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自闭症谱系障碍中原始反射留存与半球连接性之间的关系

The Relationship between Retained Primitive Reflexes and Hemispheric Connectivity in Autism Spectrum Disorders.

作者信息

Melillo Robert, Leisman Gerry, Machado Calixto, Machado-Ferrer Yanin, Chinchilla-Acosta Mauricio, Melillo Ty, Carmeli Eli

机构信息

Movement and Cognition Laboratory, Department of Physical Therapy, University of Haifa, Haifa 3498838, Israel.

Department of Neurology, University of the Medical Sciences of Havana, Havana 10400, Cuba.

出版信息

Brain Sci. 2023 Jul 30;13(8):1147. doi: 10.3390/brainsci13081147.

Abstract

BACKGROUND

Autism Spectrum Disorder (ASD) can be identified by a general tendency toward a reduction in the expression of low-band, widely dispersed integrative activities, which is made up for by an increase in localized, high-frequency, regionally dispersed activity. The study assessed ASD children and adults all possessing retained primitive reflexes (RPRs) compared with a control group that did not attempt to reduce or remove those RPRs and then examined the effects on qEEG and brain network connectivity.

METHODS

Analysis of qEEG spectral and functional connectivity was performed, to identify associations with the presence or absence of retained primitive reflexes (RPRs), before and after an intervention based on TENS unilateral stimulation.

RESULTS

The results point to abnormal lateralization in ASD, including long-range underconnectivity, a greater left-over-right qEEG functional connectivity ratio, and short-range overconnectivity in ASD.

CONCLUSIONS

Clinical improvement and the absence of RPRs may be linked to variations in qEEG frequency bands and more optimized brain networks, resulting in more developmentally appropriate long-range connectivity links, primarily in the right hemisphere.

摘要

背景

自闭症谱系障碍(ASD)可通过低波段、广泛分散的整合活动表达减少的总体趋势来识别,这种减少由局部、高频、区域分散活动的增加来弥补。该研究评估了所有保留原始反射(RPRs)的自闭症谱系障碍儿童和成人,并与未试图减少或消除这些原始反射的对照组进行比较,然后检查对定量脑电图(qEEG)和脑网络连通性的影响。

方法

在基于经皮电刺激神经疗法(TENS)单侧刺激的干预前后,进行qEEG频谱和功能连通性分析,以确定与是否存在保留原始反射(RPRs)的关联。

结果

结果表明自闭症谱系障碍存在异常的偏侧化,包括长程连接不足、左-右qEEG功能连通性比率更高以及自闭症谱系障碍中的短程连接过度。

结论

临床改善和无原始反射可能与qEEG频段的变化和更优化的脑网络有关,从而导致更适合发育的长程连通性连接,主要在右半球。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/debe/10452103/adb0cc5e5ad4/brainsci-13-01147-g001.jpg

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