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Published on: January 11, 2016
Left-right differences on timed motor examination in children
Megan B Roeder1, E Mark Mahone, J Gidley Larson
1Kennedy Krieger Institute, Baltimore, MD 21231, USA.
Insights
Motor skill development shows age-related improvements in left-right speed equalization for children. This study tracked fine motor skills in typically developing children, finding significant developmental changes in bilateral coordination.
Area of Science:
- Neuroscience
- Developmental Psychology
- Motor Control
Background:
- Age-related changes in motor task speed differences may indicate neurological maturation.
- Cortical maturation and corpus callosum myelination are linked to improved bilateral motor skills.
- Assessing left-right speed differences provides insights into developmental trajectories.
Purpose of the Study:
- To investigate age and gender effects on the differences in speed between left- and right-sided motor tasks in children.
- To examine how bilateral motor skill equalization progresses with age in typically developing children.
- To identify potential gender-specific patterns in the development of motor speed symmetry.
Main Methods:
- Utilized the Revised Physical and Neurological Assessment for Subtle Signs (PANESS) on 130 typically developing, right-handed children (ages 7-14).
- Assessed timed motor tasks including toe tapping, toe-heel alternations, hand pats, hand pronation-supination, finger tapping, and finger-to-thumb apposition.
- Calculated six difference scores between left- and right-sided performance speeds for each participant.
Main Results:
- Left-right speed differences significantly decreased with age across multiple tasks (toe tapping, heel-toe alternations, hand pronation-supination, finger repetition, finger sequencing).
- Boys exhibited a greater left-right difference than girls in heel-toe sequences.
- A significant age-gender interaction was observed for hand pronation-supination, with equalization occurring earlier in girls than boys.
Conclusions:
- Bilateral motor task speed equalizes with age during childhood development.
- Motor skill development and speed symmetry may progress at different rates between genders.
- The findings support the role of neurological maturation in refining bilateral motor coordination.
Abstract:
Age-related change in the difference between left- and right-side speed on motor examination may be an important indicator of maturation. Cortical maturation and myelination of the corpus callosum are considered to be related to increased bilateral skill and speed on timed motor tasks. We compared left minus right foot, hand, and finger speed differences using the Revised Physical and Neurological Assessment for Subtle Signs (PANESS; Denckla, 1985); examining 130 typically developing right-handed children (65 boys, 65 girls) ages 7-14. Timed tasks included right and left sets of 20 toe taps, 10 toe-heel alternation sequences, 20 hand pats, 10 hand pronate-supinate sets, 20 finger taps, and 5 sequences of each finger-to-thumb apposition. For each individual, six difference scores between left- and right-sided speeded performances of timed motor tasks were analyzed. Left-right differences decreased significantly with age on toe tapping, heel-toe alternations, hand pronation-supination, finger repetition, and finger sequencing. There were significant gender effects for heel-toe sequences (boys showing a greater left-right difference than girls), and a significant interaction between age and gender for hand pronation-supination, such that the magnitude of the left-right difference was similar for younger, compared with older girls, while the difference was significantly larger for younger, compared to older boys. Speed of performing right and left timed motor tasks equalizes with development; for some tasks, the equalization occurs earlier in girls than in boys.
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