Lewis Matthew, Vance Alasdair, Maruff Paul, Wilson Peter, Cairney Sheree
Department of Paediatrics, University of Melbourne, Royal Children's Hospital, and Murdoch Childrens Research Institute, Melbourne, Australia.
Dev Med Child Neurol. 2008 Aug;50(8):608-12. doi: 10.1111/j.1469-8749.2008.03030.x.
It has been proposed, and questioned, whether motor impairments in attention-deficit-hyperactivity disorder, combined type (ADHD-C) alone, developmental coordination disorder (DCD) alone, and ADHD-C and comorbid DCD (ADHD-C/DCD) may arise from disruption to a common set of cognitive functions and their related neural substrate. This study examined movement durations for real and imagined movements in a visually guided pointing task in 58 prepubertal children aged 8 to 12 years old with ADHD-C alone (n=14), ADHD-C/DCD (n=14), DCD alone (n=15), and an age-, sex-, and Full-scale IQ-matched healthy comparison group (n=15). There were 10 males and 4 or 5 females in each group. The DCD alone group demonstrated an inability to generate imagined movements that was not present in the ADHD-C group, with or without comorbid DCD, or healthy comparison participants. These findings add to the emerging literature characterizing intended and actual motor impairments associated with DCD alone.
有人提出并对此提出质疑,注意缺陷多动障碍合并型(ADHD-C)、单纯的发育性协调障碍(DCD)以及ADHD-C合并DCD(ADHD-C/DCD)中的运动障碍,是否可能源于一组共同的认知功能及其相关神经基质的破坏。本研究调查了58名8至12岁青春期前儿童在视觉引导指向任务中真实运动和想象运动的持续时间,这些儿童中,14名单纯ADHD-C,14名ADHD-C/DCD,15名单纯DCD,还有一个年龄、性别和全量表智商匹配的健康对照组(15名)。每组有10名男性和4或5名女性。单纯DCD组表现出无法产生想象运动的能力,而ADHD-C组(无论是否合并DCD)以及健康对照参与者则没有这种情况。这些发现为新近出现的关于单纯DCD相关的预期和实际运动障碍的文献增添了内容。