Smits-Engelsman B C M, Bloem-van der Wel H E, Duysens J
Motor Control Lab, Department of Kinesiology, Faculty of Kinesiology and Rehabilitation Sciences, KU Leuven, Tervuurse Vest, B-Leuven, Belgium.
Child Care Health Dev. 2006 Nov;32(6):703-10. doi: 10.1111/j.1365-2214.2006.00686.x.
The conventional view among many clinicians is that crossing the midline in children with Developmental Coordination Disorder (DCD) results in degradation of their performance. However, no kinematic data yet exist to support this view. We therefore tested this assumption in an experimental setting.
A group of age- and gender-matched children with DCD (n = 48) and a group of typically developing children (n = 48) were compared while performing goal-directed movements with a pen on a XY-tablet. We examined whether speed or accuracy changed if the goal-directed movements were made towards targets positioned either at the midline, the contralateral (crossed) side or the ipsilateral (uncrossed) side of the body midline.
Our results showed that movements in the contralateral workspace were less accurate for both groups of children in the tested age range (6-11 years). The movements made towards the targets in the midline were the fastest, and the pen pressure for movements in the ipsilateral space was the highest. However, these effects were similar for children with and without DCD. As expected, children with DCD made more errors, were slower and pressed more erratically on their pen, but this difference was irrespective of the position of their hand in the workspace.
Crossing the midline in children with DCD for small amplitude movements (2.5 cm), as tested in this study, does not result in increased degradation of the goal-directed movements compared with their typically developing peers. This implies that, contrary to expectation, there is no evidence for a preferential deficit in DCD in brain structures involved in making movements in the contralateral workspace.
许多临床医生的传统观点认为,发育性协调障碍(DCD)儿童越过身体中线会导致其表现下降。然而,目前尚无运动学数据支持这一观点。因此,我们在实验环境中对这一假设进行了测试。
比较一组年龄和性别匹配的DCD儿童(n = 48)和一组发育正常的儿童(n = 48),他们在XY数位板上用笔进行目标导向运动。我们研究了如果目标导向运动是朝着位于身体中线、对侧(交叉)侧或同侧(未交叉)侧的目标进行,速度或准确性是否会发生变化。
我们的结果表明,在测试的年龄范围(6 - 11岁)内,两组儿童在对侧工作空间的运动准确性较低。朝着中线目标的运动最快,同侧空间运动的笔压力最高。然而,有DCD和没有DCD的儿童的这些影响相似。正如预期的那样,DCD儿童犯的错误更多,速度更慢,用笔按压更不稳定,但这种差异与他们手在工作空间中的位置无关。
如本研究中所测试的,对于DCD儿童进行小幅度运动(2.5厘米)越过中线时,与发育正常的同龄人相比,目标导向运动的退化不会增加。这意味着,与预期相反,没有证据表明DCD儿童在参与对侧工作空间运动的脑结构中存在优先缺陷。