The meaning of adulthood for emerging adults with Down syndrome: Parent perspectives on relevant skills.

BACKGROUND: Parents' conceptualizations of adulthood for their emerging adults with Down syndrome have the potential to impact the transition planning process as families prepare for life after graduation. AIMS: This study aimed to explore parent perceptions of the meaning of adulthood for their emerging adults with Down syndrome. METHODS: In this qualitative study, we interviewed 11 parents of emerging adults with Down syndrome using phenomenological methodology and analysed these data using thematic analysis. RESULTS: Three topics emerged: (1) Parents' constructions of the meaning of adulthood; (2) Parents' perceptions about the transition to adulthood; and (3) Parents' perceptions of current adult life skills. Ten themes arose out of these topics. CONCLUSIONS: Parents expressed ambivalence about the meaning of adulthood for their emerging adults with Down syndrome, sharing that in some ways they were adults and in others they were not. The meaning of adulthood was closely tied to obtained skills, particularly those related to personal safety.

Hand preference trajectories as predictors of language outcomes above and beyond SES: Infant patterns explain more variance than toddler patterns at 5 years of age.

Prior studies found hand preference trajectories predict preschool language outcomes. However, this approach has been limited to examining bimanual manipulation in toddlers. It is not known whether hand preference during infancy for acquiring objects (i.e., reach-to-grasp) similarly predicts childhood language ability. The current study explored this motor-language developmental cascade in 90 children. Hand preference for acquiring objects was assessed monthly from 6 to 14 months and language skill was assessed at 5 years. Latent class growth analysis identified three infant hand preference classes: left, early right, and late right. Infant hand preference classes predicted 5-year language skills. Children in the left and early right classes, who were categorized as having a consistent hand preference, had higher expressive and receptive language scores relative to children in the inconsistent late right class. Consistent classes did not differ from each other on language outcomes. Infant hand preference patterns explained more variance for expressive and receptive language relative to previously reported toddler hand preference patterns, above and beyond socioeconomic status (SES). Results suggest that hand preference, measured at different time points across development using a trajectory approach, is reliably linked to later language.

Early, concurrent, and consistent hand preferences predict stacking in toddlerhood.

Stacking is a hallmark of fine motor skill development and requires skilled hand use. One mechanism for children to gain manual proficiency involves establishing a hand preference that creates practice differences between the hands as the preferred hand is used more often and in different ways than the other. Prior work found that stacking skill emerged earlier for infants with an identifiable hand preference. However, it is not known how hand preference relates to later toddler stacking performance. This study examined the effects of early hand preference (infant pattern), concurrent hand preference (toddler pattern), and consistent hand preference (infant to toddler pattern) on toddler stacking skills. Sixty-one toddlers, whose hand preferences as infants were known, were assessed for their toddler hand preference and their stacking skill across 7 monthly visits from 18 to 24 months of age. Using multilevel Poisson longitudinal analysis, children with hand preferences that were consistent across both infancy and toddlerhood were more successful at stacking, compared to those with inconsistent preferences across the infant and toddler periods. Thus, consistency of hand preferences during the first 2 years likely contributes toward individual differences in the development of fine motor skills.

Network analysis as a tool to understand social development in spider monkeys.

The emerging field of network science has demonstrated that an individual's connectedness within their social network has cascading effects to other dimensions of life. Like humans, spider monkeys live in societies with high fission-fusion dynamics, and are remarkably social. Social network analysis (SNA) is a powerful tool for quantifying connections that may vary as a function of initiating or receiving social behaviors, which has been described as shifting social roles. In primatology, the SNA literature is dominated by work in catarrhines, and has yet to be applied to the study of development in a platyrrhine model. Here, SNA was utilized in combination with R-Index social role calculation to characterize social interaction patterns in juvenile and adult Colombian spider monkeys (Ateles fusciceps rufiventris). Connections were examined across five behaviors: embrace, face-embrace, grooming, agonism, and tail-wrapping from 186 hr of observation and four network metrics. Mann-Whitney U tests were utilized to determine differences between adult and juvenile social network patterns for each behavior. Face-embrace emerged as the behavior with different network patterns for adults and juveniles for every network metric. With regard to social role, juveniles were receivers, not initiators, for embrace, face-embrace, and grooming (ps < .05). Network and social role differences are discussed in light of social development and aspects of the different behaviors.

Measuring infant handedness reliably from reaching: A systematic review.

Researchers have utilized reaching paradigms to measure infant handedness for more than a century. However, methods vary widely. Recent research has identified that the number of trials used in assessment is critical with the recommendation that at least 15 trials are necessary to reliably classify infants into handedness categories via statistical cutoffs. As a first step towards establishing best practices for the field, we identified, categorized, and synthesized findings according to trial number from studies that utilized reaching to index handedness in infants across the first two years of life using PRISMA guidelines. Database searches were conducted in PsycINFO, PubMed, and Ovid MEDLINE®. All articles published through May 2018 were included. Additional records were identified through other sources. After removing duplicates, 1,116 records were screened using the online software program Abstrackr. Of these records, 125 full-text articles were further assessed for eligibility, and 87 articles were included in the qualitative synthesis. Results revealed that the majority of papers published since 1890 (70%) do not meet the 15-trial minimum criterion for statistically reliable measurement of infant handedness. Broad themes from articles meeting the measurement criterion and implications for future research are discussed.

The home handedness questionnaire: pilot data from preschoolers.

While handedness questionnaires are widely used in adults, there is no comparable measure designed specifically for children. The current study developed the Home Handedness Questionnaire (HHQ), a new measure for preschoolers administered by parents using common household items. The HHQ has two scales that distinguish action types typically combined on other measures: actions performed with only the right or left hand (i.e., unimanual, such as holding a toothbrush), and actions performed with one hand holding the object for the other hand's action (i.e., role-differentiated bimanual manipulation or RDBM, such as unscrewing a lid from a jar). The HHQ was able to detect right preference, left preference, and no preference for unimanual and RDBM actions in a proof of concept study in 3-year-olds (N = 64). The HHQ identified a majority of children as right-handed, but was also sensitive to variability in direction across skill types. Approximately one-quarter of children in the sample had mixed preferences for the two types of manual skills, suggesting that for a subgroup of children, hand use patterns may still be undergoing change. Suggestions for refining the HHQ are discussed. Overall, the HHQ is a promising multidimensional parent-led tool for assessing preschool handedness.

Embraces are lateralized in spider monkeys (Ateles fusciceps rufiventris).

Side biases observed in behavior are thought to reflect underlying asymmetric brain function or hemispheric specialization. Previous work in multiple species identified left side biases (associated with the right hemisphere) for processing social behavior. In highly social species such as primates, many behaviors may be categorized as social, yet differences between such behaviors have not been examined as a test of asymmetric brain function. Using Colombian spider monkeys (Ateles fusciceps rufiventris), we observed lateral positioning during two types of behaviors widely categorized as social affiliative: embracing and grooming, and identified a left bias for embracing, but not grooming. Our findings partially support prior research in hemispheric specialization, but suggest that there may be differences between social behaviors that drive specialization. We discuss these results in light of current theory on hemispheric specialization and highlight differences between embracing and grooming.

Toddler hand preference trajectories predict 3-year language outcome.

A growing body of work suggests that early motor experience affects development in unexpected domains. In the current study, children's hand preference for role-differentiated bimanual manipulation (RDBM) was measured at monthly intervals from 18 to 24 months of age (N = 90). At 3 years of age, children's language ability was assessed using the Preschool Language Scales 5th edition (PLS™-5). Three distinct RDBM hand preference trajectories were identified using latent class growth analysis: (1) children with a left hand preference but a moderate amount of right hand use; (2) children with a right hand preference but a moderate amount of left hand use; and (3) children with a right hand preference and only a mild amount of left hand use. Stability over time within all three trajectories indicated that children did not change hand use patterns from 18 to 24 months. Children with the greatest amount of preferred (i.e., right) hand use demonstrated higher expressive language scores compared to children in both trajectories with moderate levels of non-preferred hand use. Children with the greatest amount of right hand use also had higher scores for receptive language compared to children with a right hand preference but moderate left hand use. Results support that consistency in handedness as measured by the amount of preferred hand use is related to distal language outcomes in development.

Evaluating handedness measures in spider monkeys.

Despite long-standing interest and a vast body of literature, there is still disagreement as to how handedness should be measured in nonhuman primates. The primary goal of this study was to evaluate two common measures of handedness in nonhuman primates using the spider monkey, a unique study species due to its lack of a thumb and limited dexterity. Contrary to our predictions and previous findings in Ateles, there was no evidence for group-level hand biases on either the coordinated bimanual TUBE task or a unimanual reaching task. At the individual level, monkeys exhibited preferences on both tasks. There was a leftward trend on the bimanual task and a rightward trend on the unimanual task. Monkeys that were strongly lateralized on the bimanual task showed a comparable hand preference on the unimanual task, whereas monkeys with a moderate preference on the bimanual task shifted to the opposite hand on the unimanual task. Comparing across measures, the two hand-use patterns reported (consistent and shift) might have obscured group-level findings, given the available sample size. Overall, these data reaffirm that task type influences hand use in primates, and multiple measures are needed to fully characterize the construct of handedness. Consideration should be given to the difficulty required between tasks as well as between species.

Handedness influences intermanual transfer in chimpanzees (Pan troglodytes) but not rhesus monkeys (Macaca mulatta).

Intermanual transfer refers to an effect, whereby training one hand to perform a motor task improves performance in the opposite untrained hand. We tested the hypothesis that handedness facilitates intermanual transfer in two nonhuman primate species: rhesus monkeys (N = 13) and chimpanzees (N = 52). Subjects were grouped into one of four conditions: (1) left-handers trained with the left (dominant) hand; (2) left-handers trained with the right (nondominant) hand; (3) right-handers trained with the left (nondominant) hand; and (4) right-handers trained with the right (dominant) hand. Intermanual transfer was measured using a task where subjects removed a Life Savers(®) candy (monkeys) or a washer (chimpanzees) from metal shapes. Transfer was measured with latency by comparing the average time taken to solve the task in the first session with the trained hand compared to the first session with the untrained hand. Hypotheses and predictions were derived from three models of transfer: access: benefit training with nondominant hand; proficiency: benefit training with dominant hand; and cross-activation: benefit irrespective of trained hand. Intermanual transfer (i.e., shorter latency in untrained hand) occurred regardless of whether monkeys trained with the dominant hand or nondominant hand, supporting the cross-activation model. However, transfer was only observed in chimpanzees that trained with the dominant hand. When handedness groups were examined separately, the transfer effect was only significant for right-handed chimpanzees, partially supporting the proficiency model. Findings may be related to neurophysiological differences in motor control as well as differences in handedness patterning between rhesus monkeys and chimpanzees.

Precise digit use increases the expression of handedness in Colombian spider monkeys (Ateles fusciceps rufiventris).

Decades of research on the hand use patterns of nonhuman primates can be aptly summarized by the following phrase: measurement matters. There is a general consensus that simple reaching is a poor indicator of handedness in most species, while tasks that constrain how the hands are used elicit individual, and in some cases, population-level biases. The TUBE task has become a popular measure of handedness, although there is variability in its administration across studies. The goal of this study was to investigate whether TUBE performance is affected by tube diameter, with the hypothesis that decreasing tube diameter would increase task complexity, and therefore the expression of handedness. We predicted that hand preference strength, but not direction, would be affected by tube diameter. We administered the TUBE task using a 1.3 cm tube to Colombian spider monkeys, and compared their performance to a previous study using a larger 2.5 cm diameter tube. Hand preference strength increased significantly on the smaller diameter tube. Hand preference direction was not affected. Notably, spider monkeys performed the TUBE task using a single digit, despite the longstanding view that this species has poor dexterity. We encourage investigators who use the TUBE task to carefully consider the diameter of the tube used in testing, and to report digit use consistently across studies. In addition, we recommend that researchers who cannot use the TUBE task try to incorporate the key features from this task into their own species appropriate measures: bimanual coordination and precise digit use.

Early object skill supports growth in role-differentiated bimanual manipulation in infants.

The ability to coordinate the hands together to act on objects where each hand does something different is known as role-differentiated bimanual manipulation (RDBM). This study investigated two motor skills that may support the development of RDBM: infants' early object skill and their early sitting skill. To evaluate these potential predictors of RDBM growth, 90 infants were examined in a lab-based longitudinal design over a 9-month period. Latent growth modeling was used to estimate RDBM growth trajectories over 9 to 14 months from infants' object and sitting skills at 6 months, controlling for infant's sex, mother's education, and family income. Higher object skill, controlling for sitting skill, was related to a higher increase in RDBM over time. Sitting did not predict infants' change in RDBM over time, controlling for object skill. The ability to manage multiple objects may support collaborative hand use by providing infants with opportunities to practice actions that will be needed later for RDBM. By comparison, sitting may free the hands in an unspecified manner for manipulation.

Reach-to-grasp kinematic signatures in Colombian spider monkeys (Ateles fusciceps rufiventris).

A defining feature of most primates is a hand with five fingers. Spider monkeys are an exception because they have four fingers and no thumb. Despite the prevalence of reach-to-grasp research in primates, it is not known how the lack of a thumb affects reaching and grasping in spider monkeys. Drawing on patterns that have been well described in human adults, human infants, and other nonhuman primates, this study characterized prehension in Colombian spider monkeys (Ateles fusciceps rufiventris). Monkeys reached for two differently sized food objects and reaches were digitized offline for two-dimensional kinematic analysis. Grasp strategy was coded from video as preshaped when the hand was adjusted to grasp the food before contact, or not preshaped when the hand was adjusted to grasp the food after contact. Monkeys exhibited variability in reach smoothness that contrasted with the typical pattern seen in other adult primates and instead resembled the pattern observed in human infants. Monkeys anticipated the object to be grasped approximately half of the time. Reaches where the hand was preshaped to the object were smoother than reaches where the hand was adjusted to grasp after object contact. For the small object, reaches with preshaping were straighter than reaches without preshaping. Results are the first evidence of kinematic signatures for reach-to-grasp actions in spider monkeys. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

How the development of handedness could contribute to the development of language.

We propose a developmental process which may link the development of handedness with the development of hemispheric specialization for speech processing. Using Arbib's proposed sequence of sensorimotor development of manual skills and gestures (that he considers to be the basis of speech gestures and proto-language), we show how the development of hand-use preferences in proto-reaching skills concatenate into object acquisition skills and eventually into role-differentiated bimanual manipulation skills (that reflect interhemispheric communication and coordination). These latter sensorimotor skills might facilitate the development of speech processing via their influence on the development of tool-using and object management abilities.

Motor-language links in children with Down syndrome: a scoping review to revisit the literature with a developmental cascades lens.

Background: Children with Down syndrome (DS) typically have motor and language needs. Improving function is a shared goal for the rehabilitation therapy team, however physical therapy, occupational therapy, and speech-language pathology professionals treat patients differently. This difference in care may mask developmental cascades whereby changes in one domain (e.g., motor) can have seemingly unexpected effects on another domain (e.g., language). Objective: This scoping review identified papers where motor and language data have been reported together in children with DS and reinterpreted findings from a developmental cascades lens. Design: Online databases were used to identify 413 papers published before October 2021 from which 33 papers were retained that reported both motor (gross and/or fine) and language (expressive and/or receptive) data in individuals with DS with a chronological age of 0-18 years. Results: The majority of papers (79%) that reported motor and language data in children with DS did not examine their link, while 12% analyzed motor-language links, but using a cross-sectional or retrospective design. Only three papers (9%) utilized a longitudinal design to examine predictive links. Conclusion: Motor functioning and language functioning have often been reported together, but not analyzed together, in studies of children with DS. The few studies that did analyze motor-language links largely replicated findings from other developmental populations where motor gains were positively linked to language gains. Analyzing links between domains when such data is available is needed to fully characterize developmental cascades in DS and may have broad clinical implications.

How babies use their hands to learn about objects: Exploration, reach-to-grasp, manipulation, and tool use.

Object play is essential for infant learning, and infants spend most of their day with objects. Young infants learn about objects and their properties through multimodal exploration facilitated by caregivers. They figure out how to transport their hands to where objects are, and how to grasp objects in increasingly complex ways. Building on earlier experiences, they learn how to use their hands collaboratively to act on objects, and how to use objects to act on other objects in instrumental ways. These changes in how infants use their hands occur during the most rapid period of motor development and may have important downstream implications for other domains. Recent research findings have established the importance of effective fine motor skills for later academic skills, yet our understanding of the factors that influence the early development of hand skills is sparse at best. Latest research on reaching, grasping, object manipulation, hands collaboration, and tool use is reviewed and connections among these developments are explained from the perspective of developmental cascades. This article is categorized under: Psychology > Motor Skill and Performance Psychology > Development and Aging.

Kinematics of reaching and implications for handedness in rhesus monkey infants.

Kinematic studies of reaching in human infants using two-dimensional (2-D) and three-dimensional (3-D) recordings have complemented behavioral studies of infant handedness by providing additional evidence of early right asymmetries. Right hand reaches have been reported to be straighter and smoother than left hand reaches during the first year. Although reaching has been a popular measure of handedness in primates, there has been no systematic comparison of left and right hand reach kinematics. We investigated reaching in infant rhesus monkeys using the 2-D motion analysis software MaxTRAQ Lite+ (Innovision Systems). Linear mixed-effects models revealed that left hand reaches were smoother, but not straighter, than right hand reaches. An early left bias matches previous findings of a left hand preference for reaching in adult rhesus monkeys. Additional work using this kind of kinematic approach will extend our understanding of primate handedness beyond traditional studies measuring only frequency or bouts of hand use.

Evidence for motor planning in monkeys: rhesus macaques select efficient grips when transporting spoons.

McCarty and colleagues (1999) developed the elevated spoon task to measure motor planning in human infants. In this task, a spoon containing food was placed on an elevated apparatus that supported both ends of the spoon. The handle was oriented to the left or right on different trials. We presented naïve adult rhesus monkeys (Macaca mulatta) with the elevated spoon problem, and observed how monkeys learned the affordances of spoons over sessions. Strikingly, monkeys developed two different strategies for efficient spoon transport in just 12 to 36 trials. In subsequent testing with a novel double bowl spoon approximately 1 year later, monkeys demonstrated that they were attending to the baited spoon bowl and continued to select efficient grips for transporting the spoon. Monkey data were contrasted with previous studies in human infants using a perception-action perspective in an effort to understand the fundamentals of tool use and motor planning that may be common in the development of these abilities across species and their origins in human behavior.

Head orientation and handedness trajectory in rhesus monkey infants (Macaca mulatta).

In human and chimpanzee infants, neonatal rightward supine head orientation bias predicts later right hand use preference. In an evolutionarily older primate species such as the rhesus monkey, a left hand preference has been reported, but there are no data on head orientation biases. Supine head orientation bias was measured experimentally in 16 rhesus monkey neonates and compared with prone head orientation bias as well as with various measures of hand use preference. A group-level leftward supine head bias was found that corresponded to greater activity in the left hand while supine; however, supine head orientation did not predict later hand preference as measured by reaching or manipulation on a coordinated bimanual task. These data suggest that a trajectory for handedness in rhesus monkeys may be different from that of humans and chimpanzees.

Factor analysis of the Home Handedness Questionnaire: Unimanual and role differentiated bimanual manipulation as separate dimensions of handedness.

Questionnaires are commonly used to measure handedness. However, popular measures do not capture hand preference by skill type, thus reducing handedness to a single dimension. An exception is the Home Handedness Questionnaire (HHQ), an action-based measure developed initially for children, which measures skills across two dimensions of handedness: unimanual actions and role differentiated bimanual manipulation (RDBM). The goal of the current study was to confirm the factor structure of the HHQ in a large sample of adults (N = 1051). A secondary goal was to measure RDBM hand preference in adults. To further validate the HHQ, participants also completed the Edinburgh Handedness Inventory (EHI). Confirmatory factor analysis verified the two-factor structure of the HHQ, and a one-factor solution was replicated for the EHI. Individuals that were classified as consistent on the EHI had stronger preferences for unimanual and RDBM hand use on the HHQ. Right hand patterning was reduced for RDBM compared to unimanual on the HHQ, and the EHI. The HHQ was found to be reliable and valid against the EHI. The HHQ offers researchers a tool to examine individual differences across manual skills that comprise the neuropsychological phenomenon handedness, and to more broadly examine laterality patterns with respect to cognition.