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6至17岁健康儿童姿势控制的发展。第一部分:6至17岁儿童改良版感觉整合与平衡临床测试(mctsib)中的姿势控制评估。

The development of postural control in 6-17 old years healthy children. Part I Postural control evaluation in modified Clinical Test for The Sensory Interaction on Balance in 6-17 old year children (mctsib).

作者信息

Orendorz-Frączkowska Krystyna, Kubacka Marzena

机构信息

Katedra i Klinika Otolaryngologii, Chirurgii Głowy i Szyi Uniwersytetu Medycznego we Wrocławiu.

出版信息

Otolaryngol Pol. 2019 Jul 18;74(1):1-7. doi: 10.5604/01.3001.0013.2965.

DOI:10.5604/01.3001.0013.2965
PMID:32020900
Abstract

INTRODUCTION

Proper development of postural control in children is connected with the maturation of the central nervous system, development of sensory organisation with appropriate use of proprioceptive, visual, vestibular information as well as reactions and postural strategy which allow the maintenance of balance in changeable environmental conditions. Developmental disturbances in this particular area is reflected in postural disfunctions and the assessment of these disfunctions and disturbances needs referring to normative values of the healthy population of children.

AIM

Examination of postural control development in children aged 6-17 years.

MATERIAL

127 healthy children were tested (65 girls and 62 boys) aged 6-17 years.

METHOD

Laryngological investigation, medical history interview, audiometry and tympanometry were conducted in all children. In the evaluation of postural control (mCTSIB-modified Clinical Test For The Sensory Interaction On Balance) a computer posturography system was used (Balance Master Neurocom). R esults: Further development of postural control was found in healthy children up to the age of 13 years of age. The development was not linear but showed transient characteristics with a faster development stage between the age of 6-7 and 8-9. Better postural control in girls, particularly the youngest, in comparison with boys was noticed. C onclusions: 1. The values of norm postural control in posturographic test mCTSIB in children aged 6-17 was established. In this test postural control development was completed in children before 13 year and it was not linear. 2. Due to gender differences it seems appropriate to use separate norms in order to evaluate the development of postural control in boys and girls.

摘要

引言

儿童姿势控制的正常发育与中枢神经系统的成熟、感觉组织的发育有关,包括本体感觉、视觉、前庭信息的适当运用,以及在多变环境条件下维持平衡的反应和姿势策略。这一特定领域的发育障碍反映在姿势功能障碍上,对这些功能障碍和障碍的评估需要参考健康儿童群体的规范值。

目的

研究6至17岁儿童姿势控制的发育情况。

材料

对127名6至17岁的健康儿童(65名女孩和62名男孩)进行了测试。

方法

对所有儿童进行了喉镜检查、病史访谈、听力测定和鼓室图检查。在姿势控制评估(改良临床平衡感觉交互测试,mCTSIB)中,使用了计算机姿势描记系统(Neurocom平衡大师)。

结果

发现健康儿童的姿势控制在13岁之前进一步发育。发育不是线性的,而是呈现出阶段性特征,在6至7岁和8至9岁之间发育较快。与男孩相比,女孩的姿势控制更好,尤其是最年幼的女孩。

结论

  1. 确定了6至17岁儿童在姿势描记测试mCTSIB中的姿势控制正常数值。在该测试中,儿童的姿势控制发育在13岁之前完成,且不是线性的。2. 由于性别差异,似乎有必要使用单独的规范来评估男孩和女孩的姿势控制发育情况。

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