Department of Biomedical Kinesiology, Katholieke Universiteit Leuven, Tervuursevest 101, 3001 Heverlee, Belgium.
Pediatrics. 2012 Oct;130(4):e950-6. doi: 10.1542/peds.2011-3712. Epub 2012 Sep 17.
In both clinical practice and research, motor delay is understood to be explained, at least in part, by intellectual abilities; however, no data are available to operationalize these criteria to guide clinical decision making. This study provides data on IQ and motor skills in children to answer 3 research questions concerning the relationship between IQ and motor skill: (1) Can motor coordination impairment be explained in terms of general intellectual retardation? (2) What level of motor performance should be expected given the person's measured intelligence? (3) At what point are motor difficulties considered to be in excess of those usually associated with mental retardation?
IQ and motor skill data were analyzed from a group of 460 children identified with/without motor difficulties from both clinical and educational settings.
Typical and atypical motor skill was seen at all IQ levels, 19% of the variance in motor outcomes was explained by IQ scores, and for each SD lower IQ, a mean loss of 10 percentile motor points should be expected.
Although individuals with a lower measured IQ more often showed poorer motor performance than those with a higher measured IQ, motor skill at all levels of proficiency was seen in all IQ categories. These findings have important implications for clinical judgments and decision-making, as well as for future research directions to further operationalize the criteria relating to motor disorders in both the Diagnostic and Statistical Manual of Mental Disorders, Fourth Revision, and the International Classification of Diseases, 10th Revision.
在临床实践和研究中,运动迟缓被认为至少部分是由智力能力解释的;然而,目前还没有数据可用于操作这些标准来指导临床决策。本研究提供了儿童智商和运动技能的数据,以回答 3 个关于智商和运动技能关系的研究问题:(1)运动协调障碍能否用一般智力迟钝来解释?(2)考虑到个体的测量智力,应该期望达到什么样的运动表现水平?(3)在什么情况下,运动困难被认为超过了与智力迟钝相关的通常水平?
从临床和教育环境中确定的 460 名有/无运动困难的儿童中分析了智商和运动技能数据。
在所有智商水平都可以看到典型和非典型的运动技能,智商得分解释了运动结果的 19%差异,每降低 1 个标准差的智商,预计平均会损失 10 个百分位数的运动分数。
尽管智商较低的个体比智商较高的个体更常表现出较差的运动表现,但在所有智商类别中都可以看到各个水平的运动技能。这些发现对临床判断和决策以及未来的研究方向都有重要影响,以进一步操作与《精神障碍诊断与统计手册》第四版和《国际疾病分类》第 10 版中运动障碍相关的标准。