Faculty of Medicine, Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada V6H 3V4.
Pediatrics. 2010 Sep;126(3):e678-86. doi: 10.1542/peds.2010-0059. Epub 2010 Aug 16.
Children with developmental coordination disorder (DCD) struggle to learn new motor skills, demonstrating more variable performance than typically developing (TD) children. The purpose of this study was to determine whether patterns of brain activity differed between children with and without DCD while performing a motor task.
Using functional MRI, we measured brain activation patterns in 7 children with DCD and 7 age-matched peers (aged 8-12 years) during a fine-motor, trail-tracing task.
Despite similar levels of behavioral motor performance, different patterns of brain activity were noted between the 2 groups. The group with DCD showed significantly more activation than control subjects in left inferior parietal lobule, right middle frontal gyrus, right supramarginal gyrus, right lingual gyrus, right parahippocampal gyrus, right posterior cingulate gyrus, right precentral gyrus, right superior temporal gyrus, and right cerebellar lobule VI. These results suggest that the group with DCD relied on visuospatial processing to complete the task. The TD group demonstrated significantly more activation than the group with DCD in left precuneus, left superior frontal gyrus, right superior temporal gyrus/insula, left inferior frontal gyrus, and left postcentral gyrus; these regions have been associated with spatial processing, motor control and learning, and error processing.
Children with DCD activate different brain regions from typical children when performing the same trail-tracing task. Despite the small sample size, our results contribute to a growing body of literature suggesting that children with DCD exhibit differences in neural networks and patterns of brain activation relative to same-age peers.
患有发育性协调障碍(DCD)的儿童在学习新运动技能方面存在困难,其表现的变异性大于典型发育(TD)儿童。本研究旨在确定在执行运动任务时,患有 DCD 和不患有 DCD 的儿童之间的大脑活动模式是否存在差异。
使用功能磁共振成像,我们在一项精细运动、追踪任务中测量了 7 名患有 DCD 的儿童和 7 名年龄匹配的同龄人(8-12 岁)的大脑激活模式。
尽管行为运动表现水平相似,但两组之间注意到了不同的大脑活动模式。患有 DCD 的组在左顶下小叶、右额中回、右缘上回、右舌回、右海马旁回、右后扣带回、右中央前回、右颞上回和右小脑小叶 VI 中表现出明显比对照组更高的激活水平。这些结果表明,患有 DCD 的组依赖于视空间处理来完成任务。TD 组比患有 DCD 的组在左楔前叶、左额上回、右颞上回/岛叶、左额下回和左中央后回中表现出明显更高的激活水平;这些区域与空间处理、运动控制和学习以及错误处理有关。
患有 DCD 的儿童在执行相同的追踪任务时,会激活与典型儿童不同的大脑区域。尽管样本量较小,但我们的结果有助于越来越多的文献表明,患有 DCD 的儿童在神经网络和大脑活动模式方面与同龄儿童存在差异。