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一项关于有和没有全面发育迟缓的幼儿触觉反应性的病例对照研究。

A Case-Controlled Investigation of Tactile Reactivity in Young Children With and Without Global Developmental Delay.

作者信息

Barney Chantel C, Tervo Raymond, Wilcox George L, Symons Frank J

机构信息

Chantel C. Barney, Gillette Children's Specialty Healthcare, St. Paul, MN; Raymond Tervo, Neurodevelopmental Pediatrician, Mayo Clinic, Rochester, MN; George L. Wilcox, Department of Neuroscience, University of Minnesota; and Frank J. Symons, Department of Educational Psychology, University of Minnesota.

出版信息

Am J Intellect Dev Disabil. 2017 Sep;122(5):409-421. doi: 10.1352/1944-7558-122.5.409.

Abstract

Assessing tactile function among children with intellectual, motor, and communication impairments remains a clinical challenge. A case control design was used to test whether children with global developmental delays (GDD; n = 20) would be more/less reactive to a modified quantitative sensory test (mQST) compared to controls (n = 20). Reactivity was indexed by blinded behavioral coding across vocal, facial, and gross motor responses during the mQST. On average the children with GDD were significantly more reactive than controls to most tactile sensory modalities including light touch (p = .034), pin prick (p = .008), cool (p = .039), pressure (p = .037), and repeated von Frey (p = .003). The results suggest the mQST approach was feasible and highlights the GDD sample was more reactive than controls to a range of stimuli.

摘要

评估智力、运动和沟通障碍儿童的触觉功能仍然是一项临床挑战。采用病例对照设计来测试与对照组(n = 20)相比,全球发育迟缓(GDD;n = 20)儿童对改良定量感觉测试(mQST)的反应是更强还是更弱。反应性通过在mQST期间对声音、面部和大运动反应进行盲法行为编码来衡量。平均而言,GDD儿童对大多数触觉感觉模式的反应明显比对照组更强,包括轻触(p = .034)、针刺(p = .008)、冷觉(p = .039)、压力(p = .037)和重复的von Frey刺激(p = .003)。结果表明mQST方法是可行的,并突出显示GDD样本对一系列刺激的反应比对照组更强。

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