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6岁儿童的步行特征 极度早产的6岁儿童的步行特征
Yuji Ito1,2, Yuichiro Sugiyama3,4, Tadashi Ito5
1Department of Pediatrics, Nagoya University Graduate School of Medicine, 65 Tsurumai-Cho, Showa-Ku, Nagoya, Aichi, 466-8550, Japan. ito.yuji.j6@f.mail.nagoya-u.ac.jp.
European journal of pediatrics
|November 11, 2025
概括
极度早产 (EP) 出生的儿童表现出运动障碍,包括步行质量,平衡和协调不佳. 低出生体重和体重增加与学龄儿童的这些缺陷有关.
科学领域:
- 儿科 儿科 儿科
- 神经学 神经学
- 发展生物学 发展生物学
背景情况:
- 发育协调障碍影响20-50%的极度早产 (EP) 儿童.
- 生于EP的个体在一生中经常表现出肌肉力量的减少.
研究的目的:
- 在出生于EP的6岁儿童中表征运动障碍.
- 调查EP儿童中围产期因素和运动结果之间的关系.
主要方法:
- 在EP儿童的运动功能 (平衡,力量,协调,步行质量) 的比较 (n=10) 与按期出生的对照 (n=30).
- 使用了一腿站立,两步测试,握力,五次坐立,DCD问卷和3D步态分析 (步态偏差指数).
- 在EP组中分析了运动结果和围产期因素 (出生体重,36周体重) 之间的相关性.
主要成果:
- EP儿童平衡较差,握力减弱,DCD问卷分数较低.
- EP儿童表现出步态质量下降 (较低的GDI) 和步态不对称性增加.
- 出生体重与GDI正相关;36周体重与GDI和DCD得分相关.
结论:
- 极度早产与步态质量,不对称性,肌肉强度,平衡和协调特征的受损有关.
- 低出生体重和低于最佳体重增加可能导致学龄儿童的运动缺陷和DCD特征.
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