A systematic review and meta-analysis of the associations between motor milestone timing and motor development in neurodevelopmental conditions

IF 7.5 1区 医学 Q1 BEHAVIORAL SCIENCES
Aislinn Bowler , Tomoki Arichi , Chloe Austerberry , Pasco Fearon , Angelica Ronald
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引用次数: 0

Abstract

Early motor skills may be important early markers of neurodevelopmental conditions or predictors of their later onset. To explore this, we conducted a systematic review and meta-analysis of infant motor skill assessments in those who go on to gain a clinical diagnosis of autism, attention deficit hyperactivity disorder (ADHD), schizophrenia, language conditions, tic disorders, or developmental coordination disorder (DCD). In total, 63 articles met inclusion criteria. Three three-level meta-analyses were run. Meta-analysis of milestone achievement in N= 21205 individuals revealed gross motor milestones were significantly delayed compared to controls (g= 0.53, p< 0.001). Subgroup analyses revealed autism (g= 0.63) and DCD (g= 0.53) had the highest magnitude delays. Specific delays were revealed for holding the head up (g= 0.21), sitting (g= 0.28), standing (g= 0.35), crawling (g= 0.19), and walking (g= 0.71). Meta-analyses of standardised motor skill measurements in N= 1976 individuals revealed reduced performance compared to controls in autism and language conditions (g= −0.54, p< 0.001). Together, these findings demonstrate delayed milestone attainment and motor impairments in early childhood in neurodevelopmental conditions.

神经发育疾病中运动里程碑时间与运动发育之间关系的系统回顾和荟萃分析》(A Systematic Review and Meta-Analysis of the Associations Between Motor Milestone Timing and Motor Development in Neurodevelopmental Conditions)。
早期运动技能可能是神经发育状况的重要早期标志,也可能是其日后发病的预测因素。为了探讨这一问题,我们对婴儿运动技能评估进行了系统性回顾和荟萃分析,这些评估针对的是后来被临床诊断为自闭症、注意缺陷多动障碍(ADHD)、精神分裂症、语言障碍、抽搐障碍或发育协调障碍(DCD)的患者。共有 65 篇文章符合纳入标准。共进行了三项三级荟萃分析。对21354人的里程碑成就进行的荟萃分析表明,与对照组相比,粗大运动里程碑明显延迟(g= 0.53,p< 0.001)。分组分析显示,自闭症(g= 0.63)和多发性舞蹈症(g= 0.53)的延迟程度最高。抬头(g= 0.21)、坐(g= 0.28)、站立(g= 0.35)、爬行(g= 0.19)和行走(g= 0.71)均出现了特定的延迟。对 N=1976 人进行的标准化运动技能测量的元分析表明,与对照组相比,自闭症和语言条件下的表现有所下降(g= -0.54,p< 0.001)。总之,这些研究结果表明,在早期儿童时期,神经发育障碍患者的里程碑实现延迟,运动能力受损。
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来源期刊
CiteScore
14.20
自引率
3.70%
发文量
466
审稿时长
6 months
期刊介绍: The official journal of the International Behavioral Neuroscience Society publishes original and significant review articles that explore the intersection between neuroscience and the study of psychological processes and behavior. The journal also welcomes articles that primarily focus on psychological processes and behavior, as long as they have relevance to one or more areas of neuroscience.
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