发育协调障碍的高患病率 儿童语音失调的发育协调障碍风险
Şermin Tükel1,2, Emma K Baker1, G Yazgi Tütüncü3
1Centre of Research Excellence in Speech and Language, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Developmental medicine and child neurology
|December 2, 2025
概括
患有童年语音失调 (CAS) 的儿童经常出现运动障碍和发育协调障碍 (DCD) 风险. 早期对DCD进行查对于CAS的有效干预至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 发展心理学 发展心理学
- 语音语言病理学 语言病理学
背景情况:
- 儿童语音失调 (CAS) 是一种复杂的运动语言障碍.
- 在患有CAS的儿童中,经常观察到运动障碍.
- 发育协调障碍 (DCD) 与CAS具有重叠的症状.
研究的目的:
- 调查被诊断患有CAS的儿童中运动障碍和DCD风险的流行情况.
- 在这个人群中确定与DCD相关的特定运动缺陷.
- 评估当前对DCD在儿童中CAS的评估工具的有效性.
主要方法:
- 对105名患有CAS的儿童 (5-15岁) 进行前性队列研究.
- 使用了发育协调障碍问卷 (DCD-Q),视觉运动精度子测试,Vineland适应性行为尺度 (Vineland-3) 和全尺度智商 (FSIQ) 评估.
- 采用统计分析,包括后勤回归和ROC分析,以确定DCD风险的预测因素.
主要成果:
- 82%的患有CAS的儿童表现出运动障碍;63%的儿童检查结果为DCD风险阳性.
- 在71%的参与者中存在视觉运动精度缺陷.
- 维尼兰-3运动子测试和视觉运动精度是DCD风险 (OR=7.17和OR=4.90分别) 的显著预测因素,独立于FSIQ.
结论:
- 患有CAS的儿童有很高的DDC风险和视觉运动障碍的患病率,无论他们的智力能力如何.
- 在这种人群中,不建议使用Vineland-3运动子试验进行DCD查.
- 定期对DCD进行查对于CAS儿童的及时和有针对性的干预至关重要.
相关概念视频
Autism Spectrum Disorder
905
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
905
Attention-Deficit/Hyperactivity Disorder
718
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
718
Conduct Disorder
458
Conduct disorder is a complex mental health diagnosis characterized by a repetitive and persistent pattern of behavior that violates societal norms, the rights of others, or age-appropriate rules. The diagnostic criteria for conduct disorder require the presence of at least three problematic behaviors within the past 12 months, with at least one occurring in the past six months. These behaviors are grouped into four categories: aggression toward people and animals; destruction of property;...
458
Oppositional Defiant Disorder
584
A persistent pattern of angry or irritable mood, defiant behavior, or vindictiveness characterizes Oppositional Defiant Disorder (ODD). Symptoms must occur over at least six months, involve interactions with individuals beyond siblings, and meet specific diagnostic criteria to be clinically significant. The disorder affects emotional regulation, social interactions, and behavior, often manifesting early in life and influencing long-term development and functioning.
Diagnostic Criteria and...
Diagnostic Criteria and...
584
Learning Disabilities
550
Learning disabilities are cognitive disorders caused by neurological impairments that affect cognitive functions like language and reading, without indicating overall intellectual or developmental challenges. These disabilities differ from global intellectual or developmental disabilities as they are limited to distinct cognitive functions. Common learning disabilities include dysgraphia, dyslexia, and dyscalculia, each of which impacts unique aspects of learning.
Dyslexia
Dyslexia is a...
Dyslexia
Dyslexia is a...
550
Social Anxiety Disorder
414
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
414


