在患有ADHD/DCD的儿童中 vestibular hypofunction 的后果
Tamar Gur-Hartman1, Ricardo Tarrasch2, Ayelet Zerem3
1School of Psychological Sciences, Tel Aviv University, Israel; Pediatric Neurology Unit, Wolfson Medical Center, Holon, Israel.
概括
在患有注意力缺陷多动障碍 (ADHD) 的儿童中,静脉功能缺陷可能是不平衡,焦虑和空间失调的基础. 这种特征在患有多动症和发育协调障碍 (DCD) 的儿童中更为常见,这表明需要进行前体康复.
科学领域:
- 神经科学是一个神经科学.
- 儿科 儿科 儿科
- 垂体系统研究研究 垂体系统研究
背景情况:
- 患有注意力缺陷多动症 (ADHD) 的儿童表现出不同的感觉运动,情绪和认知特征.
- 非核心症状经常包括感觉运动失衡,焦虑和空间失调.
- 以前的研究将这些功能障碍与其他人群的前庭功能缺陷联系起来.
研究的目的:
- 为了调查一小组患有ADHD的儿童是否表现出前庭功能缺陷.
- 为了确定这个子组是否同时表现出失衡,焦虑和空间失调.
主要方法:
- 评估的儿童只有ADHD (n=28),ADHD+发育协调障碍 (ADHD+DCD; n=38) 和典型发育 (TD; n=19).
- 使用动态视觉敏度测试 (DVA-t) 评估前庭功能.
- 测量的平衡 (BOT-2),恐慌焦虑 (SCARED-C) 和空间导航 (TC-t).
主要成果:
- 与TD (0%) 相比,患有ADHD的儿童表现出更高的前庭功能缺陷 (65%),失衡 (42%),恐慌焦虑 (27%) 和空间失调 (30%) 的比率.
- ADHD+DCD组比ADHD组更严重的前庭功能下降和失衡.
- 33%的ADHD儿童都有这三种并发症,与前庭功能下降有关.
结论:
- 静脉功能下降可能是儿童失衡,焦虑和空间失调的共同原因.
- 这些并发症在ADHD+DCD中更为普遍,这表明与DCD有联系.
- 具有这种特征的儿童可能受益于前体康复.
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