Bob Petr, Konicarova Jana, Raboch Jiri
Center for Neuropsychiatric Research of Traumatic Stress, Department of Psychiatry and UHSL, First Faculty of Medicine and Department of Psychiatry, Faculty of Medicine in Pilsen, Charles University, Prague, Czechia.
Stroder Therapy Center, Cham, Germany.
Front Psychiatry. 2021 Nov 8;12:430685. doi: 10.3389/fpsyt.2021.430685. eCollection 2021.
Cognitive and motor disintegration and other functional disturbances in various neuropsychiatric disorders may be related to inhibitory deficits that may manifest as a persistence or re-expression of primitive reflexes and few recent data suggest that these deficits may occur in Attention Deficit and Hyperactivity Disorder (ADHD). We have tested a hypothesis to which extent ADHD symptoms and balance deficits are related to persisting primitive reflexes, such as Asymmetric Tonic Neck Reflex (ATNR) and Symmetric Tonic Neck Reflex (STNR) in 80 medication-naïve children with ADHD (40 boys and 40 girls) in the school age (8-11 years) and compared these data with a control group of 60 children (30 boys and 30 girls). These data show new finding that ADHD symptoms and balance deficits are strongly and specifically associated with persistent ATNR in girls and STNR in boys. These results provide first evidence in medical literature that ADHD in girls and boys is specifically related to distinguished neurological developmental mechanisms related to disinhibition of primitive reflexes.
各种神经精神疾病中的认知和运动功能瓦解以及其他功能障碍可能与抑制缺陷有关，这些缺陷可能表现为原始反射的持续存在或再次出现，而且最近的数据表明，这些缺陷可能出现在注意力缺陷多动障碍（ADHD）中。我们检验了一个假设，即在80名未服用药物的学龄期（8至11岁）ADHD儿童（40名男孩和40名女孩）中，ADHD症状和平衡缺陷在多大程度上与持续存在的原始反射有关，如非对称性紧张性颈反射（ATNR）和对称性紧张性颈反射（STNR），并将这些数据与60名儿童（30名男孩和30名女孩）的对照组进行了比较。这些数据显示了新的发现，即ADHD症状和平衡缺陷与女孩中持续存在的ATNR以及男孩中持续存在的STNR密切且特定相关。这些结果在医学文献中首次提供了证据，表明男孩和女孩的ADHD分别与原始反射抑制解除相关的不同神经发育机制密切相关。
