Motor, visual-spatial, and somatosensory skills after closed head injury in children and adolescents: A study of change.
Motor, visual-spatial, and somatosensory skills after closed head injury in children and adolescents: A study of change.
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儿童和青少年闭合性头部损伤后的运动、视觉空间和体感技能：变化研究。
DOI：
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发表时间：
1994
期刊：
影响因子：
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通讯作者：
H. Eisenberg
中科院分区：
文献类型：
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作者：
N. M. Thompson;D. Francis;K. Stuebing;J. Fletcher;L. Ewing;M. Miner;H. Levin;H. Eisenberg
创伤性脑损伤后功能恢复的相关研究揭示了结局和损伤变量之间微弱的、非特异性的关系。为了更好地确定影响康复的因素，对49名6-15岁的儿童进行了前瞻性跟踪，并在伤后5年内对其进行了重复的运动、视觉空间和躯体感觉技能的神经心理学评估。对个体生长曲线的分析表明，损伤后的个体生长曲线呈现系统性的非线性变化。生长模式之间的变异性与伤害变量密切相关。年龄较小的严重损伤儿童在视觉空间、L和运动任务上的发育速度慢于类似严重程度的大一点的儿童或类似年龄的损伤较轻的儿童。这些发现支持一种假说，即幼儿中快速新兴技能的脆弱性增加，并反对对伴随着发育成熟的影响而导致恢复率降低的解释。闭合性脑损伤(CHI)后儿童认知功能的研究结果一直表明，在亚急性恢复期，儿童在运动技能和非语言处理方面存在缺陷(KLonoff，Low，&Clark，1977；Levin&Eisenberg，1979a，1979b)。这些运动和非语言缺陷在受伤后持续一年或一年以上(Chadwick，Rutter，Brown，Shaffer，&Traub，1981；Knights等，1991；Winogron，Knight，&Bawden，1984)。更多的研究已经证明在记忆(Levin et al.，1988)、语言(Levin&Eisenberg，1979a，1979b)和行为调整(Fletcher，Ewing-Cobbs，Miner，Levin，&Eisenberg，1990)方面存在缺陷。然而，很少有关于CHI后儿童神经行为功能的研究讨论随着时间的推移表现模式的变化或实际变化的过程。为了研究恢复过程，研究人员必须对特定的能力和行为进行纵向测量。例如，Chadwick、Rutter、Brown、Shaffer和Traub(1981)前瞻性地研究了智商恢复到智商后27个月的儿童。通过测试孩子们
Correlational studies of recovery of function following traumatic brain injury have revealed weak, nonspecific relationships between outcome and injury variables. In order to better identify factors affecting recovery, 49 children (aged 6-15 years) were followed prospectively with repeated neuropsychological assessment of motor, visual-spatial, and somatosensory skills up to 5 years postinjury. Analyses of individual growth curves revealed systematic nonlinear changes after injury. Variability among growth patterns related robustly to injury variables. Younger children with severe injuries showed slower growth on visual-spatia l and motor tasks than did older children of similar severity or similarly aged children with less severe injuries. These findings support a hypothesis of increased vulnerability of rapidly emerging skills in young children and argue against an explanation of lowered recovery rates due to concomitant maturational influences on development. Results of studies of cognitive functioning in children after closed head injury (CHI) have consistently demonstrated the presence of deficits in motor skills and nonverbal processing during the subacute phase of recovery (Klonoff, Low, & Clark, 1977; Levin & Eisenberg, 1979a, 1979b). These motor and nonverbal deficits persist one or more years postinjury (Chadwick, Rutter, Brown, Shaffer, & Traub, 1981; Knights et al., 1991; Winogron, Knights, & Bawden, 1984). Additional studies have demonstrated deficits in memory (Levin et al., 1988), language (Levin & Eisenberg, 1979a, 1979b), and behavioral adjustment (Fletcher, Ewing-Cobbs, Miner, Levin, & Eisenberg, 1990). Yet, few studies of neurobehavior al function in children after CHI have addressed changes in performance patterns over time or the actual process of change. To study the recovery process, researchers must use longitudinal measurement of specific abilities and behaviors. For instance, Chadwick, Rutter, Brown, Shaffer, and Traub (1981) prospectively studied the recovery of IQ scores in children up to 27 months after CHI. By testing the children
儿童闭合性头部损伤后的行为变化。
影响因子：
5.9
作者：
Fletcher,JM;Ewing-Cobbs,L;Miner,ME;Levin,HS;Eisenberg,HM
通讯作者：
Eisenberg,HM