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发育性协调障碍儿童的非典型程序性学习技能。

Atypical procedural learning skills in children with Developmental Coordination Disorder.

作者信息

Van Dyck Dorine, Deconinck Nicolas, Aeby Alec, Baijot Simon, Coquelet Nicolas, De Tiège Xavier, Urbain Charline

机构信息

Laboratoire de Neuroanatomie et Neuroimagerie translationnelles (LN2T), ULB Neurosciences Institute (UNI), Hôpital Erasme - Hôpital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium.

Department of Neurology, Hôpital Universitaire des Enfants Reine Fabiola (HUDERF) - Hôpital Universitaire de Bruxelles (HUB), Université libre de Bruxelles (ULB), Brussels, Belgium.

出版信息

Child Neuropsychol. 2023 Nov;29(8):1245-1267. doi: 10.1080/09297049.2022.2152433. Epub 2022 Dec 2.

Abstract

We investigated the procedural learning deficit hypothesis in Developmental Coordination Disorder (DCD) while controlling for global performance such as slower reaction times (RTs) and variability. Procedural (sequence) learning was assessed in 31 children with DCD and 31 age-matched typically developing (TD) children through a serial reaction time task (SRTT). Sequential and random trial conditions were intermixed within five training epochs. Two repeated measures ANOVAs were conducted on a Sequence-Specific Learning Index (SSLI) and a Global Performance Index (GPI, speed/accuracy measure) with Epoch (for SSLI and GPI) and Condition (for GPI) as within-subjects factors, and Group as between-subjects factor. Controlling for RTs differences through normalized RTs, revealed a global reduction of SSLI in children with DCD compared with TD peers suggesting reduced sequence learning skills in DCD. Still, a significant Group x Condition interaction observed on GPI indicated that children from both groups were able to discriminate between sequential and random trials. DCD presented reduced procedural learning skills after controlling for global performance. This finding highlights the importance of considering the general functioning of the child while assessing learning skills in patients.

摘要

我们在控制诸如反应时间(RTs)较慢和变异性等整体表现的同时,研究了发育性协调障碍(DCD)中的程序性学习缺陷假说。通过序列反应时任务(SRTT)对31名患有DCD的儿童和31名年龄匹配的发育正常(TD)儿童的程序性(序列)学习进行了评估。在五个训练阶段内混合了顺序和随机试验条件。对序列特异性学习指数(SSLI)和整体表现指数(GPI,速度/准确性测量)进行了两次重复测量方差分析,将阶段(针对SSLI和GPI)和条件(针对GPI)作为受试者内因素,将组作为受试者间因素。通过标准化RTs控制RTs差异后发现,与TD同龄人相比,患有DCD的儿童的SSLI整体降低,这表明DCD儿童的序列学习技能有所下降。尽管如此,在GPI上观察到的显著的组×条件交互作用表明,两组儿童都能够区分顺序试验和随机试验。在控制了整体表现后,DCD儿童的程序性学习技能有所下降。这一发现突出了在评估患者学习技能时考虑儿童总体功能的重要性。

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