Sensorimotor skills associated with motor dysfunction in children born extremely preterm
Sensorimotor skills associated with motor dysfunction in children born extremely preterm
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DOI：
10.1016/j.earlhumdev.2011.04.002
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发表时间：
2011-07-01
影响因子：
2.5
通讯作者：
Hummell, Jill
中科院分区：
文献类型：
--
作者：
Goyen, Traci-Anne;Lui, Kei;Hummell, Jill
背景资料：早产儿，尽管没有智力和感觉神经缺陷，但仍有发生运动功能障碍的风险。目的：探讨感觉运动处理技能与“明显正常”极早产儿发育协调障碍（DCD）的关系。研究设计：在一项配对病例对照研究中，50名出生小于29周或出生体重85且未发现感觉神经残疾的早产儿< 1000g. with an IQ >，在沿着50名性别和出生日期匹配的足月出生的教室对照的8岁时评估。一组感觉运动测试，检查视觉运动，视觉感知，触觉感知，动觉和实践。结果：对于患有DCD的早产儿（n = 21），与29名未患有DCD的早产儿和足月对照组相比，除口头命令外，视觉处理和实践测试的得分显著降低（中位视觉感知得分分别为92、96和108;设计复制分别为0.07、0.46和0.95;构造性练习分别为0.09、0.27和0.63;测序练习分别为0.14、0.73和0.96）。结论：先天性先天性发育障碍早产儿在视觉加工任务上存在一定的困难。实践或运动规划对他们来说是一个特殊的挑战。极早产儿的运动功能障碍与较差的视觉处理和运动规划有关，可能与认知处理问题有关。皇冠版权所有（c）2011由爱思唯尔爱尔兰有限公司出版。保留所有权利。
Background: Children born prematurely, despite being free of intellectual and sensorineural deficits, are at risk of motor dysfunction.Aim: To investigate the association of sensorimotor processing skills and Developmental Coordination Disorder (DCD) in "apparently normal" extreme preterm children.Study design: In a matched case-control study, 50 preterm children born less than 29 weeks or birthweight < 1000g. with an IQ > 85 and no identified sensorineural disability, were assessed at 8 years of age along with 50 gender and birth date matched classroom controls born at full term. A battery of sensorimotor tests was administered, which examined visual-motor, visual perception, tactile perception, kinaesthesia, and praxis.Results: For preterm children with DCD (n = 21), significantly lower scores were found for the visual processing and praxis tests, with the exception of verbal command, in comparison to those 29 preterm children without DCD and term controls (median visual perception scores were 92,96 and 108 respectively; design copying was 0.07, 0.46 and 0.95; constructive praxis was 0.09, 0.27 and 0.63; and sequencing praxis was 0.14, 0.73 and 0.96). There were no difference on the tactile sensitivity and kinaesthetic processing tests.Conclusions: Preterm children with DCD have difficulty with visual processing tasks. Praxis or motor planning poses a particular challenge for them. Motor dysfunction in extremely preterm children was related to poorer visual processing and motor planning and may relate to a cognitive processing problem. Crown Copyright (c) 2011 Published by Elsevier Ireland Ltd. All rights reserved.