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Inchworming: A Novel Motor Stereotypy in the BTBR T+ Itpr3tf/J Mouse Model of Autism
Published on: July 5, 2014
Motor stereotypy disorders
Deivasumathy Muthugovindan1, Harvey Singer
1Department of Neurology, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, Maryland 21287, USA.
Insights
Motor stereotypy disorders are common in typically developing children, often starting early and persisting. These conditions frequently co-occur with other neurodevelopmental issues and may have a genetic basis.
Area of Science:
- Child neurology
- Neurodevelopmental disorders
- Pediatric psychiatry
Background:
- Motor stereotypies are repetitive, seemingly purposeless movements.
- Understanding their clinical features and outcomes is crucial for early intervention.
- Distinguishing primary stereotypies from those secondary to other conditions is important.
Purpose of the Study:
- To review recent advances in the clinical features, prevalence, and outcomes of motor stereotypy disorders.
- To highlight current understanding of the neurobiology and inheritance patterns.
- To discuss diagnostic classifications and therapeutic approaches.
Main Methods:
- Literature review of recent studies on motor stereotypy disorders.
- Analysis of longitudinal data on affected children.
- Synthesis of findings on clinical presentation, comorbidity, and outcomes.
Main Results:
- Motor stereotypies in typically developing children have an early onset and are often chronic.
- High prevalence of comorbid conditions such as tics, obsessive-compulsive behaviors, and ADHD.
- Evidence suggests Mendelian inheritance and a neurobiological basis for these disorders.
Conclusions:
- Motor stereotypies are common in childhood and can be categorized into common, head nodding, and complex motor types.
- Movements may resemble those in autistic spectrum disorders, intellectual disability, or sensory deprivation.
- Pharmacotherapy lacks established efficacy; behavioral therapy may be beneficial.
Purpose Of Review:
This review highlights recent advances in understanding the clinical features, prevalence, and outcomes of motor stereotypy disorders in typically developing children.
Recent Findings:
Longitudinal data indicate that stereotypies in children with normal intelligence show an early age of onset, chronicity, and high prevalence of comorbid difficulties, including tics, obsessive-compulsive behaviors, and attention deficit hyperactivity disorder. The underlying abnormality remains unknown, but there is increasing evidence for Mendelian inheritance and a neurobiological mechanism.
Summary:
Primary motor stereotypies are relatively common in childhood and can be subdivided into three groups (common, head nodding, and complex motor). Movements are similar to those seen in children with autistic spectrum disorders, mental retardation, and sensory deprivation. The role of pharmacotherapy is not established and behavioral therapy can be beneficial.
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