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Neuromotor development in nocturnal enuresis

Published online by Cambridge University Press:  14 August 2006

Alexander von Gontard
Affiliation:
Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg (Saar), Germany.
Christine M Freitag
Affiliation:
Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg (Saar), Germany.
Stephanie Seifen
Affiliation:
Department of Child and Adolescent Psychiatry, Hospital of the University of Cologne, Germany.
Ralf Pukrop
Affiliation:
Department of Psychiatry, Hospital of the University of Cologne, Germany.
Dagmar Röhling
Affiliation:
Department of Child and Adolescent Psychiatry, Hospital of the University of Cologne, Germany.
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Abstract

In children with nocturnal enuresis, a higher rate of minor neurological dysfunction has been found. The aim of this study was to assess timed performance (a measure of motor performance speed) and associated movements using a standardized and reliable instrument. The motor function of 37 children with nocturnal enuresis (27 males, 10 females; mean age 10y 7mo [SD 1y 10mo]; age range 8y–14y 8mo) and 40 comparison children without enuresis (17 males, 23 females; mean age 10y 7mo [SD 1y 6mo]; age range 8y–14y 8mo) was assessed using the Zurich Neuromotor Assessment. Children with nocturnal enuresis showed a slower motor performance than comparison children, particularly for repetitive hand and finger movements. This study provides evidence for a maturational deficit in motor performance in children with nocturnal enuresis. In addition to a maturational deficit of the brainstem, it is proposed that there is a possible maturational deficit of the motor cortex circuitry and related cortical areas in children with nocturnal enuresis.

Type
Original Articles
Copyright
2006 Mac Keith Press

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