Faculty of Human Movement Sciences, Research Institute MOVE, VU University, Amsterdam, the Netherlands.
Dev Med Child Neurol. 2011 Feb;53(2):150-5. doi: 10.1111/j.1469-8749.2010.03806.x. Epub 2010 Oct 21.
Gross motor performance appears to be impaired in children with psychiatric disorders but little is known about which skill domains are affected in each disorder, nor about possible accompanying deficits in physical fitness. The present study has sought to provide information about these issues in children with emotional, behavioural, and pervasive developmental disorders (PDD).
One hundred children receiving psychiatric care (81 males, 19 females, mean age 9y 11mo, SD 1y 8mo) completed both the Test of Gross Motor Development, measuring locomotion and object control, and the Motor Performance test, measuring neuromotor and aerobic fitness. The emotional disorders, behavioural disorders (BD), and PDD subgroups consisted of 17, 44 and 39 children respectively.
The mean gross motor performance scores of the BD and PDD group were significantly (p < 0.05) lower than the score of the emotional disorders group, but even the latter score was significantly lower (p < 0.05) than the population norm score. Physical fitness was poor in all subgroups. The subdomains locomotion and object control were unusually highly correlated in the PDD group (r = 0.68). Moreover, only in the PDD group were the locomotion scores significantly correlated with neuromotor fitness (r = 0.47, p = 0.02).
The specific combinations of impairments in gross motor skills and physical fitness in children with psychiatric disorders indicate the importance of the assessment of these domains in order to provide interventions tailored to the specific profile of each individual child.
精神障碍儿童的粗大运动表现似乎受损，但对于每种障碍影响的技能领域以及身体适应性方面可能存在的伴随缺陷知之甚少。本研究旨在为情绪、行为和广泛性发育障碍（PDD）儿童提供这些问题的信息。
100 名接受精神科护理的儿童（81 名男性，19 名女性，平均年龄 9 岁 11 个月，SD 1 岁 8 个月）均完成了粗大运动发育测试（测量运动和物体控制）和运动表现测试（测量神经运动和有氧适能）。情绪障碍、行为障碍（BD）和 PDD 亚组分别包括 17、44 和 39 名儿童。
BD 和 PDD 组的平均粗大运动表现评分显著低于情绪障碍组（p<0.05），但后者的评分也显著低于（p<0.05）人群常模评分。所有亚组的身体适应性都很差。PDD 组的运动和物体控制子领域之间呈异常高度相关（r=0.68）。此外，只有在 PDD 组中，运动评分与神经运动适应性显著相关（r=0.47，p=0.02）。
精神障碍儿童粗大运动技能和身体适应性损伤的特定组合表明，评估这些领域的重要性，以便为每个个体儿童提供量身定制的干预措施。
