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Published on: November 3, 2016
Minor neurological dysfunction and IQ in 9-year-old children born at term
Hedwig K Kikkert1, Corina DE Jong, Mijna Hadders-Algra
1Department of Paediatrics - Developmental Neurology, University Medical Centre Groningen, University of Groningen, Groningen, The Netherlands.
Insights
Minor neurological dysfunction (MND) in term-born children is linked to IQ. Specific types of MND, like fine motor and coordination issues, are associated with lower IQ scores, not just the severity.
Area of Science:
- Neuroscience
- Developmental Psychology
- Pediatrics
Background:
- Minor neurological dysfunction (MND) is a subtle condition affecting motor skills and coordination.
- Understanding the impact of MND on cognitive development, specifically IQ, is crucial for early intervention.
Purpose of the Study:
- To investigate the relationship between the severity and type of minor neurological dysfunction (MND) and IQ in 9-year-old children.
- To determine if specific patterns of MND are more strongly associated with cognitive deficits.
Main Methods:
- Neurological assessment using Touwen criteria in 341 term-born children (mean age 9 years).
- Classification of MND into simple (sMND) and complex (cMND) based on the number of dysfunctional domains.
- Assessment of Verbal, Performance, and Full-scale IQ (FSIQ) using the Wechsler Abbreviated Scale of Intelligence.
Main Results:
- Children with MND (sMND and cMND) exhibited lower IQ scores compared to neurologically normal children.
- No significant difference in IQ was found between children with sMND and cMND.
- Fine manipulative disability and coordination problems were specifically associated with reduced IQ scores.
Conclusions:
- The type of minor neurological dysfunction (MND), particularly fine motor and coordination impairments, is more significantly associated with lower IQ than the overall severity.
- These findings highlight the importance of identifying specific MND subtypes for understanding cognitive outcomes in children.
Aim:
The aim of this study was to examine the relationship between the severity and type of minor neurological dysfunction (MND) and IQ in 9-year-old children born at term.
Method:
Three hundred and forty-one children (177 males, 164 females; mean age 9y, SD 3mo, range 8y 10mo-9y 7mo) who were born at term were neurologically assessed according to Touwen. Children with perinatal risk or with a congenital disorder were excluded. Special attention was paid to the severity and type of MND. Eight domains of dysfunction were distinguished, including fine manipulative ability and coordination. On the basis of the number of dysfunctional domains, the severity of dysfunction was expressed as simple MND (sMND) or complex MND (cMND). Verbal, Performance, and Full-scale IQ (FSIQ) were assessed with the Wechsler Abbreviated Scale of Intelligence. Univariate and multivariate statistical analyses were performed.
Results:
Neurologically normal children had higher IQ scores than those with sMND and cMND (mean FSIQ 104 [95% confidence interval (CI) 102-106] to 100 [95% CI 97-102] and 95 [95% CI 91-98] respectively). Multivariate statistics confirmed that the IQ scores of children with sMND and cMND did not differ. Fine manipulative disability and coordination problems were associated with lower IQ scores but other dysfunctions were not.
Interpretation:
The type of MND rather than the severity is associated with lower IQ in children born at term.
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