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van Heerwaarde AA, van der Kamp LT, van der Aa NE, de Vries LS, Groenendaal F, Jongmans MJ, Eijsermans RJC, Koopman-Esseboom C, van Haastert ILC, Benders MJNL, Dudink J. Non-right-handedness in children born extremely preterm: Relation to early neuroimaging and long-term neurodevelopment. PLoS One 2020; 15:e0235311. [PMID: 32628734 PMCID: PMC7337339 DOI: 10.1371/journal.pone.0235311] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2019] [Accepted: 06/14/2020] [Indexed: 11/18/2022] Open
Abstract
Objective This study aimed to define the prevalence and predictors of non-right-handedness and its link to long-term neurodevelopmental outcome and early neuroimaging in a cohort of children born extremely preterm (<28 weeks gestation). Methods 179 children born extremely preterm admitted to the Neonatal Intensive Care Unit of our tertiary centre from 2006–2013 were included in a prospective longitudinal cohort study. Collected data included perinatal data, demographic characteristics, neurodevelopmental outcome measured by the Bayley Scales of Infant and Toddler Development at 2 years and the Movement Assessment Battery for Children at 5 years, and handedness measured at school age (4–8 years). Magnetic resonance imaging performed at term-equivalent age was used to study overt brain injury. Diffusion tensor imaging scans were analysed using tract-based spatial statistics to assess white matter microstructure in relation to handedness and neurodevelopmental outcome. Results The prevalence of non-right-handedness in our cohort was 22.9%, compared to 12% in the general population. Weaker fine motor skills at 2 years and paternal non-right-handedness were significantly associated with non-right-handedness. Both overt brain injury and fractional anisotropy of white matter structures on diffusion tensor images were not related to handedness. Fractional anisotropy measurements showed significant associations with neurodevelopmental outcome. Conclusions Our data show that non-right-handedness in children born extremely preterm occurs almost twice as frequently as in the general population. In the studied population, non-right-handedness is associated with weaker fine motor skills and paternal non-right-handedness, but not with overt brain injury or microstructural brain development on early magnetic resonance imaging.
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Affiliation(s)
- Alise A. van Heerwaarde
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
- * E-mail:
| | - Laura T. van der Kamp
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Niek E. van der Aa
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Linda S. de Vries
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Floris Groenendaal
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Marian J. Jongmans
- Department of Paediatric Psychology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Rian J. C. Eijsermans
- Department of Paediatric Physical Therapy and Exercise Physiology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Corine Koopman-Esseboom
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Inge-Lot C. van Haastert
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Manon J. N. L. Benders
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
| | - Jeroen Dudink
- Department of Neonatology, Wilhelmina Children’s Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands
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Burnett AC, Anderson PJ, Joseph RM, Allred EN, O’Shea TM, Kuban KC, Leviton A. Hand Preference and Cognitive, Motor, and Behavioral Functioning in 10-Year-Old Extremely Preterm Children. J Pediatr 2018; 195:279-282.e3. [PMID: 29336793 PMCID: PMC5869125 DOI: 10.1016/j.jpeds.2017.11.056] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2017] [Revised: 10/31/2017] [Accepted: 11/30/2017] [Indexed: 12/26/2022]
Abstract
The association of hand preference (left, mixed, and right) with cognitive, academic, motor, and behavioral function was evaluated in 864 extremely preterm children at 10 years of age. Left-handed and right-handed children performed similarly but mixed-handed children had greater odds of functional deficits across domains than right-handed children.
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Affiliation(s)
- Alice C. Burnett
- Victorian Infant Brain Studies, Murdoch Childrens Research Institute, Melbourne, Australia,Premature Infant Follow-Up Program, Royal Women’s Hospital, Melbourne, Australia,Neonatal Medicine, Royal Children’s Hospital, Melbourne, Australia,Department of Paediatrics, University of Melbourne, Melbourne, Australia
| | - Peter J. Anderson
- Victorian Infant Brain Studies, Murdoch Childrens Research Institute, Melbourne, Australia,Premature Infant Follow-Up Program, Royal Women’s Hospital, Melbourne, Australia,School of Psychological Sciences, Monash University, Melbourne, Australia
| | - Robert M. Joseph
- Department of Anatomy and Neurobiology, Boston University, Boston MA, USA
| | - Elizabeth N. Allred
- Department of Neurology, Boston Children’s Hospital, Boston MA, USA,Department of Neurology, Harvard Medical School, Boston MA, USA
| | - T Michael O’Shea
- Department of Pediatrics, University of North Carolina, Chapel Hill, North Carolina, USA
| | - Karl C.K. Kuban
- Division of Pediatric Neurology, Department of Pediatrics, Boston University Medical Center, Boston MA, USA
| | - Alan Leviton
- Department of Neurology, Boston Children’s Hospital, Boston MA, USA,Department of Neurology, Harvard Medical School, Boston MA, USA
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