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发展性协调障碍儿童伴发发育性阅读障碍对眼动行为的影响:使用发展性眼动测验的研究。

Effect of comorbid developmental dyslexia on oculomotor behavior in children with developmental coordination disorder: A study with the Developmental Eye Movement test.

机构信息

Univ. Paul Valéry Montpellier 3, EPSYLON EA 4556, F34000 Montpellier, France.

Aix Marseille University, CNRS, LPL, Aix-en-Provence, France.

出版信息

Hum Mov Sci. 2021 Apr;76:102764. doi: 10.1016/j.humov.2021.102764. Epub 2021 Feb 4.

DOI:10.1016/j.humov.2021.102764
PMID:33548568
Abstract

Studies have suggested a dysfunction in oculomotor skills in children with developmental coordination disorder (DCD). It has been proposed that the Developmental Eye Movement (DEM) test is useful in testing the dyslexics' (DD) oculomotor behavior during reading, in a simple and indirect manner. The present study aimed at exploring the oculomotor behavior in children with DCD as assessed with the DEM test. We thus compared children with DCD to children with DD and to children with both DCD and DD in order to investigate the specificity of the oculomotor difficulties, as measured by the DEM test. Results showed that 1) children with DCD presented mild atypical performance at the DEM test (error z-score only), 2) children with DD presented particularly poor performance at the DEM test, and 3) the co-morbid condition (DCD + DD) did not add to the severity of atypical performance at the DEM test. In sum, children with DCD were the less affected according to the DEM test, and children with DD (isolated or comorbid) presented the most atypical performance. Results at the DEM test did not allow to highlight clear oculomotor atypicalities in DCD. We thus concluded that more research using eye-tracking techniques is needed to explore the nature of oculomotor atypicalities in DCD children, to distinguish DD and DCD oculomotor behavior, and to understand the profile of children with dual diagnosis.

摘要

研究表明,发育性协调障碍(DCD)儿童的眼球运动技能存在障碍。有人提出,发展性眼球运动(DEM)测试可用于以简单而间接的方式测试阅读障碍者(DD)的眼球运动行为。本研究旨在通过 DEM 测试探索 DCD 儿童的眼球运动行为。因此,我们将 DCD 儿童与 DD 儿童和同时患有 DCD 和 DD 的儿童进行了比较,以调查 DEM 测试测量的眼球运动困难的特异性。结果表明:1)DCD 儿童在 DEM 测试中表现出轻度非典型(仅错误 z 分数),2)DD 儿童在 DEM 测试中表现出特别差的成绩,3)合并症(DCD+DD)并未增加 DEM 测试中异常表现的严重程度。总之,根据 DEM 测试,DCD 儿童受影响较小,而 DD(单独或合并)儿童的表现最不典型。DEM 测试的结果无法突出 DCD 中明显的眼球运动异常。因此,我们得出结论,需要使用眼动追踪技术进行更多研究,以探索 DCD 儿童眼球运动异常的性质,区分 DD 和 DCD 的眼球运动行为,并了解具有双重诊断的儿童的特征。

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