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发育协调障碍儿童的运动控制受损:内部模型存在缺陷?——一项系统综述。

Compromised motor control in children with DCD: a deficit in the internal model?—A systematic review.

作者信息

Adams Imke L J, Lust Jessica M, Wilson Peter H, Steenbergen Bert

机构信息

Radboud University Nijmegen, Behavioural Science Institute, Nijmegen, The Netherlands.

Radboud University Nijmegen, Behavioural Science Institute, Nijmegen, The Netherlands.

出版信息

Neurosci Biobehav Rev. 2014 Nov;47:225-44. doi: 10.1016/j.neubiorev.2014.08.011. Epub 2014 Sep 1.

Abstract

A viable hypothesis to explain the compromised motor ability of children with Developmental Coordination Disorder (DCD) suggests a fundamental deficit in their ability to utilize internal models for motor control. Dysfunction in this mode of control is thought to compromise their motor learning capabilities. The aim of this systematic review is to examine the available evidence for the internal modeling deficit (IMD) hypothesis. A systematic review using five databases identified 48 relevant articles. These studies were categorized according to the effector system involved in the evaluation of motor control and were evaluated for methodological quality. In most papers, DSM-IV-TR criteria for the classification of DCD were not completely fulfilled and possible attentional problems not accounted for. Results showed compromised control of overt and covert eye movements, dynamic postural control, manual control for tasks that vary in complexity, and for motor imagery of manual and whole-body postures. Importantly, this review shows support for general hypothesis that deficits of predictive control manifest in DCD across effector systems.

摘要

一个用以解释发育性协调障碍(DCD)儿童运动能力受损的可行假设表明,他们在利用内部模型进行运动控制的能力上存在根本性缺陷。这种控制模式的功能障碍被认为会损害他们的运动学习能力。本系统综述的目的是检验内部模型缺陷(IMD)假设的现有证据。通过使用五个数据库进行的系统综述确定了48篇相关文章。这些研究根据运动控制评估中涉及的效应器系统进行分类,并对方法学质量进行了评估。在大多数论文中,DCD分类的DSM-IV-TR标准未得到完全满足,且未考虑可能存在的注意力问题。结果显示,明显和隐蔽的眼球运动控制、动态姿势控制、不同复杂程度任务的手动控制以及手部和全身姿势的运动想象均受到损害。重要的是,本综述支持这样一个总体假设,即预测控制缺陷在DCD患者的各个效应器系统中均有体现。

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