检查有和没有普拉德-威利综合征的儿童的感官接收和整合能力
Debra J Rose1, Diobel M Castner2, Kathleen S Wilson1
1Movement Enhancement Laboratory, Department of Kinesiology, California State University, Fullerton, CA, USA.
Research in developmental disabilities
|April 14, 2024
概括
患有普拉德-威利综合征 (PWS) 的儿童的姿势稳定性较差,并且难以适应不断变化的感官条件. 建议针对前置系统进行有针对性的培训,以改善这一群体的平衡.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 生物力学 生物力学
背景情况:
- 姿势稳定依赖于将感官输入 (视觉,体感,前庭) 与神经运动反应相结合.
- 了解感官输入的利用对于控制平衡至关重要,特别是在神经发育条件下.
研究的目的:
- 调查普拉德-威利综合征 (PWS) 儿童和典型发育肥胖儿童之间用于站立平衡控制的感官输入使用的差异.
- 确定PWS儿童的感官整合平衡的具体挑战.
主要方法:
- 一项涉及18名PWS儿童和51名没有PWS的肥胖儿童 (8-11岁) 的横截面研究.
- 利用感官组织测试 (SOT) 来评估视觉,体感官和前置系统的贡献,以平衡.
- 在不同的感官条件下,组合平衡得分 (CES),个人平衡得分 (EQs) 和不同组之间的下降率进行了比较.
主要成果:
- 与对照组相比,患有PWS的儿童的整体体 postural control (较低的CES) 显着较低.
- 这两组在需要更多依赖非视觉输入的条件下 (条件1-4),表现出情商下降.
- 患有PWS的儿童在第6种条件下跌倒的发生率更高,这表明在前庭输入至关重要时难以适应,并且在第5和第6种条件下重复跌倒的近乎意义.
结论:
- 患有PWS的儿童表现出体位稳定性受损和自动性增加.
- 研究结果表明,患有PWS的儿童无法有效地适应感官权重,特别是优先考虑前体信息,以维持平衡.
- 建议包括制定姿势控制培训计划,强调适应不断变化的感官环境并加强前庭系统功能.
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