Effects of Gender and Age on Motor Exam in Typically Developing Children

Overview

Journal Dev Neuropsychol

Publisher Routledge

Date 2007 Jul 27

PMID 17650993

Citations 50

Authors

Jennifer C Gidley Larson

Stewart H Mostofsky

Melissa C Goldberg

Laurie E Cutting

Martha B Denckla

E Mark Mahone

Affiliations

Soon will be listed here.

Abstract

Few studies have contrasted performance of typically developing boys and girls on standardized motor assessment. In the present study, developmental status of the motor system was assessed in 144 typically developing children (72 boys, 72 girls, ages 7-14), using the Physical and Neurological Examination for Subtle Signs (PANESS, Denckla, 1985). Four summary variables were examined: (1) Gaits and Stations, (2) Overflow, (3) Dysrythmia, and (4) Timed Movements. For most variables, gender differences were not significant; however significant gender effects were observed for some subtle signs (involuntary movements), gaits and stations, and timed patterned movements. In all instances, girls showed fewer subtle signs and were faster and more proficient than boys. Significant age-related changes were observed for some subtle signs (dysrythmia and overflow), and for timed movements. In contrast, by age 7, many of the skills assessed by the PANESS have reached "adult" level in typically developing children. Motor development appears to follow a different developmental course in girls than in boys; separate gender and age norms should be used in clinical assessment of motor function in children.

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References

Chen R, Gerloff C, Hallett M, Cohen L . Involvement of the ipsilateral motor cortex in finger movements of different complexities. Ann Neurol. 1997; 41(2):247-54. DOI: 10.1002/ana.410410216. View

Giedd J, Blumenthal J, Jeffries N, Castellanos F, Liu H, Zijdenbos A . Brain development during childhood and adolescence: a longitudinal MRI study. Nat Neurosci. 1999; 2(10):861-3. DOI: 10.1038/13158. View

Delgado M, Albright A . Movement disorders in children: definitions, classifications, and grading systems. J Child Neurol. 2003; 18 Suppl 1:S1-8. DOI: 10.1177/0883073803018001S0301. View

Schuerholz L, Cutting L, Mazzocco M, Singer H, Denckla M . Neuromotor functioning in children with Tourette syndrome with and without attention deficit hyperactivity disorder. J Child Neurol. 1997; 12(7):438-42. DOI: 10.1177/088307389701200705. View

De Bellis M, Keshavan M, Beers S, Hall J, Frustaci K, Masalehdan A . Sex differences in brain maturation during childhood and adolescence. Cereb Cortex. 2001; 11(6):552-7. DOI: 10.1093/cercor/11.6.552. View

Mostofsky S, Newschaffer C, Denckla M . Overflow movements predict impaired response inhibition in children with ADHD. Percept Mot Skills. 2004; 97(3 Pt 2):1315-31. DOI: 10.2466/pms.2003.97.3f.1315. View

Hadders-Algra M, Mavinkurve-Groothuis A, Groen S, Stremmelaar E, Martijn A, Butcher P . Quality of general movements and the development of minor neurological dysfunction at toddler and school age. Clin Rehabil. 2004; 18(3):287-99. DOI: 10.1191/0269215504cr730oa. View

Garvey M, Ziemann U, Bartko J, Denckla M, Barker C, Wassermann E . Cortical correlates of neuromotor development in healthy children. Clin Neurophysiol. 2003; 114(9):1662-70. DOI: 10.1016/s1388-2457(03)00130-5. View

Annett M . The growth of manual preference and speed. Br J Psychol. 1970; 61(4):545-58. DOI: 10.1111/j.2044-8295.1970.tb01274.x. View

10.

Denckla M . Revised Neurological Examination for Subtle Signs (1985). Psychopharmacol Bull. 1985; 21(4):773-800. View

11.

Paus T, Collins D, Evans A, Leonard G, Pike B, Zijdenbos A . Maturation of white matter in the human brain: a review of magnetic resonance studies. Brain Res Bull. 2001; 54(3):255-66. DOI: 10.1016/s0361-9230(00)00434-2. View

12.

Knyazeva M, Koeda T, Njiokiktjien C, Jonkman E, Kurganskaya M, de Sonneville L . EEG coherence changes during finger tapping in acallosal and normal children: a study of inter- and intrahemispheric connectivity. Behav Brain Res. 1998; 89(1-2):243-58. DOI: 10.1016/s0166-4328(97)00070-3. View

13.

Nolan L, Grigorenko A, Thorstensson A . Balance control: sex and age differences in 9- to 16-year-olds. Dev Med Child Neurol. 2005; 47(7):449-54. DOI: 10.1017/s0012162205000873. View

14.

Wolff P, Gunnoe C, Cohen C . Neuromotor maturation and psychological performance: a developmental study. Dev Med Child Neurol. 1985; 27(3):344-54. DOI: 10.1111/j.1469-8749.1985.tb04546.x. View

15.

Meyer B, Roricht S, Woiciechowsky C . Topography of fibers in the human corpus callosum mediating interhemispheric inhibition between the motor cortices. Ann Neurol. 1998; 43(3):360-9. DOI: 10.1002/ana.410430314. View

16.

Denckla M . Development of motor co-ordination in normal children. Dev Med Child Neurol. 1974; 16(6):729-41. DOI: 10.1111/j.1469-8749.1974.tb03393.x. View

17.

Largo R, Fischer J, Rousson V . Neuromotor development from kindergarten age to adolescence: developmental course and variability. Swiss Med Wkly. 2003; 133(13-14):193-9. DOI: 10.4414/smw.2003.09883. View

18.

Wolff P, Hurwitz I . Functional implications of the minimal brain damage syndrome. Semin Psychiatry. 1973; 5(1):105-15. View

19.

Largo R, Caflisch J, Hug F, Muggli K, Molnar A, Molinari L . Neuromotor development from 5 to 18 years. Part 2: associated movements. Dev Med Child Neurol. 2001; 43(7):444-53. DOI: 10.1017/s0012162201000822. View

20.

Harrington D, Haaland K . Hemispheric specialization for motor sequencing: abnormalities in levels of programming. Neuropsychologia. 1991; 29(2):147-63. DOI: 10.1016/0028-3932(91)90017-3. View