Yu Tzu-Ying, Chou Willy, Chow Julie Chi, Lin Chien-Ho, Tung Li-Chen, Chen Kuan-Lin
Department of Occupational Therapy, College of Medicine, I-Shou University, Kaohsiung.
Department of Physical Medicine and Rehabilitation, Chi-Mei Medical Center.
Neuropsychiatr Dis Treat. 2018 Feb 20;14:597-605. doi: 10.2147/NDT.S153102. eCollection 2018.
We investigated 1) the impact of differences in intelligence quotient discrepancy (IQD) on motor skills of preschool-aged children with autism spectrum disorders (ASD); 2) the relationships between IQD and motor skills in preschool-aged children with ASD.
A total of 127 ASD preschool-aged children were divided into three groups according to the size of the IQD: IQD within 1 standard deviation (1SD; EVENIQ; n=81), discrepantly higher verbal intelligence quotient (VIQ; n=22; VIQ>performance intelligence quotient [PIQ] above 1SD [≥15 points]), and discrepantly higher PIQ (n=24; PIQ>VIQ above 1SD [≥15 points]). Children's IQD and motor skills were determined with the Wechsler Preschool and Primary Scale of Intelligence™ - Fourth Edition and the motor subtests of the Comprehensive Developmental Inventory for Infants and Toddlers (CDIIT), respectively.
One-way analysis of variance revealed significant group differences for the fine motor domain of the CDIIT and the visual-motor coordination subtest (=3.37-4.38, <0.05). Children with discrepantly higher PIQ were associated with better fine motor skills than were children with even IQD and those with discrepantly higher VIQ, and vice versa. IQD (PIQ - VIQ) had significant positive correlations with the fine motor domain and fine motor subtests of the CDIIT (=0.18-0.29, <0.05).
The IQD can identify different levels of fine motor skills in preschool-aged children with ASD. This study suggests important implications for clinicians, therapists, and researchers: discrepantly higher PIQ could be related to better visual-motor coordination, and discrepantly higher VIQ could be related to poor visual-motor coordination. Furthermore, the results support that when therapists are working with preschool-aged children with ASD who are developing fine motor skills or undertaking fine motor tasks related to visual-motor coordination, they may need to pay attention to the children's IQD.
我们调查了1)智商差异(IQD)对自闭症谱系障碍(ASD)学龄前儿童运动技能的影响;2)ASD学龄前儿童的IQD与运动技能之间的关系。
总共127名ASD学龄前儿童根据IQD的大小分为三组:IQD在1个标准差(1SD)以内(均衡智商组;n = 81),言语智商差异较大(n = 22;言语智商(VIQ)>操作智商(PIQ)超过1SD[≥15分]),以及操作智商差异较大组(n = 24;PIQ>VIQ超过1SD[≥15分])。分别使用韦氏学前和小学智力量表™-第四版以及婴幼儿综合发展量表(CDIIT)的运动子测试来确定儿童的IQD和运动技能。
单因素方差分析显示,CDIIT的精细运动领域和视动协调子测试存在显著的组间差异(F = 3.37 - 4.38,P < 0.05)。与均衡智商儿童和言语智商差异较大的儿童相比,操作智商差异较大的儿童具有更好的精细运动技能,反之亦然。IQD(PIQ - VIQ)与CDIIT的精细运动领域和精细运动子测试存在显著正相关(r = 0.18 - 0.29,P < 0.05)。
IQD可以识别ASD学龄前儿童不同水平的精细运动技能。本研究对临床医生、治疗师和研究人员具有重要意义:操作智商差异较大可能与更好的视动协调有关,言语智商差异较大可能与较差的视动协调有关。此外,结果支持治疗师在与正在发展精细运动技能或进行与视动协调相关的精细运动任务的ASD学龄前儿童合作时,可能需要关注儿童的IQD。