University of Groningen and Beatrix Children's Hospital, University Medical Center of Groningen, The Netherlands.
Neuropsychology. 2010 Jan;24(1):90-100. doi: 10.1037/a0016804.
Follow-up studies of preterm children without serious neonatal medical complications have consistently found poor visuomotor and visuospatial skills. In the first round of current follow-up study, we found a deficit in elementary visuomotor processes in preterm children without Cerebral Palsy (CP). To determine whether the development of these processes was delayed or different, we carried out a quasi-longitudinal study in which kinematic characteristics of pointing movements in 7- to 11-year-old preterm born children without CP and in an age-matched full-term group were analyzed. Multi-level analysis suggested a difference rather than a delay in the preterm born group: we found a regression around 8 years of age in the control but not in the preterm group. To our knowledge, this study is the first to provide longitudinal data confirming this regression in the development of movement control in typically developing children. Our results are also consistent in suggesting that elementary visuomotor processes are less efficient in preterm born children without CP: their movements were either slower or less accurate. While these differences were subtle, they persisted until 11 years of age.
对没有严重新生儿医学并发症的早产儿进行的随访研究一致发现,他们的视动和视空间技能较差。在目前的第一轮随访研究中,我们发现无脑瘫(CP)早产儿的基本视动过程存在缺陷。为了确定这些过程是延迟还是不同,我们进行了一项准纵向研究,分析了 7 至 11 岁无 CP 的早产儿和年龄匹配的足月组的指向运动的运动学特征。多层次分析表明,早产儿组的差异而不是延迟:我们发现对照组在 8 岁左右出现回归,但早产儿组没有。据我们所知,这项研究首次提供了纵向数据,证实了运动控制在正常发育儿童中的发展存在这种回归。我们的结果也一致表明,无 CP 的早产儿的基本视动过程效率较低:他们的动作要么较慢,要么准确性较低。虽然这些差异很细微,但它们一直持续到 11 岁。