Knuckey N W, Gubbay S S
Aust Paediatr J. 1983 Mar;19(1):9-13. doi: 10.1111/j.1440-1754.1983.tb02042.x.
Twenty-four clumsy children of whom 13 had matched controls were reappraised eight years after their original assessment. The findings indicate that developmental clumsiness generally has a favourable prognosis. Mild and moderate degrees of clumsiness improved to normality, but severe degrees of clumsiness had a less favourable outcome only in regard to motor proficiencies. Clumsiness seemed not to have bearing, either on social class or on the subsequent pursuit of sporting activities. Although there was a lower level of academic achievement in the clumsy children, who also chose careers which were less manually exacting, these observations did not reach statistical significance. Maturational lag might be the aetiology in mild developmental clumsiness, whereas structural lesions involving the cerebral cortex may be present in more severely afflicted children. These findings should be considered when counseling clumsy children, both academically and vocationally.
24名动作笨拙的儿童（其中13名有匹配的对照组）在首次评估8年后接受了重新评估。研究结果表明，发育性动作笨拙通常预后良好。轻度和中度动作笨拙的儿童恢复到了正常水平，但严重动作笨拙的儿童仅在运动能力方面预后较差。动作笨拙似乎与社会阶层或随后对体育活动的追求无关。虽然动作笨拙的儿童学业成绩较低，他们选择的职业对手动操作要求也较低，但这些观察结果未达到统计学意义。成熟延迟可能是轻度发育性动作笨拙的病因，而在病情较重的儿童中可能存在涉及大脑皮层的结构性病变。在为动作笨拙的儿童提供学业和职业咨询时，应考虑这些研究结果。
