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Visuo-motor coordination in 8-year-old children born pre-term before and after 28 weeks of gestation 

Authors: Cyril Schneider a;  Line Nadeau b;  Chantal Bard b;  Julie Lambert b;  Annette Majnemer c;  Francine Malouin b;  Philippe Robaey d;  Pascale St-Amand b; Reacutejean Tessier e
Affiliations:   a Centre de Recherche du CHUL (CHUQ), Queacutebec, Canada
b CIRRIS, Universiteacute Laval, Queacutebec, Canada
c CRIR, McGill University, Montreacuteal, Canada
d Centre de Recherche de l'Hocircpital Ste-Justine, Montreacuteal, Canada
e Centre de Recherche du CHSFA (CHUQ), Universiteacute Laval, Queacutebec, Canada
DOI: 10.1080/17518420801887547
Publication Frequency: 6 issues per year
Published in: journal Developmental Neurorehabilitation, Volume 11, Issue 3 2008 , pages 215 - 224
First Published: 2008
Formats available: HTML (English) : PDF (English)
Languages: English; Espantildeol
Previously published as: Pediatric Rehabilitation (1363-8491, 1464-5270) until 31 December 2006
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Abstract

Purpose: This study compared the visuo-motor abilities between pre-term and full-term children.

Methods: Twenty-three 8-year-old children participated, five being born under 28 weeks gestational age (wGA) referred to as Preterms1 (mean = 8 years 5 months [SD 0.3]), nine Preterms2 of 28-35 wGA (mean = 7 years 9 months [SD 0.7]) and nine typically developing full-term controls (mean = 8 years 6 months [SD 0.7]). All children were studied in an interhemispheric transfer time and in a visuo-manual pointing-task to test motor programming time in three conditions: unimanual pointing (dominant, non-dominant hands), mirror bimanual pointing (same direction for both hands) and opposite bimanual pointing.

Results: Significant differences were detected between Preterms 1 and 2, the latter being similar to controls. Preterms1 presented increases in interhemispheric time, suggesting an alteration in the transcallosal pathways. Programming time was significantly lengthened (p < 0.01) for dominant hand unilateral pointing and opposite bilateral pointing and it was the shortest for mirror pointing.

Conclusions: A faulty programming of visuo-manual tasks is suspected in Preterms1 with potential difficulty inhibiting the non-dominant limb mirror movement. This may result from an impaired interhemispheric inhibition owing to potential corpus callosum thinning. Such measures may be used to help follow-up subtle changes in fine motor control and detect pre-terms at risk of developing long-term deficits.
Keywords: Prematurity; fine motor programming; interhemispheric transfer time; corpus callosum thinning; unimanual and bimanual pointing
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