Niederlandová Z
Klin Monbl Augenheilkd. 1975 Jun;166(6):803-10.
The manual and visual dominance of one side has in recent times attracted much attention from many aspects. Crossed dominance (right eye - left hand) seems significant in strabismus of childhood. For the first time recently it has become obvious, that the structure of the body and its muscles, especially of the trunk is asymmetrical. Even in normal persons the centre of gravity of the body is not in the midline, but displaced usually some distance to the left. We have examined the stabilographic proportions in 30 normal and 30 squinting children. In the normal children, with closed eyes the centre of gravity of the body was displaced in 80% to the right, in the quinting children this point was in 73% displaced to the left. We can deduce from this, that the marked right-eye dominance in squinting children is responsible for the displacement of the centre of gravity. If the right eye is open, then the vertical body-axis tends a little to the left. This tendency demands an increase of muscle tone on the left side of the body and with this a displacement of the body centre of gravity to the left; this not only, when the right eye is open, but also, when both eyes are opened or closed. From our experience this adjustment is especially suited to normalise the working together of the hand and the eye in squinting children.
近来,一侧的手动优势和视觉优势已从多个方面引起了广泛关注。交叉优势(右眼 - 左手)在儿童斜视中似乎具有重要意义。最近首次明确的是,身体及其肌肉结构,尤其是躯干结构是不对称的。即使在正常人中,身体重心也不在身体中线,而是通常向左偏移一段距离。我们检查了30名正常儿童和30名斜视儿童的姿势图比例。在正常儿童中,闭眼时80%的身体重心向右偏移,而在斜视儿童中,这一比例为73%向左偏移。由此我们可以推断,斜视儿童中明显的右眼优势是导致重心偏移的原因。如果右眼睁开,那么身体垂直轴会稍微向左倾斜。这种倾向需要增加身体左侧的肌肉张力,从而使身体重心向左偏移;不仅在右眼睁开时如此,在双眼睁开或闭上时也是如此。根据我们的经验,这种调整特别有助于使斜视儿童的手眼协同工作恢复正常。