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在手臂神经重建后改变手的手性在手臂出生
Chenglun Yao1,2,3,4, Jie Song1,2,3,4, Jiayu Sun1,2,3,4
1Department of Hand Surgery, Huashan Hospital and Institutes of Biomedical Sciences, Fudan University, Shanghai, China.
Frontiers in neurology
|January 23, 2024
概括
试图在患有右产科腕损伤 (OBPI) 的儿童中切换手性是很困难的,可能会对言语横向化和运动技能产生负面影响. 这项研究建议避免这样的干预,以获得更好的结果.
科学领域:
- 神经科学是一个神经科学.
- 儿科医学 儿科医学
- 康复科学 康复科学 康复科学
背景情况:
- 产科臂损伤 (OBPI) 可以导致功能缺陷和改变受影响儿童的手性.
- 右侧的OBPI通常会导致最初的左撇子,这引发了关于在功能恢复时切换到右撇子的可能性的问题.
研究的目的:
- 研究促进右手OBPI儿童从左手转向右手的可行性和后果.
- 为了检查手性切换对神经可塑性,手性-言语横向化,运动适应性和语言能力的影响.
主要方法:
- 对1996-2012年临床数据的回顾性分析,涉及19名患有右延伸Erb的参与者.
- 参与者被分为干预 (手性切换) 和对照组.
- 评估的手性,侧面分数 (LQ),侧面化指数 (LI) 用于手性-言语,主导手写字速度,语言功能和智商.
主要成果:
- 没有参与者最初是右撇子;8人接受了手性切换 (干预) 和11人没有 (控制).
- 干预组的LQ和LI值明显较低,较少的人达到正常的写作速度.
- 两组之间没有观察到语言分数或智商的显著差异;确定了运动技能,手性和语音横向化之间的相关性.
结论:
- 在右侧OBPI的儿童中转移手性是具有挑战性和潜在的有害的.
- 试图切换手性可能会导致手性-言语侧面化减少和运动细致性受损.
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