Kaga Kimitaka, Shinjo Yukiko, Jin Yulian, Takegoshi Hideki
National Institute of Sensory Organs, National Tokyo Medical Center, Tokyo, Japan.
Int J Audiol. 2008 Sep;47(9):590-9. doi: 10.1080/14992020802331222.
Congenitally deaf infants and children commonly suffer vestibular failure in both ears, and impairment of postural control, locomotion, and gait. The development of gross motor functions, such as head control, sitting, and walking is likely to be delayed, but fine motor function is usually preserved unless disorders of the central nervous system are present. These children can eventually catch up with their normal peers in terms of development and growth as a result of central vestibular compensation. The visual and somatosensory systems, pyramidal and extrapyramidal motor system (cerebellum, basal ganglia, cerebrum) and intellectual development, compensate for vestibular failure in infants and children with congenitally hypoactive or absent function of the semicircular canals and otolith organs.
先天性耳聋的婴幼儿通常双耳存在前庭功能障碍,以及姿势控制、运动和步态受损。诸如头部控制、坐立和行走等粗大运动功能的发育可能会延迟,但精细运动功能通常得以保留,除非存在中枢神经系统疾病。由于中枢前庭代偿,这些儿童最终在发育和成长方面能够赶上正常同龄人。视觉和躯体感觉系统、锥体和锥体外系运动系统(小脑、基底神经节、大脑)以及智力发育,可代偿先天性半规管和耳石器官功能减退或缺失的婴幼儿的前庭功能障碍。