significant difference between the groups regarding number of MUs and FSIQ was found. In general, children born V-PT showed more MUs compared with the FT and M-PT group. Regardless of group, a significant higher amount of MUs was found in the bimanual condition than in the unimanual, and during horizontal movement performance in comparison with vertical. Furthermore, GA was significant negatively correlated with number of MUs for right and left wrist and right elbow, and also with FSIQ.

    DISCUSSION and CONCLUSIONS

    These findings suggest that lower GAs are associated with both more segmented goal-directed arm movements as well as with lower general cognitive ability. During the more demanding tasks, i.e. bimanual and horizontal movements, this association became particularly evident, where the children born V-PT exhibited the greatest difficulties. Thus, this indicate immature spatio-temporal movement organization as a long-lasting effect of risk factors associated with a preterm birth, specifically for children born V-PT, that may be related to lower cognitive function. Further, limitations in kinematic degrees of freedom, leading to restricted amounts of solutions when solving a motor task, may also partly explain these findings.

    REFERENCES

    [1] Bracewell, M. & Marlow, N. (2002). Patterns of motor disability in very preterm children. Mental Retardation and Developmental Disabilities Research Reviews, 8(4), 241-248.

    [2] Domellöf, E., Johansson, A-M., Farooqi, A., Domellöf M. & Rönnqvist, L. (2013). Relations among upper-limb movement organization and cognitive function at school age in children born preterm. Journal of Developmental & Behavioral Pediatrics, 34(5), 344-352.

  • 4.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Development of functional asymmetries in young infants: A sensory-motor approach2006Doctoral thesis, comprehensive summary (Other academic)
    Abstract [en]

    Human functional laterality, typically involving a right-sided preference in most sensory-motor activities, is still a poorly understood issue. This is perhaps particularly true in terms of what underlying mechanisms that may govern lateral biases, as well as the developmental origins and course of events. The present thesis aims at investigating functional asymmetries in the upper and lower body movements of young human infants. In Study I, the presence of side biases in the stepping and placing responses and head turning in healthy fullterm newborns were explored. No evident lateral bias for the leg responses in terms of the first foot moved or direction of head turning was found. However, a lateral bias was revealed for onset latency in relation to the first foot moved in both stepping and placing. Asymmetries in head turning did not correspond to asymmetries in leg movements. In Study II, functional asymmetries in the stepping response of newborn infants were investigated in more detail by means of 3-D kinematic movement registration. Evident side differences were found in relation to smoother movement trajectories of the right leg by means of less movement segmentation compared to the left leg. Side differences were also found in relation to intralimb coordination in terms of stronger ankle-knee couplings and smaller phase shifts in the right leg than the left. In Study III, using the same movement registration technique, the kinematics of left and right arm movements during goal-directed reaching in infants were prospectively studied over the ages 6, 9, 12, and 36 months. Main findings included side differences and developmental trends related to the segmentation of the reaching movements and the reaching trajectory, as well as the distribution of arm-hand-use frequency. The results from Study I and II are discussed in relation to underlying neural mechanisms for lateral biases in leg movements and the important role of a thorough methodology in investigating newborn responses. Findings from Study III are discussed in terms of what they imply about the developmental origins for hand preference. An emphasis is also put on developmental differences between fullterm and preterm infants. Overall, the studies of the present thesis show that an increased understanding of subtle expressions of early functional asymmetries in the upper and lower body movements of young infants may be gained by means of refined measurements. Furthermore, such knowledge may provide an insight into the underlying neural mechanisms subserving asymmetries in the movements of young infants. The present studies also add new information to the current understanding of the development of human lateralized functions, in particular the findings derived from the longitudinal data. Apart from theoretical implications, the present thesis also involves a discussion with regard to the clinical relevance of investigating functional asymmetries in the movements of young infants.

  • 5.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Stepping, placing and headturning biases in newborn infants: A neurodevelopmental perspective2004Licentiate thesis, comprehensive summary (Other academic)
    Abstract [en]

    In the present thesis the stepping, placing and head turning responses in healthy humanfullterm newborns are investigated. The main focus is put on a study of these newbornresponses in relation to functional asymmetries, while at the same time exploring anddiscussing different factors that possibly can affect the outcome of such studies. Study I aims to examine one such factor in relation to underlying mechanisms controlling leg movements in focusing on the effects of glucose on newborn stepping and placing responses. The results revealed that glucose, as well as an inactive state, resulted in less pronounced stepping responses and difficulties in eliciting them. There was also a tendency towards a similar finding for placing in that both glucose and an inactive state were associated with a less vigorous placing response, although this could not be proved significant. However, there was no effect of glucose on expressions of laterality in either ofthe responses studied. A theoretical debate in progress concerns whether different newborn functional asymmetries can be said representing a single neural system for lateralization or multiple sub-systems rooted in different neural mechanisms (Grattan, De Vos, Levy, & McClintock, 1992). In order to look closer at this issue in relation to newborn head- and leg preferences, Study II was designed to investigate the presence of side biases in newbornstepping and placing responses (lower-body), together with head turning preference (upperbody), and whether observed lateral biases of the upper- and lower body are congruent with each other. No evident lateral bias could be found for either response in terms of the first foot moved or direction of head turning. Furthermore, asymmetries in head turning did not correspond to asymmetries in leg movements, in support for multiple sub-systemsrather than a single lateralized system. However, a lateral bias was found for onset latency in relation to the first foot moved in both stepping and placing. The findings are discussed in relation to underlying neural mechanisms for lateral biases in leg movements and the important role of a thorough methodology in investigating newborn responses.

  • 6.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Barbu-Roth, Marianne
    Laboratoire Psychologie de la Perception, Centre National de la Recherche Scientifique-Université Paris Descartes, Paris, France.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Jacquet, Anne-Yvonne
    Laboratoire Psychologie de la Perception, Centre National de la Recherche Scientifique-Université Paris Descartes, Paris, France.
    Fagard, Jacqueline
    Laboratoire Psychologie de la Perception, Centre National de la Recherche Scientifique-Université Paris Descartes, Paris, France.
    Infant manual performance during reaching and grasping for objects moving in depth2015In: Frontiers in Psychology, ISSN 1664-1078, E-ISSN 1664-1078, Vol. 6, article id 1142Article in journal (Refereed)
    Abstract [en]

    Few studies have investigated manual performance in infants when reaching and grasping for objects moving in directions other than across the fronto-parallel plane. The present preliminary study explored object-oriented behavioral strategies and side preference in 8- and 10-month-old infants during reaching and grasping for objects approaching in depth from three positions (midline, and 27° diagonally from the left and right). Effects of task constraint by using objects of three different types and two sizes were further examined for behavioral strategies and hand opening prior to grasping. Additionally, assessments of hand preference by a dedicated handedness test were performed. Regardless of object starting position, the 8-month-old infants predominantly displayed right-handed reaches for objects approaching in depth. In contrast, the older infants showed more varied strategies and performed more ipsilateral reaches in correspondence with the side of the approaching object. Conversely, 10-month-old infants were more successful than the younger infants in grasping the objects, independent of object starting position. The findings regarding infant hand use strategies when reaching and grasping for objects moving in depth are similar to those from earlier studies using objects moving along a horizontal path. Still, initiation times of reaching onset were generally long in the present study, indicating that the object motion paths seemingly affected how the infants perceived the intrinsic properties and spatial locations of the objects, possibly with an effect on motor planning. Findings are further discussed in relation to future investigations of infant reaching and grasping for objects approaching in depth.

  • 7.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Bäckström, Anna
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rosander, Kerstin
    Institutionen för psykologi, Uppsala universitet.
    von Hofsten, Claes
    Institutionen för psykologi, Uppsala universitet.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Sequential upper-limb action planning in children with autism spectrum disorder: a kinematic pilot study2018In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 60 (Suppl. 2), p. 34-34, article id 10.1111/dmcn.13790Article in journal (Refereed)
    Abstract [en]

    Introduction: Recent research on sensory-motor skill in children with autism spectrum disorder (ASD) suggest that problems with planning sequential actions may explain difficulties with motor execution in this population. The present pilot study investigated upper-limb movement kinematics during a goal-directed manual task requiring sequential action planning in children with and without ASD at 6-7 years.

    Patients and method: 3D kinematic recordings of performance with the preferred arm/hand during a sequential peg moving task with varying complexity of goal insertion (five endpoint conditions, open/revealed goal presentation) were carried out in 3 children with ASD (2 girls, mean age 6.3 years) and 3 typically developing children (3 girls, mean age 7 years). End state comfort and trial errors were also assessed.

    Results: Preliminary analyses of whole movement spatiotemporal segmentation (movement units, MUs) at trial level revealed significant main effects for group and endpoint condition. Overall, children with ASD consistently performed less proficiently (more MUs) than controls for all conditions across hand/arm and head. Independent of group, all children displayed increased MUs for the more complex endpoints. Children with ASD also showed evidently poorer planning behavior (less end state comfort and increased trial errors) than controls.

    Conclusion: Findings suggest difficulties with sequential movement planning in children with ASD in terms of suboptimal movement organization together with reduced end state comfort and inaccurate goal interpretations. In contrast to controls, children with ASD did not seem to have planned the onward action prior to action execution, contributing to the observed less proficient movement kinematics.

  • 8.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Bäckström, Anna
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    von Hofsten, Claes
    Department of Psychology, Uppsala University.
    Rosander, Kerstin
    Department of Psychology, Uppsala University.
    Kinematic characteristics of second‐order motor planning and performance in 6‐ and 10‐year‐old children and adults: Effects of age and task constraints2019In: Developmental Psychobiology, ISSN 0012-1630, E-ISSN 1098-2302Article in journal (Refereed)
    Abstract [en]

    This study explored age‐related differences in motor planning as expressed in arm‐hand kinematics during a sequential peg moving task with varying demands on goal insertion complexity (second‐order planning). The peg was a vertical cylinder with either a circular or semicircular base. The task was to transport the peg between two positions and rotate it various amounts horizontally before fitting into its final position. The amount of rotation required was either 0°, 90°, 180°, or −90°. The reaching for the peg, the displacement of it, and the way the rotation was accomplished was analyzed. Assessments of end state comfort, goal interpretation errors, and type of grip used were also included. Participants were two groups of typically developing children, one younger (Mage = 6.7 years) and one older (Mage = 10.3 years), and one adult group (Mage = 34.9 years). The children, particularly 6‐year‐olds, displayed less efficient prehensile movement organization than adults. Related to less efficient motor planning, 6‐year‐olds, mainly, had shorter reach‐to‐grasp onset latencies, higher velocities, and shorter time to peak velocities, and longer grasp durations than adults. Importantly, the adults rotated the peg during transport. In contrast, the children made corrective rotations after the hand had arrived at the goal.

  • 9.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Eriksson, Malin
    Wärvik, Maja
    Gender differences in needs, received interventions and realization of individual goals in the rehabilitation of children with high-functioning autism spectrum disorder2016Conference paper (Refereed)
  • 10.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Fagard, J.
    Laboratoire psychologie de la Perception,Université Paris Descartes, Paris, France.
    Jacquet, A.-Y.
    Laboratoire Psychologie de la Perception (CNRS UMR 8158), Université Paris Descartes, Paris, France.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Goal-directed arm movements in children with fetal alcohol syndrome: a kinematic approach2011In: European Journal of Neurology, ISSN 1351-5101, E-ISSN 1468-1331, Vol. 18, no 2, p. 312-320Article in journal (Refereed)
    Abstract [en]

    Background: Although many studies have documented deficits in general motor functioning in children with fetal alcohol syndrome (FAS), few have employed detailed measurements to explore the specific nature of such disabilities. This pilot study explores whether three-dimensional (3D) kinematic analysis may generate increased knowledge of the effect of intrauterine alcohol exposure on motor control processes by detecting atypical upper-limb movement pattern specificity in children with FAS relative to typically developing (TD) children. 

    Methods: Left and right arm and head movements during a sequential unimanual goal-directed precision task in a sample of children with FAS and in TD children were registered by an optoelectronic tracking system (ProReflex, Qualisys Inc.). 

    Results: Children with FAS demonstrated evidently poorer task performance compared with TD children. Additionally, analyses of arm movement kinematics revealed atypical spatio-temporal organization in the children with FAS. In general, they exhibited longer arm movement trajectories at both the proximal and distal level, faster velocities at the proximal level but slower at the distal level, and more segmented distal movements. Children with FAS also showed atypically augmented and fast head movements during the task performance. 

    Conclusions: Findings indicate neuromotor deficits and developmental delay in goaldirected arm movements because of prenatal alcohol exposure. It is suggested that 3D kinematic analysis is a valid technique for furthering the understanding of motor control processes in children with FAS/fetal alcohol spectrum disorders. A combination with relevant neuroimaging techniques in future studies would enable a more clear-cut interpretation of how atypical movement patterns relate to underlying brain abnormalities.

  • 11.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Fagard, J
    Laboratoire Psychologie de la Perception, CNRS-Université Paris, Paris, France.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Kinematic measurment of goal-directed arm movements in children with fetal alcohol syndrome: A preliminary study2008In: Developmental medicine and child neurology, 50:  (Suppl. 114) 31-32 (posterabstract), Zagreb, Croatia: The 20th Annual Meeting of the EACD , 2008, p. 31-32Conference paper (Other academic)
  • 12.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Fagard, Jacqueline
    Labratoire Psychologie de la Perception, CNRS-Université Paris, Paris, France.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Kinematic measurement of goal-directed arm movements in children with fetal alcohol syndrome: A preliminary study2008In: Developmental Medicine and Child Neurology, 50 (Suppl. 114), Kroatien 5-7 juni, 2008, Wiley Online Library , 2008, p. 31-32Conference paper (Refereed)
    Abstract [en]

    Objective: Inadequate nutritional status can lead to several preventable developmental disorders. Populations living at high altitude are particularly at risk. Our aim is to contribute to the general knowledge of nutritional status of children in Ladakh.

    Method: Review of the literature concerning nutritional status in micronutrients, especially among children living in the Himalayan regions.

    Results: Iodine deficiency is the most common cause in the world of preventable learning disability*. Although the extension of severe endemic areas has been reduced, it is estimated that around 200 million people in the world are still living in remote places at risk of severe iodine deficiency. A recent survey in the ‘sub-Himalayan goiter belt’ indicates that iodine deficiency continues to threaten the health of this population.

    Studies in the Kashmir Valley found that, despite abundant sunlight, vitamin D deficiency is highly prevalent. Vitamin A deficiency (VAD) is a well-known cause of child morbidity and mortality and of visual defect. In India, 52,000 children go blind every year on account of VAD, and vitamin A supplementation programs are ongoing. VAD and iodine deficiency disorders (IDD) often coexist in vulnerable groups. In Africa it was shown that in IDD- and VAD-affected children receiving iodized salt and concurrent vitamin A supplementation improves iodine efficacy. In the Tibet Autonomous Region the nutritional status of children is deficient in proteins, iodine, selenium, calcium, and vitamins A and D. Interaction between iron and VAD is well known as well.

    Conclusions: To our knowledge, data concerning nutritional status of children living in Ladakh are lacking. Micronutrient deficiency is a public health concern that has lead to supplementation programmes. As interactions between several micronutrients have been evidenced, more integrated, multifaceted programmes are needed. Despite significant progress in many regions, continuing efforts are needed to reach underserved populations.

  • 13.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology. Kolbäcken Child Rehabilitation Centre, Umeå, Sweden .
    Hedlund, Ludmilla
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Ödman, Pia
    Avd för sjukgymnastik, Institutionen för medicin och hälsa, Linköpings universitet.
    Health-related quality of life of children and adolescents with functional disabilities in a northern Swedish county2014In: Quality of Life Research, ISSN 0962-9343, E-ISSN 1573-2649, Vol. 23, no 6, p. 1877-1882Article in journal (Refereed)
    Abstract [en]

    PURPOSE: Health-related quality of life (HRQoL) studies in children and adolescents with disabilities tend to report lower self-reported health than in the typical population. However, reports are not always consistent and HRQoL appears to vary depending on diagnosis, cultural setting and clinical context. The aim of this study was to explore HRQoL in children and adolescents with various disabilities in Västerbotten County, Sweden.

    METHODS: A total of 175 children and adolescents [57 girls, 118 boys; mean age 11.7 years (range 7-17 years)] divided into four different diagnostic groups (intellectual disabilities, autism spectrum disorders, movement disorders and hearing disabilities) participated in the study. The EuroQol Five Dimensions Health Questionnaire, Youth version (EQ-5D-Y) was used as HRQoL measure.

    RESULTS: Significant differences in various EQ-5D-Y dimensions between the different diagnostic groups were found, but no differences in overall health status. HRQoL in children and adolescents with hearing disabilities was found similar to the typical child population in Sweden whereas children and adolescents with other diagnoses reported evidently more problems.

    CONCLUSIONS: Findings suggest that there is an increased risk for children with functional disabilities other than hearing disabilities in northern Sweden to experience difficulties in various health domains and lowered general health.

  • 14.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Hopkins, Brian
    Lancaster University and Norwegian University of Science and Technology.
    Francis, Brian
    Lancaster University and Norwegian University of Science and Technology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Effects of finger on the kinematics of reaching movements in young children and adults2007In: Journal of Applied Biomechanics, ISSN 1065-8483, E-ISSN 1543-2688, Vol. 23, p. 315-321Article in journal (Refereed)
  • 15.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Hopkins, Brian
    Department of Psychology, Lancaster University, Lancaster, UK.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Glucose effects on stepping and placing responses in newborn infants2003In: European Journal of Pediatrics, ISSN 0340-6199, E-ISSN 1432-1076, Vol. 162, p. 545-547Article in journal (Refereed)
  • 16.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Hopkins, Brian
    Department of Psychology, Lancaster, University, Lancaster, UK .
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Upper and lower body functional asymmetries in the newborn: do they have the same lateral biases?2005In: Developmental Psychobiology, ISSN 0012-1630, E-ISSN 1098-2302, Vol. 46, no 2, p. 133-140Article in journal (Refereed)
    Abstract [en]

    It is still an open question as to whether functional asymmetries in the human newborn derive from a single lateralized system or multiple subsystems based on different neural mechanisms. In the present study, asymmetries in head turning were compared to those in leg movements during stepping and placing, with the latter also being related to differences in leg mass. The effects of an active versus an inactive state or condition were examined for all three behaviors. No overall lateral biases were found for head turning or for the first foot to move in stepping and placing, and there were no concordances among them; however, there was an asymmetry in that the left foot had a shorter onset latency when compared to the right foot for both stepping and placing. Findings are discussed in terms of what they imply about underlying neural systems that have a bearing on expressions of newborn laterality, and also with regard to the impact of methodological differences in this area of study.

  • 17.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Farooqi, Aijaz
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Domellöf, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Improved fine motor performance in children born preterm: a longitudinal study of upper-limb kinematics from 4 to 8 years2015Conference paper (Refereed)
    Abstract [en]

    Introduction:

    Although children born preterm (PT) are at known risk for impaired neuromotor development, longitudinal studies using detailed measurements of motor performance are rare. This study investigated developmental changes in goal-directed upper-limb kinematics from 4-8 years old in a sample of children born fullterm (FT) and PT without known developmental disabilities.

    Participants and Methods:

    3D kinematic recordings of performance with either arm/hand during a goal-directed unimanual precision task were carried out at 4 and 8 years in 37 children (13 very PT, V-PT, < 32 GW; 5 moderately PT, M-PT, 33-35 GW; 19 FT).

    Results:

    Repeated measures ANOVA revealed significant main effects for group and occasion, and interaction effects between group and occasion, for distal movement duration (p < .0001) and segmentation in terms of movement units (MUs, p < .0001). From initially having displayed less proficient movement organization at 4 years than both children born FT and M-PT, the children born V-PT showed a marked catch-up at 8 years, where no significant group differences remained. The mean between-occasion difference was substantial for both duration and segmentation in V-PT relative the other groups, although with noticeably higher within-group variability (MSD = 1.2 s/7.8 MUs) than M-PT (MSD = 0.5 s/2.5 MUs) and FT (MSD = 0.5 s/4.2 MUs).

    Conclusion:

    The children born PT, V-PT in particular, generally displayed a considerable gain in fine motor performance from preschool to school age. Compared with the FT and M-PT groups, however, the rate of improvement appears more heterogeneous in the V-PT group

  • 18.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology. Research and Development Unit, Kolbäcken Child Rehabilitation Centre, Umeå, Sweden.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Farooqi, Aijaz
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Domellöf, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Relations Among Upper-Limb Movement Organization and Cognitive Function at School Age in Children Born Preterm2013In: Journal of Developmental and Behavioral Pediatrics, ISSN 0196-206X, E-ISSN 1536-7312, Vol. 34, no 5, p. 344-352Article in journal (Refereed)
    Abstract [en]

    Objective: To explore relations between aspects of upper-body spatiotemporal movement organization and intelligence in children born preterm at school age.

    Methods: Three-dimensional (3D) kinematic recordings of arm and head movements during a unimanual precision task were related to performance on the Wechsler Intelligence Scale for Children, 4th edition, in a sample of 32 children born preterm (gestational age, mean: 31.5 weeks [range: 22-35 weeks]; birth weight, mean: 1699 g [range: 404-2962 g]) at 6 years to 8 years with no diagnosed cognitive, sensory, or motor impairments compared with 40 age-matched control children born fullterm.

    Results: In the children born preterm, upper-limb movement duration and segmentation of movement trajectories were significantly associated with full-scale intelligence quotient independent of gestational age (GA) and sex. These effects pertained to the preferred side, characterized by more effective movement organization being linked with increased intelligence scores. The same relations were not seen in the controls. Within the children born preterm, a significant effect of GA was also found for some aspects of upper-limb movement organization. Full-scale intelligence quotient was within normal limits for both groups but significantly lower in the preterm (mean: 94.5 [range: 72-120]) compared with the fullterm (mean: 101.7 [range: 76-119]) born children.

    Conclusions: The findings demonstrate that, independent of GA, the spatiotemporal organization of upper-limb movements is partly associated with cognitive performance in children born preterm.

  • 19.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Brain findings in relation to cognitive outcomes in preterm children at school age2012In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 54, p. 33-34Article in journal (Refereed)
    Abstract [en]

    OBJECTIVES: To explore whether brain volumes in ex-preterm born children at school age relates to their cognitive abilities.

    BACKGROUND: It is well established that a preterm birth is associated with an increased risk for cognitive deficits that often remain undetected until school age. Such deficits are likely caused by an atypical neurodevelopment. There is, however, relatively little known about the characterization of the preterm born children’s brain in relation to long-term cognitive performance.

    METHODS: A sample of preterm children (n = 32) and typically developing fullterm children (n = 38) at 7-8-years underwent 3-Tesla magnetic resonance imaging (MRI) with additional synthetic MR for extraction of brain tissue. MR-findings were related to performance on the Wechsler Intelligence Scale for Children, 4th edition (WISC-IV).

    RESULTS: The preterm children performed significantly poorer than fullterm peers on the WISC-IV in terms of total IQ (M = 95.1 and 103.5, respectively) and other measures. Overall, the total brain volume was positively correlated with general cognitive ability (total IQ). Additionally, a significant relation between grey matter (GM) and IQ was found for the preterm children. However, no association between white matter (WM) and IQ was found.

    CONCLUSIONS: Even in a small sample of school-aged children with a history of birth comparatively close to term it was possible to detect a link between atypical brain volumes and cognitive functioning. The nature of these associations is discussed in terms of how GM and WM may contribute to long-term cognition deficits associated with a preterm birth.

  • 20.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Developmental progression and side specialization in upper-limb movements from 4 to 8 years in children born preterm and fullterm2018In: Developmental Neuropsychology, ISSN 8756-5641, E-ISSN 1532-6942, Vol. 43, no 3, p. 219-234Article in journal (Refereed)
    Abstract [en]

    This study investigated developmental changes and differences in upper-limb movement organization from 4 to 8 years of age in children born preterm (PT) and fullterm (FT). Kinematic recordings of precision-demanding unimanual movements and lateral assessments were carried out in 37 children (18 PT). All children, particularly children born PT, displayed considerable gain in movement kinematics. Contrary to controls, children born PT displayed persistently less-evident side preference. Gestational age (GA) contributed significantly to kinematic differences shown, with larger upper-limb deviances in the lowest GAs, in agreement with cross-sectional findings of altered hemispheric connections and delayed side-specialization among children born very PT.

  • 21.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Existence of functional asymmetries in arm movements of preterm born children at 6 to 8 years old2010In: Developmental Medicine and Child Neurology, 52 (Suppl. 4) Brussels, Belgium May 27-29, 2010, Wiley-Blackwell, 2010, p. 31-31Conference paper (Refereed)
  • 22.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Handedness in preterm born children: a systematic review and a meta-analysis2011In: Neuropsychologia, ISSN 0028-3932, E-ISSN 1873-3514, Vol. 49, no 9, p. 2299-2310Article in journal (Refereed)
    Abstract [en]

    It has been proposed that left and/or non-right handedness (NRH) is over-represented in children with a history of preterm birth because such births are associated with a greater incidence of insult to the brain. We report an approximate two-fold increase in left and/or non-right handedness based on a systematic search of the literature from 1980 to September 2010 for English-language articles reporting handedness status in preterm children compared with fullterm controls either as a main focus of the study or as a secondary finding. In total, thirty articles met the inclusion criteria. However, there was a great variation between the included studies in terms of objectives, population characteristics, sample size and methodologies used. While the majority of studies reported a higher incidence of NRH in preterm than fullterm children, this was not a consistent finding. A quality assessment was made to explore the differences in overall study quality and handedness assessment methodology between studies. A random-effects model meta-analysis was then performed to estimate the accumulated effect of preterm birth on handedness (18 studies; 1947 cases and 8170 controls). Preterm children displayed a significantly higher occurrence of NRH than fullterm children (odds ratio [OR]: 2.12; 95% confidence interval [CI]: 1.59–2.78). Sources of heterogeneity were investigated by supplementary meta-analyses considering studies with high or low overall and handedness assessment quality. Publication bias was assessed by Egger’s test of the intercept and Duvall and Tweedie’s trim-and-fill method. The outcomes of these procedures did not jeopardize the overall finding of reliably increased OR for NRH in preterm children. The present review suggests that a preterm birth is indeed associated with a greater than two-fold likelihood of NRH. Several studies also explored the relationship between handedness and neuropsychological functioning (cognition mainly) with an array of methods. Although not without disagreement, this association was found to be concordant. Studying handedness in preterm children, therefore, is a potentially important index of hemispheric organization and cognitive and sensory–motor functions following neurodevelopmental disturbance.

  • 23.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Relationen mellan sensomotorisk funktion, kognitiv nivå och neurobiologisk utveckling hos barn som fötts för tidigt2013In: Svensk Neuropsykologi: Medlemstidning för Sveriges Neuropsykologiska Förening, ISSN 1402-6945, Vol. 25, no 3, p. 25-30Article, review/survey (Other academic)
  • 24.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology. Kolbäcken Child Rehabilitation Centre, Umeå, Sweden.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Relations between cognitive performance and movement organization in preterm children at 6 to 8 years old2011In: Developmental Medicine and Child Neurology, 53 (Suppl. s3), Wiley-Blackwell, 2011, p. 45-45Conference paper (Refereed)
    Abstract [en]

    Objectives: To explore the relations between cognitive performance and spatio-temporal organization of upper-body movements in preterm children at school age compared with full-term peers.

    Background: Neuromotor disabilities and lowered cognitive performance are frequently reported in school-aged preterm children. A few studies have also reported associations between intelligence and motor skill outcomes in this population as assessed by standardized test batteries. At present, however, there is no knowledge of how measures of intelligence relate to more refined measurements of movement quality in preterm children.

    Design/Method: In the present study, performance on the Wechsler Intelligence Scale for Children, 4th edition (WISC-IV) was related to optoelectronic registrations (ProReflex, Qualisys Inc.) of arm movement performance during a unimanual precision task in a sample of preterm children at 6 to 8 years (n=31) compared with typically developing full-term children (n=36).

    Results: A significant group effect was revealed for Fullscale IQ, indicating poorer overall performance on the WISC-IV by preterm (mean 95.1) than full-term (mean 103.5) participants. The same pattern was apparent for both the Verbal and Performance indexes and the majority of the sub-tests. Correlation analyses were performed to test the associations between cognitive performance and spatiotemporal movement parameters. Several findings emerged from this procedure and will be presented, including significant relations between Full-scale IQ and movement segmentation at both the proximal and distal level in preterm but not full-term participants.

    Conclusions: Measures of WISC-IV appear significantly associated with kinematic outcome measures in schoolaged preterm children in terms of better cognitive performance being linked with better movement organization. The same associations were not seen in the age- and sexmatched full-term group. This type of investigation adds to the understanding of relations between cognitive and motor performance in the context of movement organization, coordination, and control depending on birth history.

  • 25.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Language as the key for understanding, hemispheric asymmetry2006In: Svensk Neuropsykologi, ISSN 1402-6945, Vol. 18, no 2-3, p. 8-9Article in journal (Other academic)
  • 26.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Lessons from the infant laboratory: The right-arm theory2006In: Svensk Neuropsykologi, ISSN 1402-6945, Vol. 18, no 2-3, p. 10-11Article in journal (Other academic)
  • 27.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Perspectives on laterality: A brief introduction2006In: Svensk Neuropsykologi, ISSN 1402-6, Vol. 18, no 2-3, p. 6-7Article in journal (Other academic)
  • 28.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Hopkins, Brian
    Functional asymmetries in the stepping response of the human newborn: a kinematic approach2007In: Experimental Brain Research, ISSN 0014-4819, E-ISSN 1432-1106, Vol. 177, no 3, p. 324-335Article in journal (Refereed)
    Abstract [en]

    In order to investigate subtle expressions of functional asymmetries in newborn leg movements, kinematic registrations were made on a sample of 40 healthy fullterm newborn infants during performance of the stepping response. Time–position data were collected from markers attached to the hip, knee and ankle joints of the left and right leg, and movements of both legs recorded simultaneously. Findings included evident side differences in terms of smoother trajectories of the right leg as a consequence of less movement segmentation compared to the left leg. Additionally, analyses of intralimb coordination revealed side differences with regard to stronger ankle–knee couplings and smaller phase shifts in the right leg. The findings suggest that asymmetries in newborn stepping responses are present in terms of spatio-temporal parameters and intralimb coordination. No evidence of a lateral preference in terms of frequency of the first foot moved was found. The present study adds new understanding to the lateralized attributes of the stepping response in the human newborn and as such points to new directions of research on the nature of laterality in the future.

  • 29.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Titran, Maurice
    Centre Hospitalier de Roubaix (CAMSP), Roubaix, France.
    Esseily, Rana
    Laboratoire Psychologie de la Perception (CNRS UMR 8158), Université Paris Descartes, Paris, France.
    Fagard, Jacqueline
    Laboratoire Psychologie de la Perception (CNRS UMR 8158), Université Paris Descartes, Paris, France.
    Atypical functional lateralization in children with fetal alcohol syndrome2009In: Developmental Psychobiology, ISSN 0012-1630, E-ISSN 1098-2302, Vol. 51, no 8, p. 696-705Article in journal (Refereed)
    Abstract [en]

    In order to explore effects of prenatal alcohol exposure on functional lateralization, item tasks measuring preferences of hand, foot, eye, and ear were administered to a sample of 23 children diagnosed with fetal alcohol syndrome (FAS) compared with typically developing (TD) children. In addition, a dichotic listening task was administered to a subsample of 11 children with FAS and a TD group of comparable age, sex and handedness. The children with FAS were characterized by increased nonright-handedness compared with TD children. No differences were evident for preferential use of foot, eye, or ear. Moreover, children with FAS displayed more right ear extinctions during dichotic listening relative to TD children, indicating a lack of right ear advantage. The results add to findings of decreased manual asymmetry and less left-lateralized speech perception in children with developmental disorders, and are further discussed in relation to the high incidence of callosal abnormalities in alcohol-exposed children.

  • 30.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rösblad, Birgit
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Impairment severity selectively affects the control of proximaland distal components of reaching movements in children with hemiplegic cerebral palsy2009In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 51, no 10, p. 807-816Article in journal (Refereed)
    Abstract [en]

    This study explored proximal-to-distal components during goal-directed reaching movements in children with mild or moderate hemiplegic cerebral palsy (HCP); [seven females, fourmales;mean age 8y 6mo; SD 27mo], compared with age-matched, typically developing children (seven females, fivemales; mean age 8y 3mo [SD 25mo]. Severity of HCP was assessed following the approach of Claeys et al. Optoelectronic registrations were made during unimanual reaching-to-grasp and reaching-to-hit movements with both the affected non-preferred and unaffected with HCP, particularly those withmoderate impairment, displayed less optimal spatiotemporal organization of movements performed with the affected arm. Compared with the goal to hit, and increasingly with more severe impairment, children with HCP adapted to the goal to grasp by recruiting augmented shoulder movements when reaching with the affected side. A resulting impact on distal kinematics was found in shorter, straighter, and less segmentedmovement paths. Thus, depending on severity of hemispheric lesions and task complexity, unilateral brain injuries in HCPmay selectively affect neural pathways underlying both proximal and distal arm movement control. Levels of both ipsi- and  ontralateral activation in relation to side and lesion severity should be considered in future studies on prehension movements in HCP.

  • 31.
    Domellöf, Erik
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Timby, Niklas
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Domellöf, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Lönnerdal, Bo
    Department of Nutrition, University of California, Davis, USA.
    Hernell, Olle
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Formula feeding supplemented with milk fat globule membranes  improves cognitive score in term infants at 12 months2013In: Developmental Medicine & Child Neurology, 55 (Suppl. S2): Abstracts of the European Academy of Childhood Disability 25th Annual Meeting, 10-12 October 2013, Newcastle-Gateshead, UK, Mac Keith Press , 2013, p. 50-50Conference paper (Refereed)
    Abstract [en]

    Introduction: Findings of enhanced cognitive development in breast‐fed compared with formula‐fed infants suggest that breast milk contains neurodevelopmentally beneficial components. Animal studies report positive behavioral effects of supplementation with components included in the bovine milkfat globule membrane fraction (MFGM). Behavioral effects of MFGM supplemented formula in human infants have not been studied. This study tested the hypothesis that infants fed an experimental formula (EF) supplemented with a bovine MFGM fraction would display a more favorable neurofunctional development than infants fed a standard formula (SF) at 12 months.

    Participants and Methods: Healthy term formula‐fed infants (n = 160) and a breast‐fed reference (BFR) group (n = 80) were included in a prospective double blind randomized trial before 2 months of age. Formula‐fed infants were randomized to receive EF or SF from inclusion until 6 months. At 12 months, cognitive, motor and verbal functions were tested using the Bayley Scales of Infant and Toddler Development‐III.

    Results: The cognitive score was significantly higher in the EF (105.8 ± 9.2) than SF (101.8 ± 8.0) group, but equal between the EF and BFR groups. No differences were found in motor or verbal score between the formula groups. The BFR group displayed higher verbal but not motor scores than the formula groups.

    Conclusion: In keeping with the hypothesis, feeding infants MFGM supplemented formula resulted in improved cognitive function at 12 months compared with a standard formula. The difference in cognitive score between the EF and SF groups is compliant with calculated differences between formula‐fed and breast‐fed infants in previous studies.

  • 32.
    Fagard, Jacqueline
    et al.
    Laboratoire Psychologie de la Perception (CNRS UMR 8158), Université Paris Descartes, Centre Biomédical des Saints Pères, 45 rue des Sts Pères, 75006 Paris, France.
    Sacco, Silvia
    Laboratoire Psychologie de la Perception (CNRS UMR 8158), Université Paris Descartes, Centre Biomédical des Saints Pères, 45 rue des Sts Pères, 75006 Paris, France.
    Yvenou, Chantal
    Hôpital Sud Rennes, Maternité, 16 Boulevard de Bulgarie, 35203 Rennes Cedex 2, France.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Kieffer, Virginie
    Institut Gustave Roussy, Département de cancérologie de l’enfant et de l’adolescent, 39 rue Camille Desmoulins, 94805 Villejuif, France.
    Tordjman, Sylvie
    Laboratoire Psychologie de la Perception (CNRS UMR 8158), Université Paris Descartes, Centre Biomédical des Saints Pères, 45 rue des Sts Pères, 75006 Paris, France.
    Moutard, Marie-Laure
    Hôpital Armand Trousseau, Service de Neuropédiatrie, 26, avenue du Docteur Arnold-Netter, 75012 Paris, France.
    Mamassian, Pascal
    Laboratoire Psychologie de la Perception (CNRS UMR 8158), Université Paris Descartes, Centre Biomédical des Saints Pères, 45 rue des Sts Pères, 75006 Paris, France.
    The role of the corpus callosum in the perception of reversible figures in children2008In: Vision Research, ISSN 0042-6989, E-ISSN 1878-5646, Vol. 48, p. 2451-2455Article in journal (Refereed)
    Abstract [en]

    To test the role of interhemispheric competition through the corpus callosum in the perceptual alternation of reversible figures, we compared children with callosal pathology and typically developing children on a bistable stimulus task. The children with corpus callosum pathology reported significantly less changes of percepts per minute than the age-matched typically developing children. In addition, older typically developing children reported significantly more changes of percepts than the younger ones. These results support the hypothesis that the rate of reversal between two interpretations of a bistable stimulus may be partly mediated by the corpus callosum.

  • 33.
    Ferronato, Priscilla A. M.
    et al.
    Department of Pedagogy of Human Movement, São Paulo University, São Paulo, Brazil and Physical Education Course, Institute of Health Sciences, Paulista University, São Paulo, Brazil.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Early influence of auditory stimuli on upper-limb movements in young human infants: an overview2014In: Frontiers in Psychology, ISSN 1664-1078, E-ISSN 1664-1078, Vol. 5, no 1043Article, review/survey (Refereed)
    Abstract [en]

    Given that the auditory system is rather well developed at the end of the third trimester of pregnancy, it is likely that couplings between acoustics and motor activity can be integrated as early as at the beginning of postnatal life. The aim of the present mini-review was to summarize and discuss studies on earlyauditory-motor integration, focusing particularly on upper-limb movements (one of the most crucial means to interact with the environment) in association with auditory stimuli, to develop further understanding of their significance with regard to early infant development. Many studies have investigated the relationship between various infant behaviors (e.g., sucking, visual fixation,head turning) and auditory stimuli, and established that human infants can beobserved displaying couplings between action and environmental sensory stimulation already from just after birth, clearly indicating a propensity forintentional behavior. Surprisingly few studies, however, have investigated the associations between upper-limb movements and different auditory stimuli in newborns and young infants, infants born at risk for developmental disorders/delays in particular. Findings from studies of early auditory-motor interaction support that the developing integration of sensory and motor systems is a fundamental part of the process guiding the development of goal-directed action in infancy, of great importance for continued motor, perceptual, and cognitive development. At-risk infants (e.g., those bornpreterm) may display increasing central auditory processing disorders,negatively affecting early sensory-motor integration, and resulting inlong-term consequences on gesturing, language development, and social communication. Consequently, there is a need for more studies on such implications.

  • 34. Hansson, Anita
    et al.
    Hansson, Lina
    Danielsson, Ingela
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Obstetrics and Gynaecology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Short- and Long-Term Effects of Child Neuropsychological Assessment With a Collaborative and Therapeutic Approach: A Preliminary Study2016In: Applied neuropsychology. Child, ISSN 2162-2965, Vol. 5, no 2, p. 97-106Article in journal (Refereed)
    Abstract [en]

    This preliminary study explored if a collaborative and therapeutic approach (CTA) could reduce self-reported psychiatric symptoms (Beck Youth Inventories [BYI]) in children referred for neuropsychological assessment. Participants included 11 children (M-age=12.4 years) receiving CTA, 11 (M-age=12.6 years) receiving parent support, and 9 (M-age=12.3 years) remaining on a waiting list. Contrary to both comparison groups, the CTA group reported fewer psychiatric symptoms on most BYI subscales after intervention, and this decrease was sustained for the Anger and Anxiety subscales at 6-month follow-up. Findings support a potential effectiveness of CTA in the neuropsychological assessment of children in a child psychiatric setting.

  • 35.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Farooqi, Aijaz
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Domellöf, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Early risk factors and cognitive outcomes in children born preterm2012In: Developmental Medicine and Child Neurology: Special Issue: Proceedings of the 3rd UK Paediatric Neuropsychology Symposium: Early Behaviour Relationships and Prognostic Indicators, 23-27 April 2012, London, UK, John Wiley & Sons, 2012, Vol. 54, p. 24-24Conference paper (Refereed)
    Abstract [en]

    Background: Research has consistently demonstrated a greater risk for learning-related problems in children born preterm. However, little research has explored the longterm effects of early risk factors (RFs) on cognitive outcome. Thus, the associations between RFs and cognitive functions are the main focus of the present research.

    Methods: A sample of 32 children born preterm (M GW=31.5, [22–35]; M age=7.7yrs) and 38 age and sex matched full-term born control group (M age=7.7) underwentWechsler Intelligence Scale for Children, 4th edition (WISC-IV) testing. A number of RF in the pre/perinatal period was identified from information in medical records.

    Results: The children born preterm had significantly lower scores than full-term controls on the WISC-IV in terms of full-scale IQ (FSIQ; M=94.5 and 102.1 respectively) and performance index (PIQ) (M=100 and 106.8 respectively). Within the preterm group, standardized birth weight (BW) was positively correlated with FSIQ and PIQ. Further, the total number of RF was negatively correlated with FSIQ and working memory index.

    Discussion: As previously shown, most of the children born preterm score within normal limits on the WISC-IV, they score significantly lower and demonstrate higher rates of sub-average IQ and PIQ than their full-term peers. Additionally, early RFs were associated with several measures of cognitive functioning. Thus, these results highlight the importance of including early medical history when analyzing outcomes of preterm birth. Further enquiries are necessary to look into the relationship between specific RFs and cognition in order to better predict outcomes.

  • 36.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology. Kolbäcken Child Rehabilitation Centre, Umeå, Sweden.
    Ferronato, Priscilla A. M.
    Umeå University, Faculty of Social Sciences, Department of Psychology. Physical Education School, São Paulo University, São Paulo, Brazil.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Associations between motor skills, cognitive function and birth immaturitly in school-aged children born preterm2013Conference paper (Refereed)
    Abstract [en]

    OBJECTIVES: Within the framework of an ongoing longitudinal study, relations between motor skills and cognitive function in 7-8-year-old preterm born children were investigated.

    BACKGROUND: Motor and cognitive problems have been suggested to be the two major sequalea of a preterm birth. Global and selective deficit of neuromotor and executive functions have been found within this group of children at school age. However, few studies haveinvestigated the associations between motor skills andcognitive function in relation toweeks of gestation (GW) and birth weight (BW).

    DESIGN/METHOD: Children (n = 18) born between 25-34 GW performed the Movement-ABC 2 (M-ABC 2) and Wechsler Intelligence Scale for Children-IV (WISC-IV). Scaled scores from M-ABC 2 (hand function, ball handling skills, static- and dynamic balance, total score) were correlated with indexes derived from the WISC-IV (verbal comprehension, perceptual reasoning, working memory, processing speed, full scale intelligence quotient [FSIQ]), GW and BW.

    RESULTS: The majority of children had mild to moderate general motor impairments (n = 10) where hand function was most affected (n = 15). FSIQ was somewhat below the norm (M = 95) where working memory (WM) was most impaired (M = 87). Further, associations between motor skills (apart from balance) and processing speed was shown, FSIQ was related to GW, and BW to WM, perceptual reasoning and FSIQ. Most of the associations remained even when excluding two children with a diagnosis of hemiplegic cerebral palsy.

    CONCLUSIONS: No direct relationships between GW/BW and motor skills were shown. However, the associations found suggest that cognitive function may be a mediating factor between birth status and motor skills. Other analytical methods requiring larger study samples are needed to verify such causality.

  • 37.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Associations between manual dexterity scores from the M-ABC 2 and kinematic properties of goal-directed upper-limb movements and in school-aged children born preterm2016In: Challenge the Boundaries, 2016, p. P-Fr-135-Conference paper (Refereed)
    Abstract [en]

    Background

    Children born preterm (PT; <38 gestational weeks, GW) are frequently reported to have deviations in motor proficiency. Most studies use standardized test batteries to determine motor function in these children. Few studies have however examined the relations between test battery outcomes and outcomes from more detailed movement analysis.

    Aim

    To investigate associations between outcomes on the manual dexterity subtests from the Movement-ABC 2 with detailed 3D kinematic registrations during performance of a sensorimotor task with demands on fine motor skills and precision in school-aged children born PT and a comparison group born at full-term (FT).

    Methods

    As part of an ongoing quasi-longitudinal study, 7-8 year old children born PT (< 36 GW; n = 17) and an aged matched typically developing comparison group (n = 19) performed the M-ABC 2 and a fine motor task where 3D kinematic registration technique was applied. M-ABC 2 scaled scores from the manual dexterity index (MDI) were correlated with kinematic parameters sensitive to planning and on-line control (movement units, distance and speed). Differences between the PT and FT group were also analyzed.

    Results

    Preliminary analyses show no group differences on the outcomes from the 3D kinematic analyses but differences were evident on two (peg-board and follow-track) of the subtests constituting the MDI and the MDI where children born PT have lower scores than FT. For both groups but in different ways, within-group correlations show some associations between extracted kinematic properties and dexterity outcomes.

    Conclusions

    As the groups differed on the MDI outcomes it is surprising that none were found on the kinematic properties examined. Further, relatively few associations were found between the kinematic and M-ABC 2 outcomes. Investigation of the influence cognitive and executive functions have on these performances may offer explanations for this inconsistency

  • 38.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Handedness and its association to spatio-temporal organization of goal-directed movements in preterm born children at 4-8 years of age2011In: Proceedings for the Motor Control and Human Skills Conference, Curtin University , 2011, p. 43-Conference paper (Refereed)
    Abstract [en]

    BACKGROUND/OBJECTIVE: Children born preterm with no known neurological impairment have been shown to have substantial and persistent motor dysfunction at school age1,2. Additionally, higher incidence of non-right handedness has been shown in preterm born populations3. A finding that may be associated with generally affected motor function due to neuropathology and/or developmental delay. So far, few studies have investigated parameters related to movement control and handedness in conjunction and the influence of age in this population. Thus, this study is aimed at the investigation of side differences in spatio-temporal properties of goal-directed upper-limb movements and the influence of age and perinatal factors in preterm born children in comparison to age and sex matched term born children.

    DESIGN: The current study includes a sample of preterm born children (n=65, £35 gestation weeks) with no known neurological impairment and age and sex matched controls (n= 73) of 4- to 8-years of age. Hand preference was assessed by repeated observation of the frequency of hand used for manipulation of five different items. Optoelectronic technique (6 camera, 240 Hz, ProReflex, Qualisys Inc.) was used to record upper body movements during a goal-directed unimanual task with high demand on precision. Information regarding duration and smoothness of the movement trajectories was extracted.

    RESULTS: It was found that the preterm children have a less evident hand preference as compared to their full term peers. Preliminary findings from the kinematic analyses showed that the preterm born children had longer movement durations and more segmented movement trajectories of the preferred hand. Further, the performance in terms of movement segmentation and duration were more equal between the preferred and non-preferred hand in the preterm group. Age influenced the outcome significantly for both groups where the younger children had longer durations and more segmentations than the older. 

    CONCLUSIONS: These results indicate that the preterm born children, as compared to term born controls, have affected motor function as indicated by spatio-temporal properties related to coordination and control. Further, the preterm group showed less evident hand preference in terms of frequency of hand use and in the quality of movement in terms of kinematics. In conclusion, the less evident hand preference and the generally affected motor function indicate a neuromotor dysfunction in the preterm children that may be associated with a general developmental delay.

  • 39.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    KINEMATIC EFFECTS OF SENSORIMOTOR TIMING TRAINING IN CHILDREN WITH DIPLEGIC CEREBRAL PALSY2013In: 22nd Annual meeting of ESMAC, 2013, Glasgow, Scotland, 2013, p. 167-Conference paper (Refereed)
    Abstract [en]

    INTRODUCTION and AIM

    The objective of the present study was to explore the individual effects of sensorimotor timing training with the Interactive Metronome©  (IM) in young individuals with spastic diplegic cerebral palsy (DCP). IM is a multi- modal integration training method where the goal is to synchronize rhythmic movement activation with a beat. To this end, error feedback is provided via auditory and visual cues. One previous case study has shown positive effects on upper-limb kinematics of IM training in children with hemiplegic CP [1]. However, there is a need for

    extended scientific evaluation of the effects of existing training methods for children with CP of various types and severity. In the present study 3D movement registration technique was used to objectively evaluate training effects on goal-directed upper-limb movements.

    PATIENTS/MATERIALS and METHODS

    Participants comprised three children with spastic DCP (2 boys;1 girl, age range: 12-16 years).  The score on the

    Manual Ability Classification System was II, IV, and III and the Gross Motor Function Classification System score was III, IV, and IV for Case I-III, respectively. The spasticity severely affected arm function in case II and III. All cases were diagnosed with intellectual disability and other comorbidities were diagnoses of autism, epilepsy, cortical visual impairment, strabismus, dysarthria, asthma and scoliosis. IM training consisted of a 4 week (12 sessions) individually customised program including bilateral and unilateral movements of the arms

    and hands. To establish short- and long-term effects, goal-directed upper-limb movements were examined by the

    use of a 6-camera optoelectronic recording system (240Hz, ProReflex, Qualisys Inc.) at three time points, before and at two following occasions after the IM training (post-test I, 1 week after completed training; post-test II, 6 months after post-test I). The goal-directed evaluation task consisted of pushing three buttons in a sequential order in four different directions (extension-flexion; flexion-extension; adduction-abduction; abduction- adduction). The following parameters were derived from the wrist marker; movement duration (time needed to complete the task), segmentation of the movement trajectory (number of movement units), and 3D distance.

    RESULTS

    The intra- as well as the inter-individual variability of IM effects were large. Case I showed some improvement

    in timing ability with auditory error feedback at post-test I as measured by the IM equipment. Self-phased timing was not improved. Case II and III showed no apparent improvement in timing ability. For Case I, the 3D analyses of the movement trajectories during the evaluation task, showed great inconsistency with no systematic improvements at both post-test occasions. However, Case II and III improved significantly as characterized by decreased duration at post-test I. This improvement remained at post-test II. Further, the segmentations of the wrist movement trajectory in terms of the number of movement units significantly decreased at post-test I. This finding  was  also  stable  at  post-test  II.  Few  changes  were  detected  on  the  3D  distance  for  either  case.

    DISCUSSION and CONCLUSIONS

    No substantial improvement was shown on timing ability for any of the cases, possibly due to task constraints

    inflicted by the severity of the CP in these children. However, the training did result in faster and smoother movements for Case II and III. The effect appeared to mainly affect temporal aspects and remained at 6 month follow up. For these cases, the results suggest improved motor planning and control of goal-directed upper-limb actions. Case I showed no improvements, possibly due to the complexity of comorbidity including diagnoses of autism and intellectual disability. Thus, IM appears to be a feasible and promising method to improve movement control in some children diagnosed with severe types of CP. However, future studies should include outcome measures pertaining to attention as the IM encompasses high attentional demand.

    REFERENCES

    [1] Johansson, A.-M., Domellöf, E., & Rönnqvist, L. (2012). Short- and long-term effects of synchronized metronome   training   in   children   with   hemiplegic   cerebral   palsy:   a   two   case   study.   Developmental

    Neurorehabilitation, 15(2), 160–9. doi:10.3109/17518423.2011.635608

  • 40.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology. Kolbäcken Child Rehabilitation Centre, Umeå.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Long-term influences of a preterm birth on movement organization and side specialization in children at 4–8 years of age2014In: Developmental Psychobiology, ISSN 0012-1630, E-ISSN 1098-2302, Vol. 56, no 6, p. 1263-1277Article in journal (Refereed)
    Abstract [en]

    This study explored upper-limb and head kinematics during unimanual goal-directed movements in children born preterm (PT) and full-term (FT) aged 4–8 years. Further, functional lateralization was investigated through side-specific kinematics and hand preference observations. Altogether, 141 children were included, divided into three sub-groups based on gestation week at birth (GW). Children born FT (38–41 GW) and moderately PT (33–35 GW) showed faster, smoother, and shorter movement trajectories than children born very PT (V-PT<33 GW). Only children born FT expressed evident side differences that were characterized by smoother movements with the preferred side. Regarding hand preference, the children born V-PT showed increased rates of non-right-handedness compared with the other groups. Regardless of hand preference, the children born V-PT showed less well organized movements compared with the other groups. These findings suggest that spatio-temporal movement organization and side specialization at pre-/early school-age are affected by a PT birth, and more frequently so for children born before 33 GWs, indicating long-lasting influences on neuromotor development and specialization.

  • 41.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Short- and long-term effects of synchronized metronome training in children with hemiplegic cerebral palsy: a two case study2012In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431, Vol. 15, no 2, p. 160-169Article in journal (Refereed)
    Abstract [en]

    Background: Children with cerebral palsy (CP) require individualized long-term management to maintain and improve motor functions. The objective of this study was to explore potential effects of synchronized metronome training (SMT) on movement kinematics in two children diagnosed with spastic hemiplegic CP (HCP).

    Method: Both children underwent 4-weeks/12 sessions of SMT by means of the Interactive Metronome (IM). Optoelectronic registrations of goal-directed uni- and bimanual upper-limb movements were made at three occasions; pre-training, post completed training and at 6-months post completed training.

    Results: Significant changes in kinematic outcomes following IM training were found for both cases. Findings included smoother and shorter movement trajectories in the bimanual condition, especially for the affected side. In the unimanual condition, Case I also showed increased smoothness of the non-affected side.

    Conclusions: The observed short- and long-term effects on the spatio-temporal organization of upper-limb movements need to be corroborated and extended by further case-control studies.

  • 42.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology. Kolbäcken Child Rehabilitation Centre, Umeå, Sweden.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Short- and long-term effects of timing training in young people with cerebral palsy: a kinematic approach2010In: Developmental Medicine and Child Neurology, 52 (Suppl. 4) Brussles, Belgium May 27-29, 2010, Wiley Online library , 2010, p. 23-24Conference paper (Refereed)
    Abstract [en]

    Interactive Metronomea (IM) is a multi-modal integration training method based on rhythmic activation of movements in synchronization with a tone where error feedback is provided via auditory and visual cues. However, there is a need for detailed evaluations of this method to verify functional improvements inCP.Here we explored individual effects of IM in five young individuals with cerebral palsy (CP) of different severity. IM training consisted of a 4-week (12 sessions) individually customised program including bilateral and unilateral movements of upper- and lower-extremities. To establish short- and long-term effects, goal-directed upper-limb movements were examined by using a six optoelectronic camera system (240Hz, ProReflex, Qualisys Inc.) at three time points, before and at two following occasions (post-test I; post-test II) after IM training. At post-test I, timing ability was improved in the majority of participants. Kinematic analyses revealed shorter total task durations for all but one individual. Reduced segmentation ofmovements and increased velocity, especially on the more distal parts of the upper extremities, were also observed. No effects were evident on cumulative distance, primarily indicating training effects on temporal movement properties. At post-test II, 6 months after post-test I, most of the participantsmaintained their improved timing ability. The observed changes in kinematic properties suggests that timing training is promising for improving motor control in young individuals with CP. Further studies involving larger samples are required to corroborate and extend the present findings, particularly regarding the neural mechanisms involved in mediating motor improvements following IMtraining.

  • 43.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Spatio-temporal aspects of upper-limb goal-directed movements and relations to perinatal factors in preterm 4-year-old children2011In: Abstracts of the Europeans Academy of Childhood Disability: 23 Annual Meeting, 8-11 June 2011, Rome, Italy, Wiley-Blackwell, 2011, p. 37-37Conference paper (Refereed)
    Abstract [en]

    Objectives: This ongoing quasi-longitudinal study is aimed at the investigation of spatio-temporal properties of goaldirected upper limb movements in 4-year-old children born preterm, compared to age- and sex-matched children born at term. Further, relations between movement quality, in terms of coordination and control, and perinatal factors are of interest.

    Background: Several studies have shown substantial and persistent motor dysfunction in children born preterm, with no known neurological impairment, at school age. Few studies have, however, investigated parameters related to movement control and coordination and their possible perinatal associations with detailed measurement methods in children at 4 years of age.

    Design/Method: Performances with the left and right armhand during a unimanual continuous sequential precision task were registered by a 6-camera optoelectronic tracking system (240 Hz, ProReflex, Qualisys Inc.). Information with regard to spatial and temporal parameters of the movement trajectories was extracted.

    Results: Preliminary results from analyses of kinematic data show longer duration and more spatio-temporal segmentations of the movement trajectory in the preterm group compared to their peers. Analyses of associations between kinematic outcome data and perinatal factors will further be investigated.

    Conclusions: These results indicate that the 4-year-old children born preterm, as compared to term born controls, have affected neuromotor function as indicated by kinematic properties related to coordination and control. Further analyses will reveal whether these findings are associated with specific perinatal factors.

  • 44.
    Johansson, Anna-Maria
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Timing training in three children with diplegi ccerebral palsy: short- and long-term effects on upper-limb movement organization and functioning2014In: Frontiers in Neurology, ISSN 1664-2295, E-ISSN 1664-2295, Vol. 5, article id 38Article in journal (Refereed)
    Abstract [en]

    Despite the great need of interventions to maintain and improve motor functions in children with diplegic cerebral palsy (DCP), scientific evaluations of existing training methods are rare. This study aimed to explore individual effects of synchronized metronome training (SMT) on motor timing, spatio-temporal movement organization, and subjective experiences of changes in upper-limb functions in three children with DCP. All children participated in an individualized 4-week/12 session SMT training regime. Measurements before training (Pre), after training (Post1), and at 6 months post completed training (Post2) were made by the applied SMT training equipment, optoelectronic registrations of goal-directed upper-limb movements, and a questionnaire assessing subjective experiences of changes in upper-limb functions and usability. In general, the training regime was shown to have little effect on motor timing. However, some positive changes in spatio-temporal movement organization were found. Two children also reported substantial long-lasting positive changes in subjective experiences of hand/arm functionality in terms of increased movement control and reduced muscle tone. For these children, parallel kinematic findings also indicated smoother and faster movement trajectories that remained at Post2. Although highly individualized, the shown improvements in upper-limb kinematics and subjective experiences of improved functionality of the hands/arms for two of the cases warrant further explorations of SMT outcomes in children with DCP.

  • 45.
    Jonsson, Bert
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Prospective head tracking: head movements, accuracy and timing in relation to a circular object motion2009In: Current Psychology Letters: Behaviour, Brain & Cognition, ISSN 1379-6100, E-ISSN 1379-6100, Vol. 25, no 1, p. 1-15Article in journal (Refereed)
    Abstract [en]

    In this study, kinematic and video recordings were made of the eye- and head tracking of an object revolving in a vertical plane in two groups of infants (6- and 12-month-old) and one group of adults. The study had two purposes. The first concerned infants' abilities to negotiate the target trajectory when being forced to extensively recruit the head. The second addressed the question whether the same underlying neural controller drives both eye- and head motor systems. It was found that head tracking ability is functional already in 6-month-old infants. However, infants of both age groups displayed more extensive head movements and less accuracy compared to adults. This finding is in line with previous research on one-dimensional horizontal head tracking in infants. Infants also showed less developed timing between head movements and vertical object motion, supporting the argument that both eye- and head tracking have a common developmental trajectory.

  • 46.
    Lenfeldt, Niklas
    et al.
    Umeå University, Faculty of Medicine, Department of Pharmacology and Clinical Neuroscience, Clinical Neuroscience.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Riklund, Katrine
    Umeå University, Faculty of Medicine, Department of Radiation Sciences, Diagnostic Radiology.
    Rönnqvist, Louise
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Alterations in white matter microstructure are associated with goal-directed upper-limb movement segmentation in children born extremely preterm2017In: Human Brain Mapping, ISSN 1065-9471, E-ISSN 1097-0193, Vol. 38, no 10, p. 5051-5068Article in journal (Refereed)
    Abstract [en]

    Altered white matter microstructure is commonly found in children born preterm (PT), especially those born at an extremely low gestational age (GA). These children also commonly show disturbed motor function. This study explores the relation between white matter alterations and upperlimb movement segmentation in 41 children born PT (19 girls), and 41 children born at term (18 girls) at 8 years. The PT group was subdivided into extremely PT (E-PT; GA = 25–27 weeks, N = 10), very PT (V-PT; GA = 28–32 weeks, N = 13), and moderately PT (M-PT; GA = 33–35 weeks, N = 18). Arm/hand preference (preferred/non-preferred) was determined through object interactions and the brain hemispheres were designated accordingly. White matter alterations were assessed using diffusion tensor imaging in nine areas, and movement segmentation of the body-parts head, shoulder, elbow, and wrist were registered during a unimanual goal-directed task. Increased movement segmentation was demonstrated consistently on the preferred side in the E-PT group compared with the term born group. Also compared with the term born peers, the E-PT group demonstrated reduced fractional anisotropy (FA) in the cerebral peduncle (targeting the corticospinal tract) in the hemisphere on the non-preferred side and in the splenium of corpus callosum. In contrast, in the anterior internal capsule on the preferred side, the E-PT group had increased FA. Lower FA in the cerebral peduncle, but higher FA in the anterior internal capsule, was associated with increased movement segmentation across body-parts in a contralateral manner. The results suggest that impaired development of sensorimotor tracts in E-PT children could explain a sub-optimal spatiotemporal organization of upper-limb movements.

  • 47.
    Renström, Barbro
    et al.
    Kolbäcken Child Rehabilitation Centre, Umeå.
    Söderman, Kerstin
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Emanuelson, Ingrid
    Univ Gothenburg, Dept Pediat, Inst Clin Sci, Gothenburg, Sweden.
    Self-reported health and influence on  life  situation 5–8 years after paediatric traumatic brain injury2012In: Brain Injury, ISSN 0269-9052, E-ISSN 1362-301X, Vol. 26, no 12, p. 1405-1414Article in journal (Refereed)
    Abstract [en]

    Primary objective : During childhood, the central nervous system is in a state of rapid development which can be interrupted by a traumatic brain injury (TBI). This study aimed to describe if and how TBI during childhood influences health and life situation, 5–8 years later.

    Research design : A case-control retrospective design was employed for the assessment of 61 adolescents and young adults with a mild, moderate or severe TBI and 229 matched controls from a normative group (16–24 years).

    Methods and procedures : SF-36 (Short Form 36 health survey) and a self-reported questionnaire measuring life situation were distributed to youths suffering TBI 5–8 years ago. Forty-five youths (74%) completed the questionnaires.

    Main outcomes and results : Participants with a TBI stated lower self-estimated health compared with the normative group.

    Remaining self-reported symptoms were physical and cognitive. Negative effects of TBI influencing school results, leisure activities and thoughts about future life situation were also described.

    Conclusion : Young individuals experience sustained negative effects of childhood TBI on health and life situation. More research is necessary to detect, understand and properly support these youths.

  • 48.
    Rönnqvist, Louise
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Quantitative assessment of right and left reaching movements in infants: a longitudinal study from 6 to 36 months2006In: Developmental Psychobiology, ISSN 0012-1630, E-ISSN 1098-2302, Vol. 48, no 6, p. 444-459Article in journal (Refereed)
    Abstract [en]

    This longitudinal study aimed to explore the early presence and developmental pattern of laterality in reaching kinematics and its relationship to side use. In order to do so, 3-D kinematic measurements as well as 2-D video recordings of right-left reaching movements were successively carried out for 17 infants at the ages of 6, 9, 12, and 36 months. Additional investigations of hand preference were made at 36 months. As four infants were prematurely born, their outcomes were compared to those of the fullterm participants. While most of the infants in the early ages showed a rather inconsistent preference in terms of frequency and distributions of right-left side use, the analyses of reaching kinematics revealed a more consistent pattern of fewer movements units (MUs) and straighter right-sided reaching for the majority of infants at all tested ages. However, reaching kinematics from the preterm infants were generally more variable and less side consistent. It is proposed that the development of human handedness originates from an early right arm rather than hand preference in that representations of asymmetry in bilateral projections (involved in arm movements) developmentally precede contralateral projections (involved in refined hand/finger movements).

  • 49.
    Rönnqvist, Louise
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Faroogi, Aijaz
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Cognitive performance and behavioral functions in relation to gestational age (GA) at birth2015In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 57, no Suppl s4, p. 21-Article in journal (Refereed)
    Abstract [en]

    Introduction:

    It is well established that a very preterm birth (PT) relates to increased behavioral problems. The aim of this study was to investigate effects and associations between different gestational ages (GA) at birth (term, late-to-extreme) and later functions. This study is part of an ongoing, longitudinal project.

    Participants and Methods:

    Test outcomes from WISC-IV and Achenbach’s Child-Behavior-Checklist (CBCL) in children tested at 7-8-years (M=7.7) were used to investigate group differences as effect of GA at birth. In total, 64 preterm born (PT), GA range 22-36, (divided into groups of 14 extremely-PT/EPT, 17 very-PT/VPT, and 33 moderately PT/MPT) and 64 term born (TB), were included. Additionally, associations between GA, birth weight (BW), and outcomes from WISC-IV and CBCL were investigated.

    Results:

    Multivariate analyses of variance (MANOVA) revealed significantly (p < .05) poorer WISC outcomes on Verbal Comprehension Index, Perceptual Reasoning Index, and on Full-Scale-IQ for children born EPT/VPT in comparison to MPT and TB born. Parents’ CBCL ratings reveled that EPT children had significantly higher prevalence of Attention problems, Thought problems, Aggressive and Somatic complaints. Including the PT-group only shown significant positive correlations between GA/BW respectively and full scale IQ. Higher GA/BW was related to increasing IQ scores.  Significant negative correlations were seen between GA/BW respectively and TotProblem/CBCL-scale. Additionally, CBCL/DSM-Oriented Scales; Adhd-, Opposite-, and Conduct-Problems correlated significantly negative with GA/BW in the PT-born children.

    Conclusion:

    Our study provides further support for associations between increased risk of cognitive and behavior problems with decreasing GA/BW at birth.

  • 50.
    Rönnqvist, Louise
    et al.
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Domellöf, Erik
    Umeå University, Faculty of Social Sciences, Department of Psychology.
    Johansson, Anna-Maria
    Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Physiotherapy. Umeå University, Faculty of Social Sciences, Department of Psychology.
    Faroogi, Aijaz
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Domellöf, Magnus
    Umeå University, Faculty of Medicine, Department of Clinical Sciences, Paediatrics.
    Riklund, Katrine
    Umeå University, Faculty of Medicine, Department of Radiation Sciences.
    Lindqvist, Thomas
    Umeå University, Faculty of Medicine, Department of Radiation Sciences.
    Birgander, Richard
    Umeå University, Faculty of Medicine, Department of Radiation Sciences.
    Effects of twin-births on IQ, handedness, and brain volumes in 8-years-old preterm born twins and matched singletons: a pilot study2016In: Developmental Medicine & Child Neurology, ISSN 0012-1622, E-ISSN 1469-8749, Vol. 58, no S6, p. 57-Article in journal (Refereed)
    Abstract [en]

    Background: Children born preterm have a high prevalence of long-term cognitive and behavioral disturbances. Still, studies of how preterm-twin-births may effect brain maturation and thus, contribute to long-term effects on brain-behavioral development and functions are rare.

    Aim: To investigate whether brain volumes differ between twin (TPB) and singleton preterm born (SPB) and full-term born children (FTB) and associate to long-term cognitive and behavioral outcomes as well as to gestational age (GA), birth weight (BW) and head circumference (BHC) at birth.

    Method: A sample of 22 twin born preterm (Mean GA=32.1, BW=1781), 23 matched singletons preterm (Mean GA=31.8, BW=1751), and 22 full-term singletons were included. All children were investigated by means of their cognition functions (WISC-IV), handedness performance index and brain volumes (3 Tesla MRI) at early school ages (M=7.8y) in 40 children (9 TPB, 10 SPB, 21 FTB).

    Results: The FTB-children performed better than both TPB and SPB on cognitive performance, and showed higher IQ. Brain volumes, especially Gray matter were stronger associated with IQ in the twins. Furthermore it was found that the SPB singletons had smaller Total Brain volume and less Grey Matter than FTB. The twins showed a higher prevalence of non-right handedness associated to GA, than both SPB and FTB. Independently of birth status, GA, BW and BHC were found to correlate positively with IQ, Total Brain volume, and Gray-and White matter volumes.

    Conclusion: Discordant handedness in TPB children and associations to lower GA indicate effect of twin-births on early functional laterality. The overall associations found between low GA/BW and smaller BHC at birth in preterm born and associations with lower IQ and smaller brain volumes at 8-y indicate that a very preterm birth are a higher predictor for long-term effects on brain development and cognitive performance than twin-birth per se.

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