León-Bravo Gema, Cantarero-Carmona Irene, Caballero-Villarraso Javier
Department of Nursing, Pharmacology and Physiotherapy, University of Córdoba,14004 Córdoba, Spain.
Department of Morphological and Sociosanitary Sciences, University of Córdoba, 14004 Córdoba, Spain.
Children (Basel). 2023 Jun 4;10(6):1014. doi: 10.3390/children10061014.
In healthy children, the frequency of the anomalous persistence of primitive reflexes (PRs) and craniosacral blocks (CBs) is unknown, as well as their impact on neurodevelopment, behaviour disorders and related consequences. We aim to know the prevalence of anomalous PRs and CBs in apparently healthy children and their relationships with behavior and neurodevelopment anomalies.
Participants ( = 120) were evaluated via a physical examination to detect PRs and CBs and an ad hoc parent survey to collect perinatal events, and children's behavioral assessments were conducted by teachers using the Battelle score.
PRs were present in 89.5%. Moro (70.8%), cervical asymmetric (78.3%) and cervical symmetric PRs (67.5%) were the most frequently observed PRs. CBs were found in 83.2%, and the most frequent CBs were dura mater (77.5%) and sphenoid bone (70%) blocks. Moro, cervical asymmetric and cervical symmetric active primitive reflexes were significantly associated with cranial blocks of dura mater, parietal zones and sphenoid bone sway. Gestational disorders or perinatal complications were associated with a higher frequency of PRs and CBs. The presence of PRs and CBs was associated with abnormal Battelle scores and neurobehavioral problems.
The presence of PRs and CBs in children without diagnosed diseases is frequent and related to disturbances in childhood neurodevelopment.
在健康儿童中,原始反射(PRs)异常持续存在及颅骶阻滞(CBs)的发生率尚不清楚,以及它们对神经发育、行为障碍和相关后果的影响也不明确。我们旨在了解明显健康儿童中异常PRs和CBs的患病率及其与行为和神经发育异常的关系。
对120名参与者进行体格检查以检测PRs和CBs,并通过专门设计的家长调查问卷收集围产期事件,教师使用巴特尔评分对儿童进行行为评估。
89.5%的儿童存在PRs。最常观察到的PRs是莫罗反射(70.8%)、颈部不对称反射(78.3%)和颈部对称反射(67.5%)。83.2%的儿童存在CBs,最常见的CBs是硬脑膜阻滞(77.5%)和蝶骨阻滞(70%)。莫罗反射、颈部不对称和颈部对称的主动原始反射与硬脑膜、顶叶区域的颅骨阻滞以及蝶骨摆动显著相关。妊娠疾病或围产期并发症与PRs和CBs出现频率较高有关。PRs和CBs的存在与巴特尔评分异常及神经行为问题有关。
在未诊断出疾病的儿童中,PRs和CBs的存在很常见,且与儿童神经发育障碍有关。