Toddler learning to step up: how experience and context influence motor planning

My mantra: motor learning is specific to the task and context

Anyone following the TOMT 0-3 blog will know that I promote a task and context oriented approach to intervention because it is the only way to address the complex interactions between different aspects of task performance including visual pickup for motor planning, task dependent balance control, and learning through exploration, among other things. 

I am busy working on an article covering the assessment and training of stepping up and down in toddlers. To this end I was doing a frame by frame analysis of stepping up onto steps of different heights and was thrilled to find a wonderful example of how a toddler adapts the motor plan to suit the context of the task. 

Stepping up onto a low step
First we see Max stepping up onto a 5 cm step made of a high density compressed foam. 

When stepping up onto a low step Max translates the COM forwards over the stance LE while at the same times flexing the hip and knee of the swing LE.

Notice that Max still lifts the foot higher than is necessary to clear the step. 

Stepping up 1.jpg  Stepping up 2.jpg   Stepping up 3.jpg   Stepping up 4.jpgStepping up 5.jpg 

Weight is then smoothly transferred forwards onto the left LE.

Stepping up 6.jpg  Stepping up 7.jpg  Stepping up 8.jpg 

Once the weight is fully on the left, now stance LE, the COM is moved forwards by extending the left hip, in a smooth continuous  movement. 

  Stepping up 10.jpg  Stepping up 11.jpg  Stepping up 12.jpg  Stepping up 13.jpg

Stepping up onto a 15 cm high step
However when faced with a 15 cm high step, the stepping-up action proceeds in a series of linked postural adjustments followed by LE movements. 

Max first moves the left foot forwards, closer to the step and transfers weight laterally over the LE - the COM is translated to the left. 

You also see how carefully Max visually monitors his actions.

 Stepping up 20m step 1.jpg Stepping up 20m step 2.jpg Stepping up 20m step 3.jpg 

The right hip and knee are flexed to lift the foot up, then the knee is extended to move the foot forwards over the step. 

The COM remains centered over the right LE as he balances on the right LE. 

 Stepping up 20m step 4.jpg  Stepping up 20m step 5.jpg  Stepping up 20m step 6.jpg  Stepping up 20m step 7.jpg

Next Max plants the left foot on the step and shifts the weight forwards and laterally onto this new stance LE. 

Notice how Max carefully balances on the stance limb as he moves the right foot up and forwards. This is associated with knee extension rather than hip extension. 

Stepping up 20m step 8.jpg  Stepping up 20m step 10.jpg  Stepping up 20m step 11.jpg  Stepping up 20m step 12.jpg  Stepping up 20m step 13.jpg  

Lastly he takes a small step forwards with the left foot - this small forwards step help the absorb the momentum created by moving the COM forwards. 

Stepping up 20m step 14.jpg  Stepping up 20m step 15.jpg  Stepping up 20m step 16.jpg


Video clip: Max stepping up


More information 

TOMT for Toddlers: Assessment and Training of Gross Motor Abilities.

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