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Developmental changes in motor function in girls with Turner syndrome
J L Ross1, H Kushner, D P Roeltgen
1Department of Pediatrics, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Pediatric Neurology
|November 1, 1996
Summary
Girls with Turner syndrome show motor skill deficits, especially in tasks requiring spatial processing. This motoric deficiency may be linked to estrogen deficiency and impacts physical self-image.
Area of Science:
- Neuroscience
- Developmental Biology
- Pediatrics
Background:
- Turner syndrome is associated with a distinct neurocognitive profile including impaired visuospatial skills and motor difficulties.
- Estrogen plays a role in neurodevelopment and motor control, but its specific impact on motor function in Turner syndrome is not fully understood.
Purpose of the Study:
- To investigate and delineate motor function differences in girls with Turner syndrome compared to age-matched controls.
- To examine the influence of spatial demands on motor performance in Turner syndrome.
- To explore the relationship between motor skills, self-perception, and potential estrogen deficiency in Turner syndrome.
Main Methods:
- A cohort of girls with Turner syndrome (n=78) and control girls (n=145) aged 7-12 years participated.
- Participants completed cognitive and motor tasks, including nonspatial repetitive and spatially mediated motor tasks.
- Questionnaires assessed athletic ability and physical self-image.
Main Results:
- Girls with Turner syndrome performed significantly worse on motor tasks with high spatial demands, particularly the older age group (10-12.9 years).
- Older control girls demonstrated increased motor task speed, suggesting a developmental delay in motor skills for the Turner syndrome group.
- Turner syndrome participants reported lower athletic ability and poorer physical self-image.
Conclusions:
- Turner syndrome is associated with motoric deficiencies, particularly in spatially demanding tasks, indicating impaired motor development.
- Estrogen deficiency due to gonadal dysgenesis is a likely contributor to these motor deficits.
- Estrogen replacement therapy may positively influence motor function, warranting future research.