Kasatkin V N, Anisimov V N, Dreneva A A, Borodina I D, Karelin A F, Rumyantsev A G
Dmitry Rogachev National Medical Research Centre of Pediatric Hematology, Oncology and Immunology, Ministry of Health of the Russian Federation, Moscow, Russia.
Vopr Kurortol Fizioter Lech Fiz Kult. 2018;95(6):13-18. doi: 10.17116/kurort20189506113.
The survivors among the children and adolescents with a brain tumour are likely to show evidence of the impairment of the most important cognitive functions, such as attention, visual-motor integration, and working memory, following the completion of the antineoplastic treatment. The basic characteristics of these functions compromised in the patients presenting with the most serious cognitive deficiency are the information processing rate and the time needed for carrying out any cognitive activity in the patients experiencing deficit of white matter in the brain.
The objective of the present study was to demonstrate the possibility and the effectiveness of the application of the new method for the stimulation of the information processing activity of the brain, the enhancement of its effectiveness, and the improvement of the quality of the visual-motor coordination in the children and adolescents following the completion of the antineoplastic treatment of brain tumours. This paper reports the first experience of the application of the Dynavision d2 visuo-motor reaction training device which has been used for the visual-motor integration and the increase of the information processing speed.
The sample included in the study was comprised of a total of 46 children at the mean age of 10.6±3.34 years that had undergone the treatment of the brain neoplasm. Each patient participated in 5 to 8 sessions of exercises with the use of the the Dynavision d2 visuo-motor reaction training device during 21 days.
All the treated patients exhibited the stable reduction of the mean time of the reaction from the first session to the last one. The comparison of the outcomes of the treatment between the children of different sexes has demonstrated better results (in absolute terms and in dynamics) in the girls in comparison with the boys. The exercises with the use of the Dynavision d2 visuo-motor reaction training device were not accompanied by any negative subjective sensations in the treated patients, nor did they induce the adverse somatic side effects.
The results of the present study give evidence of both the applicability and the effectiveness of the application of the Dynavision d2 visuo-motor reaction training device for the diagnostics of the disturbances in the motor and visual coordination and the associated cognitive functions and for their correction in the children following the treatment of the neoplasm of the posterior cranial fossa.
患有脑肿瘤的儿童和青少年幸存者在完成抗肿瘤治疗后，可能会出现最重要的认知功能受损的迹象，如注意力、视觉运动整合和工作记忆。在表现出最严重认知缺陷的患者中，这些功能受损的基本特征是大脑白质缺乏患者的信息处理速度和进行任何认知活动所需的时间。
本研究的目的是证明在脑肿瘤抗肿瘤治疗完成后，应用新方法刺激儿童和青少年大脑信息处理活动、提高其有效性以及改善视觉运动协调质量的可能性和有效性。本文报告了首次应用Dynavision d2视觉运动反应训练设备的经验，该设备已用于视觉运动整合和提高信息处理速度。
本研究纳入的样本共有46名平均年龄为10.6±3.34岁的接受过脑肿瘤治疗的儿童。每位患者在21天内使用Dynavision d2视觉运动反应训练设备参加5至8次练习课程。
所有接受治疗的患者从第一节课到最后一节课的平均反应时间均呈稳定下降。不同性别的儿童之间治疗结果的比较表明，女孩的结果（绝对值和动态结果）比男孩更好。使用Dynavision d2视觉运动反应训练设备进行的练习在接受治疗的患者中未伴随任何负面主观感觉，也未引起不良躯体副作用。
本研究结果证明了Dynavision d2视觉运动反应训练设备在诊断运动和视觉协调障碍及相关认知功能障碍以及在后颅窝肿瘤治疗后的儿童中进行矫正方面的适用性和有效性。
