感觉统合失调儿童与发育正常儿童在眼球运动功能上的差异。

Differences in Oculomotor Function between Children with Sensory Processing Disorder and Typical Development.

作者信息

Walker Kimberly, Redman-Bentley Donna, Remick-Waltman Kristy, Armstrong Dayle C

机构信息

Western University of Health Sciences, College of Health Sciences, Pomona, California *

Western University of Health Sciences, College of Optometry, Pomona, California.

出版信息

Optom Vis Sci. 2019 Mar;96(3):172-179. doi: 10.1097/OPX.0000000000001343.

DOI:10.1097/OPX.0000000000001343

PMID:30801500

Abstract

SIGNIFICANCE

Our study revealed that children with sensory processing disorder (SPD) exhibit deficient saccades and pursuits compared with typically developing (TD) children. Optometrists have a key role in caring for patients with SPD. Optometrists are paramount in identifying, coordinating care for, and treating these children.

PURPOSE

Children with SPD exhibit poor neurological processes, which can affect oculomotor performance. The study aims are to investigate differences in oculomotor skills using the Northeastern State University College of Optometry (NSUCO) oculomotor testing in children with SPD as compared with TD children, to explore effects of age and sex of children in each group on oculomotor performance, and to compare our results to test normative values for both TD and SPD groups.

METHODS

One hundred fifty children aged 7 to 11 years were recruited from surrounding community. The Short Sensory Profile (SSP) was used to assign the children into two groups. Of the eligible children recruited, 60 were TD (SSP ≥155) and 68 had SPD (SSP ≤141). Children were excluded if they reported blindness, strabismus, deafness, ocular disease, fractures within 6 months, or physical disabilities. Gait, balance, and visual skills of all children were assessed. Visual skill evaluation included select visual efficiency and visual processing testing. The NSUCO test was included as part of the visual efficiency evaluation.

RESULTS

Results showed that children with SPD demonstrate decreased oculomotor skills on all tests compared with TD children. For the SPD group, boys scored significantly poorer than did girls in head and body movement with saccades and pursuits. Overall, TD group scores confirm the established test norms.

CONCLUSIONS

Because of significant differences in oculomotor function in children with SPD and the increasing number of children with neurosensory disorders, optometrists should consider NSUCO testing on all pediatric patients and particularly in children with SPD.

摘要

意义

我们的研究表明，与发育正常（TD）的儿童相比，患有感觉统合失调（SPD）的儿童表现出扫视和追踪功能不足。验光师在照顾SPD患者方面起着关键作用。验光师在识别、协调护理和治疗这些儿童方面至关重要。

目的

患有SPD的儿童表现出不良的神经过程，这可能会影响眼球运动性能。本研究的目的是使用东北州立大学验光学院（NSUCO）的眼球运动测试，调查患有SPD的儿童与TD儿童在眼球运动技能方面的差异，探讨每组儿童的年龄和性别对眼球运动性能的影响，并将我们的结果与TD组和SPD组的测试常模值进行比较。

方法

从周边社区招募了150名7至11岁的儿童。使用简短感觉概况量表（SSP）将儿童分为两组。在招募的符合条件的儿童中，60名是TD儿童（SSP≥155），68名患有SPD（SSP≤141）。如果儿童报告有失明、斜视、耳聋、眼部疾病、6个月内骨折或身体残疾，则将其排除。评估了所有儿童的步态、平衡和视觉技能。视觉技能评估包括选择视觉效率和视觉处理测试。NSUCO测试作为视觉效率评估的一部分。