Handedness in Extremely Low Birth Weight Infants: Aetiology and Relationship to Intellectual Abilities, Motor Performance and Behaviour at Four and Six Years

Hand preference was measured in a total group of 71 ELBW children to determine patterns of hand preference at 4 and 6 years, possible aetiological factors leading to handedness, and whether left or non right hand preference were markers for intellectual, motor, temperament or behavioural differences. At both 4 and 6 years the prevalence of left handedness was increased, though this prevalence changed over the period of the study. Results supported brain injury as one mechanism leading to increased left hand preference, though this process did not adequately explain this increase. Possible reasons for this and the apparent change in prevalence with time are examined. Mixed handedness at 4 years was associated with lower intellectual abilities though otherwise children were similar in motor skills, temperament and behaviour independent of hand preference category.

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