Minor neurological dysfunction and cognition in 9-year-olds born at term.
Background: In children with developmental disorders, motor problems often co-occur with cognitive difficulties. Associations between specific cognitive deficits underlying learning problems and minor neurological dysfunction (MND) are still unknown. Aims: To assess associations between specific typ...
| Publicado en: | Early Human Development Vol. 89; no. 5; pp. 263 - 271 |
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| Autores principales: | , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Elsevier B.V.
May2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104270308&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104270308 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 03783782 3K7 jtl: Early Human Development issn: 03783782 maglogo: N pubinfo: dt: May2013 vid: 89 iid: 5 pid: 1004 pub: Elsevier B.V. artinfo: ui: 104270308 NLM23123256 2012082509 10.1016/j.earlhumdev.2012.10.001 NLM23123256 104270308 ppf: 263 ppct: 8 formats: tig: atl: Minor neurological dysfunction and cognition in 9-year-olds born at term. aug: au: Kikkert, Hedwig K de Jong, Corina Hadders-Algra, Mijna affil: Department of Paediatrics - Developmental Neurology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. sug: subj: Cognition Disorders Developmental Disabilities Motor Skills Disorders Nervous System Diseases Pathology Ataxia Complications Ataxia Pathology Attention Child Cognition Disorders Complications Developmental Disabilities Complications Female Human Male Motor Skills Disorders Complications Muscle Hypotonia Complications Muscle Hypotonia Pathology Nervous System Diseases Complications Neuropsychological Tests Posture Physiology Scales Sex Factors Child: 6-12 years Female Male ab: Background: In children with developmental disorders, motor problems often co-occur with cognitive difficulties. Associations between specific cognitive deficits underlying learning problems and minor neurological dysfunction (MND) are still unknown. Aims: To assess associations between specific types of MND as clinical markers of non-optimal brain function and performance in specific cognitive domains. Study Design: Part of a randomized controlled trial. Subjects: Three hundred and forty one 9-year-old children born at term (177 boys, 164 girls). Outcome Measures: Children were neurologically assessed to detect eight types of MND: mild dysfunction in posture and muscle tone, reflexes, coordination, fine manipulative ability, sensory function, cranial nerve function, choreiform dyskinesia and excessive associated movements. Cognitive function in the domains of attention, memory and language was evaluated using the Test of Everyday Attention for Children (TEA-Ch), a developmental neuropsychological assessment (NEPSY) and the Children's Memory Scale. Results: Fine manipulative disability and coordination problems were associated with lower scores on attention, memory and learning and language, other types of MND were not. Girls with coordination problems performed significantly worse on attention/executive function than those without this dysfunction; however, in boys, such association was absent. Conclusion: Particularly, fine manipulative disability and coordination problems were associated with worse cognitive function in the domains of attention, learning and memory and language. Previous and present data suggest a minor sex difference in neurocognitive associations: in girls dysfunction of the cerebello-thalamo-cortical pathways may be associated with cognitive deficits, while in boys cognitive impairment may be associated with dysfunction of cortico-striato-thalamo-cortical pathways. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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