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坐立与观察:正常发育婴儿与运动发育迟缓婴儿的稳定性及视觉探索比较

Sitting and looking: a comparison of stability and visual exploration in infants with typical development and infants with motor delay.

作者信息

Harbourne Regina T, Ryalls Brigette, Stergiou Nicholas

机构信息

1Munroe-Meyer Institute, University of Nebraska Medical Center , Omaha, Nebraska , USA.

出版信息

Phys Occup Ther Pediatr. 2014 May;34(2):197-212. doi: 10.3109/01942638.2013.820252. Epub 2013 Aug 1.

Abstract

This longitudinal study focused on the interaction of developing sitting postural control with look time, which served as a measure for cognitive processing. Twenty-eight typically developing infants and 16 infants with motor delays were evaluated using center-of-pressure measures to assess stability of sitting postural control and videography to assess look time at objects, at three progressive stages of sitting development. Results indicated that look time decreased significantly (p < .001) in conjunction with a significant increase in postural stability (p < .001) in both groups as sitting progressed to independence. Infants with motor delays showed significantly longer looks when compared to typical infants (p = .02) at the middle stage of sitting. We conclude that developmental changes in look time are related to changes in sitting postural control, and infants with motor delay may have greater difficulty looking during emerging postural control skills in sitting. Early interventionists may use look time as an indicator of sitting effort and cognitive processing during assessment and program planning.

摘要

这项纵向研究聚焦于发展坐姿控制与注视时间之间的相互作用,其中注视时间作为认知加工的一项指标。对28名发育正常的婴儿和16名有运动发育迟缓的婴儿进行了评估,在坐姿发展的三个递进阶段,使用压力中心测量法评估坐姿控制的稳定性,并通过摄像记录评估对物体的注视时间。结果表明,随着坐姿逐渐发展至独立,两组婴儿的注视时间均显著减少(p <.001),同时姿势稳定性显著增加(p <.001)。在坐姿发展的中期阶段,与发育正常的婴儿相比,有运动发育迟缓的婴儿注视时间显著更长(p =.02)。我们得出结论,注视时间的发育变化与坐姿控制的变化有关,并且有运动发育迟缓的婴儿在新兴的坐姿控制技能过程中注视可能会有更大困难。早期干预人员在评估和制定计划时,可将注视时间作为坐姿努力程度和认知加工的一项指标。

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