Strubhar Andrew J, Meranda Kathleen, Morgan Andrew
Department of Physical Therapy and Health Science, Bradley University Peoria, Illinois 61625, USA.
Pediatr Phys Ther. 2007 Fall;19(3):227-35. doi: 10.1097/PEP.0b013e31811ec7af.
To describe the outcomes of children diagnosed before the age of two with idiopathic hypotonia.
A total of 105 parents of children who were diagnosed with hypotonia returned a questionnaire. Medical records were reviewed.
A transient impairment group (10.5%) reported no problems. A minimal impairment group (32.4%) had mild problems such as learning disability or language delay but no major developmental diagnosis. A globally impaired group (40.9%) had mental retardation or a recognizable genetic/developmental diagnosis. More than 50% of the minimal impairment group had poor coordination, language delay, and learning difficulties. The mean walking age (minimal group) was 22 months. Initial fine motor and cognitive, but not gross motor, developmental quotients were significantly greater in the minimal compared with global impairment group.
Deficits in motor coordination, language, and learning difficulties were common problems that persisted in the minimal and global impairment groups.
描述两岁前被诊断为特发性肌张力减退的儿童的预后情况。
105名被诊断为肌张力减退儿童的家长返回了调查问卷。对病历进行了回顾。
一个短暂受损组（10.5%）报告无问题。一个轻度受损组（32.4%）有轻度问题，如学习障碍或语言发育迟缓，但无重大发育诊断。一个全面受损组（40.9%）有智力障碍或可识别的遗传/发育诊断。超过50%的轻度受损组有协调性差、语言发育迟缓和学习困难。（轻度组）平均开始走路的年龄为22个月。与全面受损组相比，轻度受损组最初的精细运动和认知发育商数显著更高，但大运动发育商数并非如此。
运动协调性、语言和学习困难方面的缺陷是轻度和全面受损组中持续存在的常见问题。
