Department of Paediatrics - Developmental Neurology, University Medical Center Groningen, University of Groningen, The Netherlands.
Acta Paediatr. 2011 Feb;100(2):271-8. doi: 10.1111/j.1651-2227.2010.01998.x. Epub 2010 Sep 27.
To investigate the relationship between motor performance and minor neurological dysfunction (MND) at school age.
Two hundred and fifty-three children (158 boys, 95 girls; mean age 8 years and 7 months) of whom 167 children received mainstream education and 86 children special education were neurologically examined according to Touwen. Special attention was paid to the severity of MND (simple or complex form) and type of dysfunction. Motor performance was assessed with the Movement Assessment Battery for Children (MABC), a parental questionnaire (Developmental Coordination Disorder Questionnaire; DCD-Q) and a teacher's questionnaire (Motor Observation Questionnaire for Teachers; MOQ-T).
Total scores of MABC, DCD-Q and MOQ-T were strongly related to the severity of MND and to dysfunctional coordination and fine manipulation. Mild dysfunction in posture and muscle tone was only weakly related to limited motor performance. Children with a MABC score < 5th percentile showed significantly more often complex MND than children with scores between the 5th and 15th percentile or >15th percentile (54% vs 17% and 10%).
Limited motor performance is related to the severity and type of MND. Coordination problems and fine manipulative disability are strongly related to poor motor performance, mild dysfunctions of posture and muscle tone to a lesser extent.
研究学龄期运动表现与轻度神经功能障碍（MND）之间的关系。
对 253 名儿童（男 158 名，女 95 名；平均年龄 8 岁 7 个月）进行神经学检查，其中 167 名儿童接受主流教育，86 名儿童接受特殊教育。根据 Touwen 进行检查，特别注意 MND 的严重程度（简单或复杂形式）和功能障碍类型。运动表现采用儿童运动评估量表（MABC）、家长问卷（发育协调障碍问卷；DCD-Q）和教师问卷（教师运动观察问卷；MOQ-T）进行评估。
MABC、DCD-Q 和 MOQ-T 的总分与 MND 的严重程度以及运动协调和精细运动功能障碍密切相关。姿势和肌肉张力的轻度功能障碍仅与有限的运动表现有弱相关。MABC 评分<第 5 百分位数的儿童比评分在第 5 至 15 百分位数或>15 百分位数之间的儿童更常出现复杂 MND（54%比 17%和 10%）。
运动表现受限与 MND 的严重程度和类型有关。协调问题和精细运动障碍与运动表现不良密切相关，而姿势和肌肉张力的轻度功能障碍则关系较小。
