Pediatrics in Review
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Point-Counterpoint

Jack P. Shonkoff MD1
1 Chief, Division of Developmental and Behavioral Pediatrics, Professor of Pediatrics, Dept of Pediatrics, University of Massachusetts Medical School, Worcester

In an article concerning the "Clumsy Child" (Pediatr Rev. 1989; 10:247-253), Taft and Barowsky provide an overview of mild motor dysfunction and emphasize the potential impact of clumsiness on a child's later learning abilities and emerging sense of personal competence, peer acceptance, and self-esteem. One of our readers expressed concern about some of the global predictions included in this article, cautioned about the dangers of overidentification of pathology in young children, and noted that family and social context variables have been demonstrated to be better predictors of school difficulties than early motor inefficiencies. Calling for more careful assessment of a child's life situation as well as his or her motor abilities, the reader warned about the iatrogenic consequences of overzealous identification of deviation in the preschool period.




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J Child NeurolHome page
T. A. Blondis, J. H. Snow, N. J. Roizen, K. J. Opacich, and P. J. Accardo
Early Maturation of Motor-Delayed Children at School Age
J Child Neurol, October 1, 1993; 8(4): 323 - 329.
[Abstract] [PDF]




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