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对一岁内有过早直立及个体发育障碍病史的儿童和青少年的姿势运动、协调和反射功能的评估。

The Assessment of Postural-Motor, Coordination, and Reflex Functions in Children and Adolescents with a History of Premature Verticalization and Ontogeny Disorders in Their First Year of Life.

作者信息

Maciak Mieczysław, Koszela Kamil, Beniuk Anna, Woldańska-Okońska Marta

机构信息

Center for Therapeutic Rehabilitation in Świdnica, 3 Rotmistrza Witolda Pileckiego Street, 58-100 Świdnica, Poland.

Neuroorthopedics and Neurology Clinic and Polyclinic, National Institute of Geriatrics, Rheumatology and Rehabilitation, 02-637 Warsaw, Poland.

出版信息

Children (Basel). 2024 Aug 31;11(9):1071. doi: 10.3390/children11091071.

Abstract

(1) Background: Contracting diseases or being exposed to adverse environmental factors in the first year of life may impair the development of body posture and motor coordination. The purpose of this study was to evaluate the correlation between data on the speed of passive verticalization, the number of risk factors and the quality of development in the first year of life, and the results of the functional examination of these individuals in adolescence. (2) Methods: Two groups of 60 volunteers, aged 9-14 years, were examined by performing functional tests and the retrospective analysis of their development up to the age of 1 year. The first group consisted of patients diagnosed with postural defects. The control group consisted of healthy people of the same age who volunteered for this study. (3) Results: Statistical analysis showed statistically significant differences between groups in terms of posture ( = 0.001), motor coordination ( = 0.001), and accumulated primitive reflexes ( = 0.001), as well as a high correlation between these disorders and the quality of development in the first year of life. In the first group, for the ages of 3-6 months (r = 0.96; = 0.001), 6-9 months (r = 0.871; = 0.001), and 9-12 months (r = 0.806; = 0.001), no significant correlations were found with the age of 0-3 months. In the second group, the results were as follows: 0-3 months (r = 0.748; = 0.001), 3-6 months (r = 0.862 = 0.001), 6-9 months (r = 0.698; = 0.001), and 9-12 months (r = 0.740; = 0.001). In the group of adolescents with posture defects, we observed an earlier time of passive verticalization and sitting, as well as more frequent use of loungers, seats, and walkers ( = 0.026). (4) Conclusions: The analysis of this study's data indicates that the development of body posture and motor coordination may be impaired due to accelerated and passive verticalization in the first year of life.

摘要

(1) 背景:在生命的第一年感染疾病或暴露于不利环境因素可能会损害身体姿势和运动协调能力的发展。本研究的目的是评估被动垂直化速度数据、风险因素数量与生命第一年发育质量之间的相关性,以及这些个体在青春期的功能检查结果。(2) 方法:两组各60名年龄在9至14岁的志愿者接受了功能测试,并对他们1岁前的发育情况进行了回顾性分析。第一组由被诊断患有姿势缺陷的患者组成。对照组由自愿参与本研究的同龄健康人组成。(3) 结果:统计分析显示,两组在姿势(P = 0.001)、运动协调(P = 0.001)和累积原始反射(P = 0.001)方面存在统计学显著差异,并且这些障碍与生命第一年的发育质量之间存在高度相关性。在第一组中,3至6个月龄(r = 0.96;P = 0.001)、6至9个月龄(r = 0.871;P = 0.001)和9至12个月龄(r = 0.806;P = 0.001)时,与0至3个月龄未发现显著相关性。在第二组中,结果如下:0至3个月龄(r = 0.748;P = 0.001)、3至6个月龄(r = 0.862;P = 0.001)、6至9个月龄(r = 0.698;P = 0.001)和9至12个月龄(r = 0.740;P = 0.001)。在有姿势缺陷的青少年组中,我们观察到被动垂直化和坐立的时间更早,以及更频繁地使用躺椅、座椅和学步车(P = 0.026)。(4) 结论:本研究数据的分析表明,生命第一年加速和被动的垂直化可能会损害身体姿势和运动协调能力的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74fc/11430484/9861a77bdfda/children-11-01071-g001.jpg

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