Univ Rennes, Normandie Univ, CNRS, EthoS (Éthologie Animale et Humaine)-UMR 6552, Rennes, France.
Unité de Soins Intensifs Néonatals, Centre Hospitalier Universitaire de Rennes, Rennes, France.
PLoS One. 2020 Mar 5;15(3):e0229270. doi: 10.1371/journal.pone.0229270. eCollection 2020.
Despite a growing body of research on perinatal sensory abilities, data on the extent of tactile sensitivity and more particularly passive touch (i.e. sensitivity to a stimulation imposed on the skin) are relatively limited, and the development and processing of tactile function are still thus little known. This question is particularly of high importance for infants with atypical early development such as those born prematurely who are exposed to many sensory (including tactile) stimulations (being in a hospital setting) during a critical period of brain development and those born at early term whose birth occurs at the precise time of cortical reorganization, in particular in the sensory areas. Some parents and health-care providers have for instance reported that children born prematurely exhibit atypical (e.g. higher) sensitivity to "benign" tactile stimuli. In the present study, we hypothesized that preterm and early-term infants may show altered tactile sensitivity. We compared the behavioral responses around term-equivalent age of infants born either pre-term, early-term or at term to the application of a light (0.008 grams) mechanical stimulus. We found that almost all preterm infants perceive this tactile stimulus, contrarily to the two other groups of infants. This extreme tactile sensitivity may be due to experiential, maturational or more likely both processes. We also compared the tactile sensitivity of these infants to that of adults. We found that adults were irresponsive to the light mechanical stimulus. This finding opens not only new insights in understanding development of tactile processing, but also new lines of thought about the particular sensory world of premature and early-term infants and hence about the potential impact of early care practices.
尽管有关围产期感觉能力的研究越来越多,但有关触觉敏感性的数据,尤其是被动触觉(即对施加于皮肤的刺激的敏感性)的数据相对有限,因此触觉功能的发育和处理仍知之甚少。对于早产儿等发育异常的婴儿来说,这个问题尤为重要,因为他们在大脑发育的关键时期(即在医院环境中)会受到许多感官(包括触觉)刺激,而那些接近足月出生的婴儿则在皮质重组的精确时间(特别是在感觉区域)出生。例如,一些父母和保健提供者报告说,早产儿表现出对“良性”触觉刺激的异常(例如更高)敏感性。在本研究中,我们假设早产儿和早期足月产婴儿可能表现出触觉敏感性改变。我们比较了在接近足月年龄时出生的早产儿、早期足月产儿和足月产儿对轻机械刺激(0.008 克)的行为反应。我们发现几乎所有早产儿都能感知到这种触觉刺激,而其他两组婴儿则不能。这种极端的触觉敏感性可能是由于经验、成熟或更可能是两者的共同作用。我们还比较了这些婴儿的触觉敏感性与成人的触觉敏感性。我们发现成人对轻机械刺激没有反应。这一发现不仅为理解触觉加工的发育提供了新的见解,也为早产儿和早期足月产儿的特殊感觉世界以及早期护理实践的潜在影响提供了新的思路。