患有神经发育障碍的儿童的前庭功能:一个被忽视的感觉?
Ruth Van Hecke1, Frederik J A Deconinck2, Emmely Van Acker1
1Ghent University, Department of Rehabilitation Sciences, Corneel Heymanslaan 10 9000 Ghent, Belgium.
概括
患有神经发育障碍 (NDD) 的儿童表现出前庭功能变化,特别是在耳膜反应中. 在NDD群体的早期检测和干预中,建议进行静脉评估.
科学领域:
- 神经科学是一个神经科学.
- 儿科 儿科 儿科
- 听力学 听力学是指听力学.
背景情况:
- 神经发育障碍 (NDD) 涵盖了一系列影响大脑发育的疾病.
- 静脉管系统的功能障碍会影响运动控制,平衡和感官处理.
- 了解NDD的前体功能对于全面的患者护理至关重要.
研究的目的:
- 在被诊断患有神经发育障碍的儿童中调查前庭系统完整性.
- 为了比较前体唤起肌源性潜能 (VEMPs) 和视频头部脉冲测试 (vHIT) 在NDD儿童和对照组之间的结果.
- 在儿科NDD群体中确定非典型前庭反应的流行率.
主要方法:
- 一项试点研究涉及28名患有NDD的儿童 (6-13岁) 和28名年龄/性别匹配的对照.
- 通过眼部和部静脉唤起肌原潜力 (o/cVEMP) 和视频头部脉冲测试 (vHIT) 评估周围静脉功能.
- 使用标准化评估评估的运动能力;结果在各组之间进行比较.
主要成果:
- 在o/cVEMP和cVEMP测试中,NDD组的间峰幅度显著更高 (p < 0.001).
- 在NDD和对照组之间的vHIT测量中没有发现显著差异 (p > 0.05).
- 39%的患有NDD的儿童表现出不典型的前庭反应,包括异常的耳膜幅度和vHIT校正跳动.
结论:
- 在患有NDD的儿童中,前庭功能,特别是耳骨路径的显著变化存在.
- 在临床评估患有NDD的儿童,特别是那些运动延迟或平衡问题儿童时,应考虑 вести评估.
- 识别潜在的前庭干涉可以指导有针对性的干预措施,并改善发育结果.
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