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围生期卒中对儿童执行功能和数学表现的影响。

Effects of Perinatal Stroke on Executive Functioning and Mathematics Performance in Children.

机构信息

3158University of Alberta, Edmonton, Alberta, Canada.

Cumming School of Medicine, 2129University of Calgary, Calgary, Alberta, Canada.

出版信息

J Child Neurol. 2022 Feb;37(2):133-140. doi: 10.1177/08830738211063683. Epub 2022 Jan 5.

DOI:10.1177/08830738211063683
PMID:34985353
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8801623/
Abstract

The goal of this study was to examine executive functioning, math performance, and visuospatial processing skills of children with perinatal stroke, which have not been well explored in this population. Participants included 18 children with perinatal stroke (aged 6-16 years old) and their primary caregiver. Each child completed standardized tests of executive function and visuospatial processing skills, Intelligence Quotient (IQ), and math achievement. Performance on executive function, IQ, math, and visuospatial processing tests was significantly lower in children with perinatal stroke when compared to normative means. Poorer inhibitory control was associated with worse math performance. Increased age at testing was associated with better performance on visuospatial ability (using standardized scores), and females performed better than males on a test of inhibitory control. Children with perinatal stroke displayed a range of neuropsychological impairments, and difficulties with executive function (inhibition) may contribute to math difficulties in this population.

摘要

本研究旨在探讨围产期卒中儿童的执行功能、数学表现和视空间处理技能,而这些在该人群中尚未得到充分研究。参与者包括 18 名围产期卒中儿童(6-16 岁)及其主要照顾者。每个孩子都完成了执行功能和视空间处理技能、智商和数学成绩的标准化测试。与正常均值相比,围产期卒中儿童的执行功能、智商、数学和视空间处理测试的表现明显较低。较差的抑制控制与较差的数学表现相关。测试时的年龄较大与视空间能力(使用标准化分数)的表现较好相关,而女性在抑制控制测试中的表现优于男性。围产期卒中儿童表现出一系列神经心理学障碍,执行功能(抑制)方面的困难可能导致该人群的数学困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9655/8801623/5cfb86fd0078/10.1177_08830738211063683-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9655/8801623/09d4afda3d84/10.1177_08830738211063683-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9655/8801623/5cfb86fd0078/10.1177_08830738211063683-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9655/8801623/09d4afda3d84/10.1177_08830738211063683-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9655/8801623/5cfb86fd0078/10.1177_08830738211063683-fig2.jpg

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本文引用的文献

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Population Based Birth Prevalence of Disease-Specific Perinatal Stroke.基于人群的疾病特异性围产期卒中的出生患病率。
Pediatrics. 2020 Nov;146(5). doi: 10.1542/peds.2020-013201.
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Assessment of bilateral motor skills and visuospatial attention in children with perinatal stroke using a robotic object hitting task.采用机器人物体击打任务评估围生期脑卒中患儿的双侧运动技能和视空间注意力。
J Neuroeng Rehabil. 2020 Feb 13;17(1):18. doi: 10.1186/s12984-020-0654-1.
3
Does stroke impair academic achievement in children? The role of metacognition in math and spelling outcomes following pediatric stroke.
中风是否会影响儿童的学业成绩?元认知在儿童中风后数学和拼写结果中的作用。
J Clin Exp Neuropsychol. 2019 Apr;41(3):257-269. doi: 10.1080/13803395.2018.1533528. Epub 2018 Oct 23.
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Visuo-spatial abilities are key for young children's verbal number skills.视觉空间能力是幼儿语言数字技能的关键。
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Dev Cogn Neurosci. 2018 Apr;30:304-313. doi: 10.1016/j.dcn.2017.07.005. Epub 2017 Jul 24.
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Clinical Predictors of Attention and Executive Functioning Outcomes in Children After Perinatal Arterial Ischemic Stroke.围产期动脉缺血性卒中后儿童注意力和执行功能结局的临床预测因素
Pediatr Neurol. 2017 Apr;69:79-86. doi: 10.1016/j.pediatrneurol.2017.01.014. Epub 2017 Jan 25.
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JAMA Pediatr. 2017 Mar 1;171(3):230-238. doi: 10.1001/jamapediatrics.2016.4151.
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