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三岁前的发育协调障碍:比利时发育障碍中心的一项纵向回顾性研究

Developmental Coordination Disorder before the Age of Three: A Longitudinal Retrospective Study in a Belgian Center for Developmental Disabilities.

作者信息

Vens Nina, Dewitte Griet, Van Waelvelde Hilde, Bar-On Lynn, De Roubaix Amy

机构信息

Rehabilitation Sciences, Ghent University, 9000 Ghent, Belgium.

Center of Developmental Disabilities, 9000 Ghent, Belgium.

出版信息

Children (Basel). 2022 Mar 2;9(3):334. doi: 10.3390/children9030334.

Abstract

This study aimed to explore the association between developmental coordination disorder (DCD) diagnosed after the age of three and both a standardized motor test—the Alberta Infant Motor Scale (AIMS)—and non-standardized observation of movement quality carried out before the age of three. Children at risk or with developmental concerns were studied retrospectively. Children were excluded in case of a diagnosis, excluding DCD, e.g., cerebral palsy, or IQ < 70. Of the 503 included children, 246 were diagnosed with (at-risk) DCD. Multivariate binary logistic regression revealed a significant association between DCD diagnosis after the age of three and male gender and with different aspects of poor movement quality in different age groups before the age three. Univariate analyses revealed an association between DCD diagnosis and the number of poor movement-quality descriptions at 0−6 months, 6−12 months, and 18 months−3 years but not with the AIMS scores. The MABC-2 scores after the age of three were significantly correlated with the number of poor movement-quality descriptions in age groups 0−6 months and 18 months−3 years and with the AIMS scores in age groups 6−12 months and 12−18 months. The results suggest that DCD can be associated with poor movement quality before the age of three.

摘要

本研究旨在探讨三岁后诊断出的发育协调障碍(DCD)与一项标准化运动测试——艾伯塔婴儿运动量表(AIMS)以及三岁前进行的非标准化运动质量观察之间的关联。对有风险或存在发育问题的儿童进行了回顾性研究。若儿童被诊断患有除DCD外的其他疾病(如脑瘫)或智商低于70,则被排除。在纳入研究的503名儿童中,有246名被诊断为(有风险的)DCD。多变量二元逻辑回归显示,三岁后DCD诊断与男性性别以及三岁前不同年龄组运动质量差的不同方面之间存在显著关联。单变量分析显示,DCD诊断与0至6个月、6至12个月以及18个月至3岁时运动质量差的描述数量有关,但与AIMS评分无关。三岁后的运动评估量表第二版(MABC - 2)评分与0至6个月和18个月至3岁年龄组运动质量差的描述数量以及6至12个月和12至18个月年龄组的AIMS评分显著相关。结果表明,DCD可能与三岁前运动质量差有关。

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