Nikolaeva Elena I, Efimova Victoria L, Vergunov Eugeny G
Department of the Developmental Psychology and Family Pedagogics, Herzen State Pedagogical University, 191186 Saint-Petersburg, Russia.
Prognoz Pediatric Neurological Clinic, Director, 191014 Saint-Petersburg, Russia.
Children (Basel). 2022 Mar 11;9(3):401. doi: 10.3390/children9030401.
We analyzed the hypothesis that the vestibular and auditory systems are integrative functions.
The study involved 383 children (5.5 ± 2.4 years old). We assessed the conduct of auditory information by recording the auditory brain stem response (ABR), post-rotational nystagmus (PRN), and cervical vestibular evoked myogenic potentials (cVEMP), and calculated the integration of the parameters. All procedures were carried out using the JACOBI 4 software package.
We have found out that PRN, ABR, and cVEMP represent three different groups of integrative functions, each of which is conditioned by its own integrative mechanism. We have proven that PRN and ABR are associated with age, but no relationship was found between cVEMP and age.
According to our data, the severity of ABR and PRN depended on age, while cVEMP was not associated with age. The functional immaturity of the child's vestibular system, which probably arose in utero, often becomes apparent only at school when reading and writing must be mastered. These skills require maturity of both the vestibule ocular and vestibule spinal functions of the vestibular system.
我们分析了前庭系统和听觉系统具有整合功能这一假说。
该研究纳入了383名儿童（5.5±2.4岁）。我们通过记录听觉脑干反应（ABR）、转椅后眼震（PRN）和颈前庭诱发肌源性电位（cVEMP）来评估听觉信息的传导，并计算参数的整合情况。所有操作均使用JACOBI 4软件包进行。
我们发现PRN、ABR和cVEMP代表了三组不同的整合功能，每组功能都由其自身的整合机制决定。我们证明了PRN和ABR与年龄相关，但未发现cVEMP与年龄之间存在关联。
根据我们的数据，ABR和PRN的严重程度取决于年龄，而cVEMP与年龄无关。儿童前庭系统的功能不成熟可能在子宫内就已出现，通常只有在学校必须掌握读写技能时才会明显表现出来。这些技能需要前庭系统的前庭眼动和前庭脊髓功能都成熟。
