Effects of mirror neuron system theory on hand dexterity and fine motor function in preschool children with developmental coordination disorder

doi:10.11852/zgetbjzz2023-0798

Abstract

Abstract: Objective To observe the effects of mirror neuron system theory(MNST) on hand dexterity and fine motor function in preschool children with developmental coordination disorder(DCD), so as to provide reference for the rehabilitation of children with DCD. Methods A total of 51 children with DCD treated at Nantong Maternal and Child Health Care Hospital from June 2021 to April 2023 were enrolled in this study, and were randomly assigned to treatment group (n=26) and control group (n=25) except for 5 cases who missed in the follow-up. Both groups received conventional rehabilitation training, while the treatment group received MNST additionally. The hand dexterity and fine motor function of both groups were assessed using the hand dexterity subscale of the Movement Assessment Battery for Children-Second Edition (MABC-2), Peabody Developmental Motor Scale-Fine Motor (PDMS-FM), and Function Independence Measure for Children (WeeFIM) before and after 12 weeks of treatment. Results Before treatment, there were no significant differences in hand dexterity subscale of MABC-2, PDMS-FM, and WeeFIM scores between the two groups (P＞0.05). After treatment, both groups showed improvements in hand dexterity subscale of MABC-2, PDMS-FM, and WeeFIM scores (treatment group:t=35.620, 42.084, 40.072; control group:t=14.000, 12.017, 14.054, P＜0.001), with the treatment group showing significantly greater improvements compared to the control group (t=2.611, 3.120, 2.331, P＜0.05). Conclusion MNST combined with conventional rehabilitation training can enhance hand dexterity and fine motor function in children with DCD, thereby improving children′s activities of daily living.

Key words: mirror neurons, developmental coordination disorder, fine motor function, motor imagery, action observation

摘要： 目的观察镜像神经元康复训练系统(MNST)对学龄前发育性协调障碍(DCD)儿童手灵巧性及精细运动功能的影响,为DCD儿童的康复治疗提供参考依据。方法选取2021年6月—2023年4月就诊于南通大学附属妇幼保健院的DCD儿童56例,按随机数字表法分为治疗组和对照组,失访5例,最终治疗组26例,对照组25例。两组儿童均给予常规康复治疗,治疗组在对照组基础上联合采用MNST训练。治疗前及治疗12周后,比较两组儿童的儿童运动协调能力评估量表第二版(MABC-2)手灵巧度因子量表、Peabody精细运动发育量表(PDMS-FM)和儿童功能独立性评定量表(WeeFIM)得分。结果治疗前,两组儿童的MABC-2手灵巧度量表评分、PDMS-FM发育商评分和WeeFIM评分组间比较,差异均无统计学意义(P＞0.05)。治疗后,两组儿童MABC-2手灵巧度量表评分、PDMS-FM发育商评分和WeeFIM评分均较组内治疗前显著改善(治疗组:t=35.620、42.084、40.072,对照组:t=14.000、12.017、14.054,P＜0.001),且治疗组各项评分均优于对照组(t=2.611、3.120、2.331,P＜0.05)。结论镜像神经元康复训练系统联合常规康复训练能够更明显地改善DCD儿童的手灵巧性和精细运动功能,并提高其日常生活活动能力。

关键词: 镜像神经元, 发育性协调障碍, 精细运动, 运动想象, 动作观察

CLC Number:

R493
R749.94

GE Xiangyang, WANG Feiying, XU Renjie, GU Qiuyan, NI Yufei. Effects of mirror neuron system theory on hand dexterity and fine motor function in preschool children with developmental coordination disorder[J]. Chinese Journal of Child Health Care, 2024, 32(5): 491-495.

葛向阳, 王飞英, 徐仁杰, 顾秋燕, 倪钰飞. 镜像神经元康复训练系统对学龄前发育性协调障碍儿童手灵巧性及精细运动功能的影响[J]. 中国儿童保健杂志, 2024, 32(5): 491-495.

References

[1] Blank R,Barnett AL,Cairney J,et al. International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocial aspects of developmental coordination disorder[J]. Dev Med Child Neuol,2019,61(3):242-285.
[2] 花静,孟炜,吴擢春,等.苏州城区幼儿园学龄前儿童发育性运动协调障碍的环境影响因素研究[J]. 中华儿科杂志,2014,52(8):590-595.
Hua J, Meng W, Wu ZC,et al. Environmental influencing factors of developmental motor coordination disorder in preschool children in Suzhou city[J]. Chin J Pediatr,2014,52(8):590-595.(in Chinese)
[3] 鲁兰,王玉美,于建娟,等.学龄前1 700名儿童发育性协调障碍的调查[J]. 中国儿童保健杂志,2016,24(4):416-418,442.
Lu L, Wang YM, Yu JJ,et al. Investigation of developmental coordination disorder in 1 700 preschool children[J].Chin J Child Health Care,2016,24(4):416-418,442.(in Chinese)
[4] 苏亭娟,孙玉叶,章景丽,等.扬州市城区学龄前儿童发育性协调障碍的流行病学调查[J]. 中华疾病控制杂志,2017,21(2):183-186.
Su TJ, Sun YY, Zhang JL,et al. Epidemiological investigation of preschool children with developmental coordination disorder in Yangzhou city[J]. Chin J Disease Control Prev,2017,21(2):183-186.(in Chinese)
[5] Lopez C,Hemimou C,Golse B,et al. Developmental dysgraphia is often associated with minor neurological dysfunction in children with developmental coordination disorder (DCD)[J]. Neurophysiol Clin,2018,48(4):207-217.
[6] 吕臻,黄美欢,康贝贝,等.美国物理治疗学会发育性协调障碍的物理治疗管理循证实践指南(2020版)解读[J]. 中华实用儿科临床杂志,2021,36(22):1710-1715.
Lyu Z, Huang MH, Kang BB,et al.Interpretation on physical therapy management of children with developmental coordination disorder:An evidence-based clinical practice guideline from the Academy of Pediatric Physical Therapy of the American Physical Therapy Association in 2020[J]. Chin J Appl Clin Pediatr,2021,36(22):1710-1715.(in Chinese)
[7] Wilson PH,Adams IL,Caeyenberghs K,et al. Motor imagery training enhances motor skill in children with DCD:A replication study[J]. Res Dev Disabil,2016,57:54-62.
[8] 花静,吴擢春,古桂雄,等.儿童运动协调能力成套评估工具的应用性研究[J].中华流行病学杂志,2012,33(10):1010-1015.
Hua J, Wu ZC, Gu GX,et al. Application of the motor coordination assessment battery for children[J]. Chin J Epidemiol,2012,33(10):1010-1015.(in Chinese)
[9] 杨红,史惟,王素娟,等.Peabody运动发育量表在婴幼儿评估中的信度和效度研究[J].中国儿童保健杂志,2010,18(2):121-123.
Yang H, Shi W, Wang SJ,et al. Reliability and validity of Peabody Developmental Motor Scale in assessment of infants and toddlers[J]. Chin J Child Health Care, 2010,18(2):121-123.(in Chinese)
[10] Van Der Linde BW, Van Netten JJ, Otten E,et al. A systematic review of instruments for assessment of capacity in activities of daily living in children with developmental coordination disorder[J]. Child Care Health Dev,2015,41(1):23-34.
[11] Aertssen W,Bonney E,Ferguson G,et al. Subtyping children with developmental coordination disorder based on physical fitness outcomes[J]. Hum Mov Sci,2018,60:87-97.
[12] Irie K,Matsumoto A,Zhao S,et al. Neural basis and motor imagery intervention methodology based on neuroimaging studies in children with developmental coordination disorders: A review[J]. Front Hum Neurosci,2021,15:620599.
[13] Subara-Zukic E,Cole MH,McGuckian TB,et al. Behavioral and neuroimaging research on developmental coordination disorder (DCD):A combined systematic review and meta-analysis of recent findings[J]. Front Psychol,2022,13:809455.
[14] Biotteau M,Chaix Y,Blais M,et al. Neural signature of DCD:A critical review of MRI neuroimaging studies[J]. Front Neurol,2016,7:227.
[15] Wilson PH,Smits-Engelsman B,Caeyenberghs K,et al. Cognitive and neuroimaging findings in developmental coordination disorder: New insights from a systematic review of recent research[J]. Dev Med Child Neurol,2017,59(11):1117-1129.
[16] Steenbergen B,Krajenbrink H,Lust J,et al. Motor imagery and action observation for predictive control in developmental coordination disorder[J]. Dev Med Child Neurol,2020,62(12):1352-1355.
[17] Reynolds JE,Billington J,Kerrigan S,et al. Mirror neuron system activation in children with developmental coordination disorder:A replication functional MRI study[J]. Res Dev Disabil,2019,84:16-27.
[18] Fuelscher I,Caeyenberghs K,Enticott PG,et al. Differential activation of brain areas in children with developmental coordination disorder during tasks of manual dexterity: An ALE meta-analysis[J]. Neurosci Biobehav Rev,2018,86:77-84.
[19] Lust JM,van Schie HT,Wilson PH,et al. Activation of mirror neuron regions is altered in developmental coordination disorder(DCD)-neurophysiological evidence using an action observation paradigm[J]. Front Hum Neurosci,2019,13:232.
[20] 葛向阳,倪钰飞,顾秋燕,等.基于镜像神经元理论的语音训练对儿童功能性构音障碍的影响[J].中华物理医学与康复杂志,2022,44(6):493-496.
Ge XY, Ni YF, Gu QY,et al. Speech training based on mirror neuron theory can improve children′s functional articulation disorders[J]. Chin J Phys Med Rehabil,2022,44(6):493-496.(in Chinese)
[21] Hardwick RM,Caspers S,Eickhoff SB,et al. Neural correlates of action: Comparing meta-analyses of imagery, observation, and execution[J]. Neurosci Biobehav Rev,2018,94:31-44.
[22] Adams ILJ,Smits-Engelsman B,Lust JM,et al. Feasibility of motor imagery training for children with developmental coordination disorder-a pilot study[J]. Front Psychol,2017,8:1271.
[23] 耿姗姗,戴霄天,王天景,等.中文版小龄发育性协调障碍问卷信效度初步研究[J].临床儿科杂志,2020,38(12):921-924.
Geng SS, Dai XT, Wang TJ,et al. The preliminary study on the reliability and validity of the Chinese version of the little Developmental Coordination Disorder Questionnaire[J]. J Clin Pediatr,2020,38(12):921-924.(in Chinese)