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

被引:6
作者
Emanuele, Marco [1 ,2 ]
Polletta, Giovanni [1 ]
Marini, Maddalena [2 ]
Fadiga, Luciano [1 ,2 ]
机构
[1] Univ Ferrara, Dept Neurosci & Rehabil, Sect Physiol, Via Luigi Borsari 46, I-44121 Ferrara, Italy
[2] Ist Italiano Tecnol, IIT UniFe Ctr Translat Neurophysiol Speech & Comm, Via Fossato di Mortara 19, I-44121 Ferrara, Italy
来源
CHILDREN-BASEL | 2022年 / 9卷 / 07期
关键词
developmental coordination disorder (DCD); neurodevelopmental disorders; transcranial magnetic stimulation (TMS); motor development; motor control; TRANSCRANIAL MAGNETIC STIMULATION; CORTICOSPINAL EXCITABILITY MODULATION; MOTOR CORTEX EXCITABILITY; AUTISM SPECTRUM DISORDER; POSTURAL ADJUSTMENTS; REACHING MOVEMENTS; MENTAL ROTATION; IMAGERY ABILITY; EFFERENCE COPY; ONLINE CONTROL;
D O I
10.3390/children9070945
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
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.
引用
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页数:16
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