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健康学龄前儿童的原始反射活动与感觉特征的关系。

Primitive Reflex Activity in Relation to the Sensory Profile in Healthy Preschool Children.

机构信息

Physiotherapy Department, Faculty of Health Sciences, Wrocław Medical University, 50-355 Wrocław, Poland.

Department of Pediatrics, Division of Pediatrics and Rare Disorders, Wrocław Medical University, ul. Bartla 5, 51-618 Wrocław, Poland.

出版信息

Int J Environ Res Public Health. 2020 Nov 6;17(21):8210. doi: 10.3390/ijerph17218210.

Abstract

The presence of active primitive reflexes (APRs) in healthy preschool children can be an expression of immaturity in the functioning of the nervous system. Their trace presence may not significantly affect the quality of child functioning. They may also undergo spontaneous and complete integration within the stages of child development. However, a higher level of active reflexes and their significant number can disturb sensory-motor development and lead to additional problems in a child's motor activities, social life, and education. The main purpose of this study was to examine the types of sensory disorders noticed by parents of children, if any, that accompany the presence of active primitive reflexes. The study was conducted in a group of 44 preschool children (aged 4-6 years). The sensory profile of children was determined using Child Sensory Profile Cards, and Sally Goddard-Blythe tests were used to measure their primitive reflexes. The coefficient of determination (R-squared) indicated that the level of reflex activity was most strongly associated with sensory disorders such as dyspraxia, sensory-vestibular disorders, and postural disorders, at a level of < 0.005. The obtained research results show that the examination of non-integrated reflexes might be a screening tool for children of preschool age. Knowledge of the subject of reflexes and their impact on sensory-motor functions may contribute to more accurate diagnoses of the causes of problems and higher effectiveness of possible therapy.

摘要

健康学龄前儿童存在活跃原始反射(APR)可能是神经系统功能不成熟的表现。它们的痕迹存在可能不会显著影响儿童的功能质量。它们也可能在儿童发育阶段自发地完全整合。然而,较高水平的活跃反射及其数量显著可能会干扰感觉运动发育,并导致儿童运动活动、社交生活和教育方面的额外问题。本研究的主要目的是检查如果存在活跃原始反射,父母是否注意到任何伴随的感觉障碍类型。该研究在 44 名学龄前儿童(4-6 岁)中进行。使用儿童感觉概况卡片确定儿童的感觉概况,并使用萨莉·戈达德-布莱斯测试测量他们的原始反射。确定系数(R 平方)表明,反射活动水平与运动障碍、感觉-前庭障碍和姿势障碍等感觉障碍密切相关,相关性水平为 < 0.005。研究结果表明,对未整合反射的检查可能是学龄前儿童的一种筛查工具。对反射及其对感觉运动功能影响的了解可能有助于更准确地诊断问题的原因,并提高可能的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/659f/7664452/45cc889e9752/ijerph-17-08210-g001.jpg

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