Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study

Uusitalo, Karoliina; Haataja, Leena; Nyman, Anna; Ripatti, Liisi; Huhtala, Mira; Rautava, Päivi; Lehtonen, Liisa; Parkkola, Riitta; Lahti, Katri; Koivisto, Mari; Setänen, Sirkku

doi:10.1136/bmjpo-2019-000633

Cited by 17 publications

(30 citation statements)

References 33 publications

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“…This also allows us to orientate the information made to parents about schooling in the follow‐up of these patients. However, this does not mean that the follow‐up of these high‐risk children can be stopped, since we know that cognitive or coordination disorders may appear later on 26 . Finally, we may suggest an individual case‐by‐case decision instead of a systematic neuropsychological evaluation at school age for children with a DQ ≥100 at age 2.…”

Section: Discussionmentioning

confidence: 99%

“…However, this does not mean that the follow-up of these high-risk children can be stopped, since we know that cognitive or coordination disorders may appear later on. 26 Finally, we may suggest an individual case-by-case decision instead of a systematic neuropsychological evaluation at school age for children with a DQ ≥100 at age 2. This may limit the workload of neuropsychologists.…”

Section: Ta B L E 1 Comparison Between the Study Population And Child...mentioning

confidence: 99%

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Neurodevelopment at two years and appropriate schooling at five years in children born very preterm

et al. 2022

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Preterm birth affects about 15 million children per year worldwide; in France, 12,000 infants are born before 32 weeks' gestational age every year. 1 Despite improved survival of preterm infants, the risk of motor, sensory or cognitive disorder during childhood is high. 2Cognitive disorders such as delayed language development, attention disorder or dyspraxia are associated with lower academic performance. [3][4][5][6][7][8] In a large cohort of preterm infants born in France in 1997, a previous study estimated that 30% of children born under or at 32 weeks' gestational age had schooling difficulties. 9 Early detection of potential disorders is a public health challenge in order to offer adapted care: speech therapy, physiotherapy, psychomotricity or a special needs teaching assistant. Previous studies showed that efficacy is improved if such management is started early on, in the preschool period. 10,11 Consequently, follow-up has been standardised in France up to 6-7 years of age, with regional outpatient networks.

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Section: Discussionmentioning

confidence: 99%

Section: Ta B L E 1 Comparison Between the Study Population And Child...mentioning

confidence: 99%

Neurodevelopment at two years and appropriate schooling at five years in children born very preterm

et al. 2022

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“…The prevalence of this condition is strictly associated with the criteria used in each study, varying from 1.4% to 19.0% of school-age children [ 6 , 7 , 8 ], while the ratio of males to females ranges from 2:1 to 7:1 [ 9 ]. Alongside with male sex, preterm birth represents the major risk factor for DCD [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Developmental Coordination Disorder: State of the Art and Future Directions from a Neurophysiological Perspective

et al. 2022

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Developmental coordination disorder (DCD) is a common neurodevelopmental condition characterized by disabling motor impairments being visible from the first years of life. Over recent decades, research in this field has gained important results, showing alterations in several processes involved in the regulation of motor behavior (e.g., planning and monitoring of actions, motor learning, action imitation). However, these studies mostly pursued a behavioral approach, leaving relevant questions open concerning the neural correlates of this condition. In this narrative review, we first survey the literature on motor control and sensorimotor impairments in DCD. Then, we illustrate the contributions to the field that may be achieved using transcranial magnetic stimulation (TMS) of the motor cortex. While still rarely employed in DCD research, this approach offers several opportunities, ranging from the clarification of low-level cortical electrophysiology to the assessment of the motor commands transmitted throughout the corticospinal system. We propose that TMS may help to investigate the neural correlates of motor impairments reported in behavioral studies, thus guiding DCD research toward a brain-oriented acknowledgment of this condition. This effort would help translational research to provide novel diagnostic and therapeutic tools.

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“…Very preterm (VPT) birth (gestational age <32 weeks and/or birth weight ≤1500 g) increases the risks for developmental difficulties in areas such as learning, language and motor skills. 1 Besides these, children born VPT characteristically shows a typical ‘preterm behavioural phenotype’ characterized by inattention, anxiety and social difficulties. 2 The spectrum of these symptoms varies from mild to extreme, which includes the diagnoses of attention deficit hyperactivity disorder, especially the attention deficit subtype, and autism spectrum disorder.…”

Section: Introductionmentioning

confidence: 99%

“…These traits have wide-ranging effects on wellbeing, social relations and quality of life and they persist in adulthood. 1-4 …”

Section: Introductionmentioning

confidence: 99%

Altered temporal connectivity and reduced meta-state dynamism in adolescents born very preterm

Lahti

Setänen

Vorobyev

et al. 2022

Brain Communications

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Adolescents born very preterm have an increased risk for anxiety, social difficulties, and inattentiveness, i.e., the “preterm behavioral phenotype”. The extreme end of these traits comprises the core diagnostic features of attention and hyperactivity disorders and autism spectrum disorder, which have been reported to show aberrant dynamic resting state functional network connectivity. This study aimed to compare this dynamism between adolescents born very preterm and controls. A resting state functional magnetic resonance imaging was performed on 24 adolescents born very preterm (gestational age <32 weeks and/or birth weight ≤1500 g) and 32 controls born full term (≥37 weeks of gestation) at 13 years of age. Group-wise comparisons of dynamic connectivity between the resting state networks were performed using both hard clustering and meta-state analysis of functional network connectivity. The very preterm group yielded a higher fraction of time spent in the least active connectivity state in hard clustering state functional network connectivity, even though no group differences in pair-wise connectivity patterns were discovered. The meta-state analysis showed a decreased fluidity and dynamic range in the very preterm group compared with controls. Our results suggest that the 13-year-old adolescents born very preterm differ from controls in the temporal characteristics of functional connectivity. The findings may reflect the long-lasting effects of prematurity and the clinically acknowledged “preterm behavioral phenotype”.

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Preterm children’s developmental coordination disorder, cognition and quality of life: a prospective cohort study

Cited by 17 publications

References 33 publications

Neurodevelopment at two years and appropriate schooling at five years in children born very preterm

Neurodevelopment at two years and appropriate schooling at five years in children born very preterm

Developmental Coordination Disorder: State of the Art and Future Directions from a Neurophysiological Perspective

Altered temporal connectivity and reduced meta-state dynamism in adolescents born very preterm

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