The Spiral Foundation at OTA the Koomar Center, 74 Bridge Street, Newton, MA, 02458, United States.
The Spiral Foundation at OTA the Koomar Center, 74 Bridge Street, Newton, MA, 02458, United States.
Res Dev Disabil. 2020 Jun;101:103640. doi: 10.1016/j.ridd.2020.103640. Epub 2020 Apr 1.
Children with sensory processing challenges often demonstrate a specific vestibular dysfunction characterized by an irrational fear of movement experiences referred to as gravitational insecurity.
PROCEDURES/OUTCOMES: This descriptive, exploratory study of existing de-identified data examined characteristics and prevalence of symptoms indicative of gravitational insecurity and the relationship among gravitational insecurity, gender, age, and other types of sensory-motor problems in 689 children, aged 4-12 years, with Sensory Processing Disorder (SPD) and related parent-reported co-morbid diagnoses of Attention Deficit-Hyperactivity Disorder, Anxiety Disorder, Learning Disabilities and Autism Spectrum Disorder. Gravitational insecurity was identified by the sum of eight items on a parent-report clinical questionnaire of sensory processing and motor skills in children.
RESULTS/CONCLUSIONS: The number and patterns of gravitational insecurity symptoms were not significantly different across age, gender or comorbid diagnoses. Prevalence of symptoms of gravitational insecurity in a clinical population of children with SPD was 15 - 21%. Cluster analysis found two groups with and without gravitational insecurity. In the gravitational insecurity group all eight items examined occurred "sometimes/often" and four or more symptoms were reported by individuals in this group.
Gravitational insecurity is an important vestibular-based dysfunction to identify and treat in children with SPD. Future studies should examine the relationship between these symptoms and objective measures of gravitational insecurity.
有感官处理挑战的儿童通常表现出一种特定的前庭功能障碍，其特征是对运动体验的不合理恐惧，称为重力不安全感。
过程/结果：这项对现有去识别数据的描述性、探索性研究检查了 689 名年龄在 4-12 岁的有感觉处理障碍（SPD）和相关父母报告的注意力缺陷多动障碍、焦虑障碍、学习障碍和自闭症谱系障碍共病诊断的儿童的症状特征和发生率，这些症状表明存在重力不安全感，以及重力不安全感与性别、年龄和其他类型的感觉运动问题之间的关系。重力不安全感是通过儿童感觉处理和运动技能家长报告临床问卷上的八个项目的总和来确定的。
结果/结论：重力不安全感症状的数量和模式在年龄、性别或共病诊断方面没有显著差异。在有 SPD 的临床儿童人群中，重力不安全感症状的患病率为 15-21%。聚类分析发现存在有和没有重力不安全感的两组。在重力不安全感组中，所有八项检查项目都“有时/经常”发生，并且该组中有四个人或更多人报告了四个或更多症状。
重力不安全感是识别和治疗 SPD 儿童的一个重要基于前庭的功能障碍。未来的研究应该检查这些症状与重力不安全感的客观测量之间的关系。
