Roche Renuka, Viswanathan Priya, Clark Jane E, Whitall Jill
Occupational Therapy Program, Eastern Michigan University, Ypsilanti, MI, USA.
Department of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD, USA.
Hum Mov Sci. 2016 Dec;50:19-29. doi: 10.1016/j.humov.2016.09.003. Epub 2016 Sep 19.
Children with DCD demonstrate impairments in bimanual finger tapping during self-paced tapping and tapping in synchrony to different frequencies. In this study, we investigated the ability of children with DCD to adapt motorically to perceptible or subliminal changes of the auditory stimuli without a change in frequency, and compared their performance to typically developing controls (TDC). Nineteen children with DCD between ages 6-11years (mean age±SD=114±21months) and 17 TDC (mean age±SD=113±21months) participated in this study. Auditory perceptual threshold was established. Children initially tapped bimanually to an antiphase beat and then to either a perceptible change in rhythm or to gradual subliminal changes in rhythm. Children with DCD were able to perceive changes in rhythm similar to TDC. They were also able to adapt to both perceptible and subliminal changes in rhythms similar to their age- and gender- matched TDC. However, these children were significantly more variable compared with TDC in all phasing conditions. The results suggest that the performance impairments in bilateral tapping are not a result of poor conscious or sub-conscious perception of the auditory cue. The increased motor variability may be associated with cerebellar dysfunction but further behavioral and neurophysiological studies are needed.
患有发育性协调障碍(DCD)的儿童在自主节奏敲击以及与不同频率同步敲击时,双手手指敲击存在障碍。在本研究中,我们调查了患有DCD的儿童在不改变频率的情况下,对听觉刺激的可感知或阈下变化进行运动适应的能力,并将他们的表现与正常发育对照组(TDC)进行比较。19名年龄在6至11岁之间的患有DCD的儿童(平均年龄±标准差=114±21个月)和17名TDC儿童(平均年龄±标准差=113±21个月)参与了本研究。确定了听觉感知阈值。儿童最初双手以反相节拍敲击,然后对节奏的可感知变化或节奏的逐渐阈下变化进行敲击。患有DCD的儿童能够像TDC儿童一样感知节奏变化。他们也能够像年龄和性别匹配的TDC儿童一样适应节奏的可感知和阈下变化。然而,在所有相位条件下,与TDC相比,这些儿童的变异性明显更大。结果表明双侧敲击的表现障碍不是对听觉线索有意识或潜意识感知不佳的结果。运动变异性增加可能与小脑功能障碍有关,但需要进一步的行为和神经生理学研究。