Blank R, Miller V, von Voss H, von Kries R
Department of Neurophysiology and Psychophysiology, Institute of Social Paediatrics, Ludwig-Maximilians-University of Munich, Germany.
Dev Med Child Neurol. 1999 Sep;41(9):592-6. doi: 10.1017/s0012162299001243.
The effects of age on basic fine motor functions were assessed using a kinematic analysis of simple repetitive drawing movements in a sample of 53 right-handed children aged 7 to 14 years 11 months and 16 adults aged 27 to 54 years with no detectable abnormality with neurological examination. Lines, circles, and half-circles were drawn at a self-chosen and maximum velocity with a pressure-sensitive pen on a computer graphics tablet. Patterns generated by finger, wrist, and arm movements, and those generated by combined finger-wrist movements with and without a change in the drawing direction were analysed. The frequencies of all movement patterns increased until adulthood: 0.1 Hz per year for half-circles, 0.15 to 0.2 Hz per year for circles and lines generated by arm and wrist movements. The greatest increase (0.35 Hz per year) was observed for lines produced by finger movements. Differences in movement frequencies between finger versus wrist or arm movements when drawing lines decreased from about 3 Hz in 7- to 8-year-olds to 0.5 to 1 Hz in adolescents. In adults the difference between maximum finger, wrist, and arm movement frequencies decreased to almost zero. In contrast, the differences in movement patterns with and without change in direction remained stable until adulthood. Based on these results it is hypothesized that the differential effects of finger and more proximally generated movements on age reflect maturation of distinct neuronal sites of the corticostriatal-cerebellar circuit rather than acquisition of motor skills or myelinization of corticospinal pathways.
通过对53名7岁至14岁11个月的右利手儿童和16名27岁至54岁且经神经学检查无明显异常的成年人进行简单重复绘图动作的运动学分析,评估年龄对基本精细运动功能的影响。使用压敏笔在电脑绘图板上以自我选择的最大速度绘制直线、圆形和半圆形。分析了由手指、手腕和手臂运动产生的图案,以及在绘图方向改变和不改变的情况下由手指 - 手腕联合运动产生的图案。所有运动模式的频率在成年前均增加:半圆形每年增加0.1Hz,手臂和手腕运动产生的圆形和直线每年增加0.15至0.2Hz。手指运动产生的直线增加幅度最大(每年0.35Hz)。绘制直线时手指与手腕或手臂运动之间的频率差异从7至8岁儿童的约3Hz降至青少年的0.5至1Hz。在成年人中,最大手指、手腕和手臂运动频率之间的差异降至几乎为零。相比之下,绘图方向改变和不改变的运动模式差异在成年前保持稳定。基于这些结果,推测手指和更靠近近端产生的运动对年龄的不同影响反映了皮质纹状体 - 小脑回路不同神经元部位的成熟,而非运动技能的获得或皮质脊髓通路的髓鞘化。