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生命前半年坐位姿势调整的发展

Development of postural adjustments in sitting position during the first half year of life.

作者信息

Hedberg Asa, Carlberg Eva Brogren, Forssberg Hans, Hadders-Algra Mijna

机构信息

Neuropaediatric Research Unit, Q2:07, Karolinska Institutet, Department of Woman and Child Health, Astrid Lindgrens Children's Hospital, 171 76 Stockholm, Sweden.

出版信息

Dev Med Child Neurol. 2005 May;47(5):312-20. doi: 10.1017/s0012162205000605.

Abstract

Little is known about the development of postural adjustments during early ontogeny. We examined postural adjustments due to sudden perturbations during sitting in 40 healthy term infants (28 males, 12 females) assessed in groups of eight at 1, 2, 3, 4, and 5 months of age. Surface electromyograms of neck, trunk, and leg muscles were recorded while the infants were exposed to a random series of horizontal forward and backward displacements of the surface of support. Video recordings of spontaneous motor behaviour were analyzed. For part of the analyses, previously collected data on 26 infants aged 6 to 10 months were included. In general, postural adjustments at all ages were direction specific and showed large variation. Within the variation developmental changes could be observed, revealing a transient decrease in postural activity at 3 months of age. After this transition, direction-specific postural activity was correlated with spontaneous motor behaviour. This was true, in particular, for dorsal postural activity. The clinical relevance of these findings is discussed.

摘要

关于早期个体发育过程中姿势调整的发展,我们所知甚少。我们对40名健康足月儿(28名男性,12名女性)进行了研究,这些婴儿在1、2、3、4和5个月大时以每组8人的形式接受评估,研究其在坐位时因突然扰动而产生的姿势调整。在婴儿受到支撑面随机的一系列水平向前和向后位移时,记录颈部、躯干和腿部肌肉的表面肌电图。对自发运动行为的视频记录进行了分析。在部分分析中,纳入了之前收集的26名6至10个月大婴儿的数据。总体而言,各年龄段的姿势调整都具有方向特异性,且变化很大。在这些变化中可以观察到发育变化,显示出3个月大时姿势活动会短暂下降。在这个过渡期之后,特定方向的姿势活动与自发运动行为相关。尤其是背部姿势活动更是如此。本文讨论了这些发现的临床意义。

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