Fine and gross motor skills predict later psychosocial maladaptation and academic achievement.

BACKGROUND: Difficulties in fine and gross motor skills are often overlooked as developmental problems, although approximately 6-13% of all school-age children have poor motor coordination. Understanding motor coordination is important from the perspective of school adaptation. This longitudinal cohort study aimed to determine whether fine and gross motor skills in preschool children predict later academic achievement and psychosocial maladaptation. METHODS & PROCEDURES: Participants were 2,501 children from nursery and elementary schools (5-13 years old). The motor skills of preschool children were assessed by their nursery teacher immediately before entering elementary school. The Strengths and Difficulties Questionnaire and a standardized Japanese test were administered annually throughout elementary school. RESULTS: Early motor difficulties in preschool children had significant effects on their academic achievement and psychosocial maladaptation up until the sixth grade. Gross motor difficulties in preschool were associated with the later peer problems and worsened emotional symptoms. CONCLUSIONS: Motor skills in preschool children are useful as a predictor of later psychosocial maladaptation and academic achievement.

Referential framework for transcranial anatomical correspondence for fNIRS based on manually traced sulci and gyri of an infant brain.

Functional near infrared spectroscopy (fNIRS), which is compact, portable, and tolerant of body movement, is suitable for monitoring infant brain functions. Nevertheless, fNIRS also poses a technical problem in that it cannot provide structural information. Supplementation with structural magnetic resonance images (MRI) is not always feasible for infants who undergo fNIRS measurement. Probabilistic registration methods using an MRI database instead of subjects' own MRIs are optimized for adult studies and offer only limited resources for infant studies. To overcome this, we used high-quality infant MRI data for a 12-month-old infant and manually delineated segmented gyri from among the highly visible macroanatomies on the lateral cortical surface. These macroanatomical regions are primarily linked to the spherical coordinate system based on external cranial landmarks, and further to traditional 10-20-based head-surface positioning systems. While macroanatomical structures were generally comparable between adult and infant atlases, differences were found in the parietal lobe, which was positioned posteriorly at the vertex in the infant brain. The present study provides a referential framework for macroanatomical analyses in infant fNIRS studies. With this resource, multichannel fNIRS functional data could be analyzed in reference to macroanatomical structures through virtual and probabilistic registrations without acquiring subject-specific MRIs.

Rapid maturation of voice and linguistic processing systems in preschool children: a near-infrared spectroscopic study.

To better understand how voice and linguistic processing systems develop during the preschool years, changes in cerebral oxygenation were measured bilaterally from temporal areas using multi-channel near-infrared spectroscopy (NIRS). NIRS was recorded while children listened to their mothers' voice (MV), an unfamiliar female voice (UV) and environmental sound (ES) stimuli. Twenty typical children (aged 3-6years) were divided into younger (Y) (n=10, male=5; aged 3-4.5years) and older (O) (n=10, male=5; aged 4.5-6years) groups. In the Y group, while MV stimuli significantly activated anterior temporal areas with a right predominance compared to ES stimuli, they significantly activated left mid-temporal areas compared to UV stimuli. These temporal activations were significantly higher in the Y group compared to the O group. Furthermore, only the O group exhibited significant habituation and gender differences in the left mid-temporal area during MV perception. These findings suggest that the right voice-related and the left language-related temporal areas already exist in the Y group, and that MV stimuli modulate these areas differently in the two age groups. Therefore, we conclude that a mother's voice plays an important role in the maturation of the voice and linguistic processing systems, particularly during the first half of the preschool-aged period. This role may decrease during the latter half of the preschool-aged period due to rapid development of these systems as children age.

Individuals with Asperger's disorder exhibit difficulty in switching attention from a local level to a global level.

The purpose of the present study was to determine whether individuals with Asperger's disorder exhibit difficulty in switching attention from a local level to a global level. Eleven participants with Asperger's disorder and 11 age- and gender-matched healthy controls performed a level-repetition switching task using Navon-type hierarchical stimuli. In both groups, level-repetition was beneficial at both levels. Furthermore, individuals with Asperger's disorder exhibited difficulty in switching attention from a local level to a global level compared to control individuals. These findings suggested that there is a problem with the inhibitory mechanism that influences the output of enhanced local visual processing in Asperger's disorder.

Utility of the Japanese version of the Checklist for Autism in Toddlers for predicting pervasive developmental disorders at age 2.

We evaluated the utility of the Japanese version of the Checklist for Autism in Toddlers for predicting pervasive developmental disorders (PDD) among 2-year-old children in clinical settings. Confirmed diagnosis revealed that the pass rate on four items (social interest, proto-imperative pointing, proto-declarative pointing and joint-attention) was significantly lower in 52 PDD children than in 48 non-PDD children, and if abnormal development was reported in two or more items, the sensitivity, specificity, and positive/negative predictive values for PDD diagnosis were 0.85, 0.73, and 0.77/0.81, respectively. This simple screening tool can provide valuable information to clinicians when diagnosing PDD.