发育性运动协调障碍的研究进展

吴德 综述, 唐久来 审校

中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (7) : 714-716.

PDF(467 KB)
PDF(467 KB)
中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (7) : 714-716.
综述与讲座

发育性运动协调障碍的研究进展

  • 吴德 综述, 唐久来 审校
作者信息 +
文章历史 +

摘要

发育性运动协调障碍(developmental coordination disorder,DCD),是指一种主要累及儿童运动协调能力的发育障碍性疾病。定义以及临床表现变异性大,发生率多报道在5%~6%左右;病因可能与脑组织发育的一系列轻微变异、早产、围生期缺氧和易感性基因有关;发病机制主要与皮层的“自处理缺陷学说”和“运动内部模式的缺陷”有关,前者主要指运动的自处理困难,皮层对运动的自动处理过程缺陷导致。即DCD的发病机制与运动形成有关,皮层形成运动过程的模式出现问题;后者认为DCD主要与运动后期的调节有关,即皮层对运动的修饰、调节障碍导致。同时缺乏有效的治疗方法,是发病率高,影响儿童学业和成就的儿童期常见病,需要临床进一步深入研究。

关键词

发育性运动协调障碍 / 发病机制 / 运动功能

引用本文

导出引用
吴德 综述, 唐久来 审校. 发育性运动协调障碍的研究进展[J]. 中国儿童保健杂志. 2013, 21(7): 714-716
中图分类号: R722   

参考文献

[1] Blank R,Smits-Engelman B,Polatajko H,et al.European academy for childhood disability.European academy for childhood disability:recommendations on the definition,diagnosis and intervention of developmental coordination disorder (long version)[J].Dev Med Child Neurol,2012,54:54-93.
[2] World Health Organisation.International classification of functioning,disability and health[R].Geneva:World Health Organisation,2001.
[3] Polatajko H,Fox M,Missiuna C.An international consensus on children with developmental coordination disorder[J].Can J Occup Ther,1995,62:3-6.
[4] American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].Text revision.4th ed.Washington,DC:Author,2000.
[5] 麦坚凝,靳晓坤.发育性运动协调障碍的诊断与治疗[J].中华儿科杂志,2010,248(2):115-117.
[6] Zwicker JG,Missiuna C,Boyd LA.Neural correlates of developmental coordination disorder:a review of hypotheses[J].J Child Neurol,2009,24:1273-1281.
[7] Majnemer A.Motor incoordination in children born preterm coordinated efforts needed[J].Dev Med Child Neurol,2007,49:e 325-330.
[8] Goyen TA,Lui K.Developmental coordination disorder in "apparently normal" schoolchildren born extremely preterm[J].Arch Dis Child,2009,94:298-302.
[9] Missiuna C,Gaines R,McLean J,et al.Description of children identified by physicians as having developmental coordination disorder[J].Dev Med Child Neurol,2008,50:839-844.
[10] Tsiotra GD,Flouris AD,Koutedakis Y,et al.A comparison of developmental coordination disorder prevalence rates in Canadian and Greek children[J].Adolesc Health,2006,39:125-127.
[11] Lingam R,Hunt L,Golding J,et al.Prevalence of developmental coordination disorder using the DSM-IV at 7 years of age:a UK population-based study[J].Pediatrics,2009,123:e693-700.
[12] Jin Bo,Chi-Mei Lee.Motor skill learning in children with developmental coordination disorder[J].Research in Developmental Disabilities,2013,34:2047-2055.
[13] Querne L,Berquin P,Vernier-Hauvette MP,et al.Dysfunction of the attentional brain network in children with developmental coordination disorder:a fMRI study[J].Brain Res,2008,1244:89-102.
[14] Kashiwagi M,Iwaki S,Narumi Y,et al.Parietal dysfunction in developmental coordination disorder:a functional MRI study[J].Neuroreport,2009,20:1124-1319.
[15] Zwicker JG,Missiuna C,Harris SR,et al.Brain activation of children with developmental coordination disorder is different than peers[J].Pediatrics,2010,126:e678-686.
[16] Smits-Engelsman BC,Westenberg Y,Duysens J.Children with developmental coordination disorder are equally able to generate force but show more variability than typically developing children[J].Human Movement Science,2008,27:296-309.
[17] Gheysen F,Van Waelvelde H,Fias W.Impaired visuo-motor sequence learning in developmental coordination disorder[J].Research in Developmental Disabilities,2011,32:749-756.
[18] Oliveira MA,Shim JK,Loss JF,et al.Effect of kinetic redundancy on hand digit control in children with DCD[J].Neuroscience Letters,2006,410:42-46.
[19] Zwicker JG,Missiuna C,Harris SR,et al.Brain activation associated with motor skill practice in children with developmental coordination disorder:An fMRI study:International Journal of Developmental[J].Neuroscience,2011,29:145-152.
[20] Kashiwagi M,Iwaki S,Narumi Y,et al.Parietal dysfunction in developmental coordination disorder:A functional MRI study[J].Neuroreport,2009,20:1319-1324.
[21] Querne L,Berquin P,Vernier-Hauvette MP,et al.Dysfunction of the attentional brain network in children with developmental coordination disorder:A fMRI study[J].Brain Research,2008,1244:89-102.
[22] De Castelnau P,Albaret JM,Chaix Y,et al.A study of EEG coherence in DCD children during motor synchronization task[J].Human Movement Science,2008,27:230-241.
[23] Sugden D.Current approaches to intervention in children with developmental coordination disorder[J].Dev Med Child Neurol,2007,49:467-471.

基金

国家自然科学基金(81270665);国家自然科学基金(61271138)

PDF(467 KB)

Accesses

Citation

Detail

段落导航
相关文章

/