Williams Cylie M, Tinley Paul, Curtin Michael, Nielsen Sharon
Southern Health, Cardinia Casey Community Health Service, Cranbourne, Victoria, Australia.
J Child Neurol. 2012 Aug;27(8):1017-21. doi: 10.1177/0883073811432748. Epub 2012 Mar 20.
This study investigated the vibration perception differences between children with an idiopathic toe walking gait and their non-toe walking peers. Sixty children, between the ages of four and eight years, were grouped into an idiopathic toe walking group and non-toe walking group. Vibration perception threshold was assessed at the right hallux. A highly significant difference in the vibration perception threshold between the groups was determined. The idiopathic toe walking group demonstrated a lower vibration perception threshold (P = .001), indicating this group was highly sensitive to vibration input. This change in vibration perception could be symptomatic of physiological changes in the localized receptors within the skin or at a neural perception level. Heightened sensitivity to touch has not yet been explored with children who have an idiopathic toe walking gait. This finding could assist in understanding this gait pattern and allow further research into improved treatment options.
本研究调查了患有特发性足尖行走步态的儿童与其非足尖行走的同龄人之间的振动感知差异。60名年龄在4至8岁之间的儿童被分为特发性足尖行走组和非足尖行走组。在右拇趾处评估振动感知阈值。确定两组之间的振动感知阈值存在高度显著差异。特发性足尖行走组表现出较低的振动感知阈值(P = 0.001),表明该组对振动输入高度敏感。这种振动感知的变化可能是皮肤内局部感受器或神经感知水平上生理变化的症状。对于患有特发性足尖行走步态的儿童,尚未对其触觉敏感性增强进行研究。这一发现有助于理解这种步态模式,并为进一步研究改进治疗方案提供依据。