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发育性协调障碍(DCD)儿童的单手和双手运动表现为运动控制缺陷提供了证据。

Unimanual and bimanual motor performance in children with developmental coordination disorder (DCD) provide evidence for underlying motor control deficits.

机构信息

Department of Neurosciences, University of Calgary, Calgary, Canada.

Owerko Centre at the Alberta Children's Hospital Research Institute (ACHRI), #397, Child Development Center, 2500 University Dr. NW, Calgary, AB, T2N 1N4, Canada.

出版信息

Sci Rep. 2021 Mar 16;11(1):5982. doi: 10.1038/s41598-021-85391-3.

Abstract

Much of our understanding of motor control deficits in children with developmental coordination disorder (DCD) comes from upper limb assessments focusing on the dominant limb. Here, using two robotic behavioural tasks, we investigated motor control in both the dominant and non-dominant limbs of children with DCD. Twenty-six children with diagnosed DCD (20 males; mean age 10.6 years ± 1.3 years) and 155 controls were included in this cross-sectional study. Participants completed a visually guided reaching task with their dominant and non-dominant limbs and a bimanual object hitting task. Motor performance was quantified across nine parameters. We determined the number of children with DCD who fell outside of the typical performance range of the controls on these parameters and compared the DCD and control groups using ANCOVAs, accounting for age. Children with DCD demonstrated impairments in six out of nine parameters; deficits were more commonly noted in the non-dominant limb. Interestingly, when looking at individual performance, several children with DCD performed in the range of controls. These findings indicate that children with DCD display deficits in motor control in both the dominant and non-dominant limb and highlight the importance of including detailed assessments of both limbs when investigating children with DCD. They also demonstrate the variability in motor control performance evidenced by children with DCD.

摘要

我们对发育性协调障碍(DCD)儿童运动控制缺陷的大部分理解来自于侧重于优势肢体的上肢评估。在这里,我们使用两项机器人行为任务,研究了 DCD 儿童的优势肢体和非优势肢体的运动控制。这项横断面研究纳入了 26 名经诊断患有 DCD 的儿童(20 名男性;平均年龄 10.6±1.3 岁)和 155 名对照者。参与者用优势肢体和非优势肢体完成了一项视觉引导的伸手任务和一项双手物体击打任务。通过九个参数来量化运动表现。我们确定了在这些参数中,有多少名 DCD 儿童的表现超出了对照组的典型范围,并使用协方差分析(ANCOVA)比较了 DCD 组和对照组,该分析考虑了年龄因素。DCD 儿童在九个参数中的六个参数中表现出缺陷;非优势肢体的缺陷更为常见。有趣的是,当观察个体表现时,几名 DCD 儿童的表现处于对照组范围内。这些发现表明,DCD 儿童在优势肢体和非优势肢体的运动控制中都存在缺陷,并强调了在研究 DCD 儿童时,对两个肢体进行详细评估的重要性。它们还展示了 DCD 儿童在运动控制表现方面的可变性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be13/7971033/948bba91db9b/41598_2021_85391_Fig1_HTML.jpg

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