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儿童书写障碍:持续的精神运动缺陷还是短暂的发育延迟?

Dysgraphia in children: lasting psychomotor deficiency or transient developmental delay?

作者信息

Smits-Engelsman B C, Van Galen G P

机构信息

Department of Motor Functions and Rehabilitation, Nijmegen Institute for Cognition and Information, University of Nijmegen, The Netherlands.

出版信息

J Exp Child Psychol. 1997 Nov;67(2):164-84. doi: 10.1006/jecp.1997.2400.

Abstract

A longitudinal design was applied to differentiate between normal variations of psychomotor development and lasting handwriting deficiency (dysgraphia). Sixteen primary school children were tested with writing tasks that were recorded on a computer-monitored'XY tablet. These tasks represented different modules of the handwriting model of Van Galen (1991). Dependent variables were spatial errors, movement time, movement dysfluencies, trajectory length, stroke curvature, and the degree of neuromotor noise in the movement velocity profiles. The latter variable was measured by means of Power Spectral Density Analysis of the movement velocity signal, which revealed that movements of poor writers were substantially more noisy than those of proficient writers, with a noise peak in the region of neuromotor tremor. At the same time, the poor writers were less accurate. It was concluded that control of spatial accuracy rather than allograph retrieval or size control is the discriminating feature in dysgraphic children. Moreover, poor writers do not catch up with their peers within the 1 year time span tested.

摘要

采用纵向设计来区分心理运动发育的正常变异和持续的书写缺陷(书写障碍)。对16名小学生进行了书写任务测试,这些任务记录在计算机监控的XY数位板上。这些任务代表了范·加伦(1991年)书写模型的不同模块。因变量包括空间误差、运动时间、运动不流畅性、轨迹长度、笔画曲率以及运动速度剖面中的神经运动噪声程度。后一个变量通过对运动速度信号进行功率谱密度分析来测量,结果显示书写差的儿童的运动比书写熟练的儿童的运动噪声大得多,在神经运动震颤区域有一个噪声峰值。同时,书写差的儿童准确性较低。得出的结论是,空间准确性的控制而非异体字检索或大小控制是书写障碍儿童的鉴别特征。此外,在测试的1年时间跨度内,书写差的儿童无法赶上同龄人。

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