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Neuromotor development in nocturnal enuresis
Alexander von Gontard1, Christine M Freitag, Stephanie Seifen
1Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg (Saar), Germany. alexander.von.gontard@uniklinikum-saarland.de
Developmental Medicine and Child Neurology
|August 15, 2006
Summary
Children with nocturnal enuresis exhibit poorer motor performance, especially in fine motor skills. This suggests a maturational deficit affecting motor development in these children.
Area of Science:
- Pediatric Neurology
- Developmental Neuroscience
- Movement Disorders
Background:
- Nocturnal enuresis in children is associated with minor neurological dysfunction.
- Assessing motor performance is crucial for understanding neurodevelopmental aspects of enuresis.
Purpose of the Study:
- To evaluate timed motor performance and associated movements in children with nocturnal enuresis.
- To identify potential neurodevelopmental differences using a standardized neuromotor assessment.
Main Methods:
- Utilized the Zurich Neuromotor Assessment to evaluate motor function.
- Compared 37 children with nocturnal enuresis to 40 typically developing children.
- Assessed timed performance and fine motor skills, including repetitive hand and finger movements.
Main Results:
- Children with nocturnal enuresis demonstrated significantly slower motor performance compared to controls.
- Deficits were particularly evident in repetitive hand and finger movements.
- Results indicate a maturational lag in motor skills for children with enuresis.
Conclusions:
- This study provides evidence of a maturational deficit in motor performance in children experiencing nocturnal enuresis.
- A potential maturational deficit in the motor cortex circuitry and related areas is proposed.
- Findings suggest broader neurodevelopmental implications beyond brainstem function in nocturnal enuresis.