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轻微神经功能障碍会是一种非脑瘫性运动障碍吗?

Could minor neurological dysfunction be a type of non-cerebral palsy motor impairment?

作者信息

Hamad Ana Paula, Caldas Carla Andrea Tanuri Cardoso, Silva Isabella Cristina Mendes de Sá E, Nunes Marina Estima Neiva

机构信息

Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2025 May;83(5):1-11. doi: 10.1055/s-0045-1809359. Epub 2025 Jun 1.

Abstract

Non-cerebral palsy motor impairments have been increasing over time, especially in preterm-born children, with a variety of labels, including, but not limited to, developmental coordination disorder and minor neurological dysfunction. They may not only negatively affect the child in their daily life activities, but are also associated with cognitive, emotional, and behavioral disorders, as well as decreased academic performance. Since there is a paucity of literature on non-cerebral palsy motor impairment, the main objective of the present study is to assess minor neurological dysfunction in the context of neurodevelopment. We reviewed the medical literature using the following search terms: ; ; ; ; ; ; and . We compiled evidence-based data on minor neurological dysfunction critical domains, diagnosis, etiological factors and the influence of age and puberty in minor neurological signs. We also listed the cohort studies that used the Touwen Neurological Examination for premature or term-born follow-up, including those that suggest an association between minor neurological dysfunction and developmental coordination disorder as a motor impairment beyond cerebral palsy. Moreover, we found significant evidence of a correlation involving minor neurological dysfunction and cognitive, behavioral, and learning abilities, which, all in all, means that these children particularly deserve special attention regarding social, educational and healthcare resources. Furthermore, since motor activity seems to play an important role in the physical, mental, and neurological health of typical children, different approaches to education could have a positive impact on neurological development.

摘要

非脑瘫运动障碍长期以来一直在增加,尤其是在早产儿中,有各种不同的称谓,包括但不限于发育性协调障碍和轻度神经功能障碍。它们不仅可能对儿童的日常生活活动产生负面影响,还与认知、情感和行为障碍以及学业成绩下降有关。由于关于非脑瘫运动障碍的文献较少,本研究的主要目的是在神经发育背景下评估轻度神经功能障碍。我们使用以下检索词回顾了医学文献:;;;;;;以及。我们汇编了关于轻度神经功能障碍关键领域、诊断、病因因素以及年龄和青春期对轻度神经体征影响的循证数据。我们还列出了使用图温神经检查对早产儿或足月儿进行随访的队列研究,包括那些表明轻度神经功能障碍与发育性协调障碍之间存在关联的研究,发育性协调障碍是一种脑瘫之外的运动障碍。此外,我们发现了大量证据表明轻度神经功能障碍与认知、行为和学习能力之间存在相关性,总而言之,这意味着这些儿童在社会、教育和医疗资源方面尤其值得特别关注。此外,由于运动活动似乎在正常儿童的身体、心理和神经健康中起着重要作用,不同的教育方法可能对神经发育产生积极影响。

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