Abstract: 【Objective】 To study the motor development in children with developmental coordination disorder(DCD) during their infant and toddler's age in order to help early diagnose of DCD. 【Methods】 Movement Assessment Battery for Children(M-ABC) was used to pick up 117 children with DCD in 8 kindergartens in Suzhou city as DCD group, and 351 children were randomly selected in normal children as the control group. The children's health questionnaire and the developmental family questionnaire were filled by all the families, and the results were analyzed by univariate and multivariable unconditional logistic regression model. 【Results】 When children's gender and age were adjusted, the beginning time of independent sit and walk in DCD children was later than 8 months old(aOR=2.737,95%CI 1.007, 7.440), and 15 months old (aOR=2.632,95%CI 1.153, 6.005) respectively. 【Conclusions】 The postpone of independent sit and walk in infant and toddler's age may play an important role in early diagnose of DCD.

Key words: developmental coordination disorder, infant and toddler, motor development

摘要： 【目的】 研究发育性运动协调障碍(developmental coordination disorder, DCD)儿童婴幼儿期的动作发育情况,为DCD的早期诊断提供线索。 【方法】 采用儿童发育协调障碍评估工具(Movement Assessment Battery for Children, M-ABC),在苏州市新区和园区的8所幼儿园中筛查出117例DCD儿童为病例组,随即抽取正常儿童351例为对照组,对两组儿童进行儿童健康状况调查问卷及儿童发育家庭环境问卷调查,运用单因素和多因素非条件Logistic 回归模型对结果进行统计分析。 【结果】 在控制了儿童性别、年龄后,病例组能独立坐起时间大于8个月(aOR=2.737,95%CI为1.007,7.440),开始独立行走时间大于15个月(aOR=2.632,95%CI为1.153,6.005),均晚于正常儿童,且有统计学意义。 【结论】 独立坐起和独立行走时间推迟可能是婴幼儿期DCD的危险因素。

关键词: 发育性协调障碍, 婴幼儿, 动作发育