[Motoscopic-neurological and motometric investigation in children with speech disturbances (author's transl)]

Abstract

According to the definition of Wigglesworth and Köng it is possible to diagnose minimal cerebral palsy (mcp) by a motoscopic-neurological (m.n.) investigation. This is based on the observation of pathological patterns of posture and movement seen in all severities of cerebral palsy. In cases of minimal cerebral palsy the test needs special experience and is considerably time consuming. The aim of this study was to demonstrate whether a motometric test--the Körperkoordinationstest für Kinder (KTK) Schilling, 1974--that is short, standardised and easy to handle, can identify children with mcp as having a low Motor Quotient (MQ) and children who are neurologically normal as having a high MQ. 192 pupils of the special school of children with speech disturbances in Vienna were investigated both with the m. n. test and the KTK. Children with a MQ greater than or equal to 86 mainly (statistically significant) belonged to the group "m. n.-normal" and children with MQ less than or equal to 85 mainly belonged to the group with the diagnosis mcp. However, it was not possible in the individual case to identify mcp with the motometric test. There were 29,3% of children with mcp who had a normal MQ and 26,9% of children with a normal m. n. test who had a MQ less than or equal to 85.