Katholic University Leuven, Department of Rehabilitation Sciences, Belgium.
Child Neuropsychol. 2009 Nov;15(6):532-42. doi: 10.1080/09297040902740678.
In the early publications on the 22q11.2 Deletion Syndrome (22q11.2DS) motor abnormalities have been frequently reported. However, systematic studies on the motor performance of children with the 22q11.2DS, and especially of school-age children, are scarce. In this study the motor performance of primary school-age children with a 22q11.2DS (n = 28) was compared with an age- and IQ-matched control group (n = 28) using the Movement Assessment Battery for Children (MABC), the Körperkoordinationstest für Kinder (KTK) and the Beery-Buctenica test of Visual-Motor Integration (Beery). Children with a 22q11.2DS scored significantly lower than the age- and IQ-matched control group on the subsection Manual Dexterity (MABC) and the Visual Perception and Motor Coordination subtests of the Beery. When investigating the correlations between Intelligence quotient (IQ) and motor performance, a specific profile was found in the 22q11.2DS group when compared with the age- and IQ-matched control group. Because an IQ-matched control group was adopted, the deficits in visual-perceptual and visuomotor integration skills cannot fully be attributed to a general developmental delay and thus may be specific for the 22q11.2DS. Future studies that investigate the specificity of the visual-perceptual problems - both on the behavioral and brain level (functional Magnetic Resonance Imaging [fMRI] and Diffusion Tensor Imaging [DTI]) - are necessary to answer this question. Nonetheless, the importance of incorporating motor functioning into the study of the neuropsychological profile of children with a 22q11.2DS has to be stressed.
在关于 22q11.2 缺失综合征(22q11.2DS)的早期出版物中,经常报道运动异常。然而,对于 22q11.2DS 儿童的运动表现,特别是学龄儿童的运动表现,系统研究却很少。在这项研究中,使用儿童运动评估成套测验(MABC)、儿童身体协调性测试(KTK)和视觉运动整合的 Beery-Buctenica 测试(Beery),比较了 22q11.2DS 儿童(n=28)和年龄及智商匹配的对照组儿童(n=28)的运动表现。22q11.2DS 患儿在手动灵巧性(MABC)亚项和 Beery 的视觉感知和运动协调亚项上的得分显著低于年龄和智商匹配的对照组。当研究智商(IQ)与运动表现之间的相关性时,与年龄和智商匹配的对照组相比,在 22q11.2DS 组中发现了一种特定的模式。由于采用了智商匹配的对照组,因此视觉感知和视动整合技能的缺陷不能完全归因于一般发育迟缓,因此可能是 22q11.2DS 的特异性缺陷。未来的研究需要调查视觉感知问题的特异性-无论是在行为还是大脑水平上(功能磁共振成像[fMRI]和弥散张量成像[DTI])-以回答这个问题。尽管如此,将运动功能纳入 22q11.2DS 儿童神经心理学特征研究的重要性必须得到强调。