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Übersicht

Umschriebene motorische Entwicklungsstörungen (UEMF)

Weisen betroffene Kinder spezifische Intelligenzprofile auf?

Published Online:https://doi.org/10.1026/0942-5403/a000241

Zusammenfassung. Die umschriebene Entwicklungsstörung der motorischen Funktionen (UEMF) zählt zu den häufigsten Entwicklungsabweichungen des Kindesalters. Charakteristisch sind Defizite der Fein- und Grobmotorik, denen ursächlich keine sensorischen, neurologischen oder kognitiven Einschränkungen zugrunde liegen. Verschiedene Studien belegen, dass Kinder mit einer UEMF auch kognitive Defizite in der visuellen Wahrnehmung, in ihren Aufmerksamkeits- und Arbeitsgedächtnisleistungen aufweisen. Das Ziel ist es daher, den Einfluss dieser kognitiven Teilleistungsdefizite auf die Intelligenzleistungen von Kindern mit UEMF zu untersuchen und zu überprüfen, ob Kinder mit UEMF ein spezifisches Intelligenzprofil aufweisen. Die Datenbanken Web of Science und PubMed wurden entsprechend nach deutsch- und englischsprachigen Beiträgen für den Zeitraum 2007 bis 2017 durchsucht. Lediglich fünf Studien erfüllten die Auswahlkriterien. Die Ergebnisse deuten darauf hin, dass Kinder mit einer UEMF geringere Testleistungen im Gesamt-IQ aufweisen. Auf Skalenebene konnten insbesondere geringere Testleistungen in der Handlungsskala der WPPSI-III bzw. dem Wahrnehmungsgebundenen Logischen Denken der WISC-IV sowie in der Verarbeitungsgeschwindigkeit nachgewiesen werden. Die sprachlichen Leistungen der Kinder mit UEMF scheinen zumindest ab dem Grundschulalter unbeeinträchtigt. Testverfahren, die auf den Wechsler-Skalen basieren, stellen ein ökonomisches Instrument dar, um kognitive Leistungsdefizite orientierend im Zusammenhang mit einer UEMF abzubilden.


Developmental Coordination Disorders: Do Children Have Specific Intelligence Profiles?

Abstract. Developmental coordination disorders (DCD) are among the most common disorders in childhood. They are characterized by deficits in fine and gross motor skills without any sensory, neurological, or cognitive causation. Different studies confirm that children with DCD also have cognitive deficits in visual perception, attention, and working memory. These cognitive deficits often have a negative impact on later performance at school. The guidelines of the European Childhood Academy (EACD) and Criterion D of the classification systems DSM-5 and ICD-10 underline the importance of measuring the intelligence quotient (IQ) in order to detect comorbid cognitive deficits in DCD precociously and to eliminate a general intelligence deficit (IQ<70) as a cause of the movement difficulties. The objective of this review was to investigate the influence of these cognitive deficits on intellectual abilities and whether or not children suffering from DCD have specific performance profiles in intelligence tests. Furthermore, DCD is frequently accompanied by comorbid disorders such as ADHD, developmental language disorders, and dyslexia. Therefore, it is also of interest to know if children with combined disorders show special intelligence profiles. The Web of Science and PubMed databases were searched for German and English language articles from 2007 through 2017 inclusive. The systematic literature search was based on the keywords developmental coordination disorders or DCD and cognition or academic or intellectual or intelligence or WISC-IV or WPPSI-III. Only five studies fulfilled the selection criteria; another four studies not meeting all the conditions were reported additionally. The results of this review indicate that children with DCD score below average in general IQ and performance IQ (WPPSI-III) as well as perception reasoning (WISC-IV). Contrary to expectations, the DCD group also presented weaknesses in verbal comprehension in preschool age (WPPSI-III). In contrast to these results, no group differences were found in verbal comprehension in school age (WISC-IV). Both in preschool and in school age, children with DCD had lower IQ scores in the processing speed index of WPPSI-III and WISC-IV. It is unclear whether only motor demands in manual dexterity are responsible for the worse results in the processing speed index or whether children suffering from DCD have a general problem with processing speed performances. The confounding results in this area may highlight the need for further exploration of these phenomena. The control group had better results in working memory (WISC-IV) than the clinical group. In comparison with children showing isolated DCD, children with a combined diagnosis of DCD and ADHD and/or dyslexia show no performance differences in the WISC-IV or the WPPSI-III. Within-group analyses depict a heterogeneous cognitive profile in the DCD group. Children with DCD cannot be differentiated from their peers solely on a cognitive profile Therefore, in clinical practice the Wechsler Scales are an orienting instrument for detecting cognitive deficits in DCD.

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