Motor coordination in children with congenital strabismus: Effects of late surgery

Motor coordination in children with congenital strabismus: Effects of late surgery
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DOI:
10.1016/j.ejpn.2007.02.002
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发表时间:
2007-09-01
影响因子:
3.1
通讯作者:
Cioni, Giovanni
Cioni, Giovanni
中科院分区:
医学3区
文献类型:
--
作者:
Caputo, Roberto;Tinelli, Francesca;Cioni, Giovanni

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背景:斜视是婴儿期最常见的视觉障碍之一。虽然手术时机对双眼视觉发育的影响受到了极大的关注,但关于先天性斜视对感知运动和更普遍的神经运动发育的可能影响却知之甚少。目的:摘要本研究旨在探讨19位接受晚期手术的先天性内斜视儿童的知觉-运动及运动协调能力方法:采用儿童运动评估成套测验对23名儿童进行测试在术前1周(T1)和术后3个月(T3)进行的运动ABC检查结果和结论:在T1时,超过一半的斜视儿童出现异常或临界结果,而对照组只有17%。在T2时,没有儿童表现出异常的运动ABC总分,并且研究组和对照组之间的总体得分没有差异。两组也没有表现出任何显着差异,在个别项目的运动ABC与那些评估球skills.Our结果表明,手术矫正斜视,即使在第4年的生活后进行,似乎是有效的改善感知运动和运动功能。(c)2007年欧洲儿科神经病学学会。由爱思唯尔有限公司出版。保留所有权利。
Background: Strabismus is one of the most common visual disorders in infancy. While there is a great attention on the effects of the timing of surgery as to the development of binocular vision, little is known about the possible influence of congenital strabismus on perceptual-motor and more generally, on neuromotor development.Aims: Aim of this study was to investigate perceptual-motor and motor coordination abilities of 19 children with essential congenital esotropia who underwent a late surgery (after 4 years), compared to 23 age-matched controls.Methods: Children were tested using the Movement Assessment Battery for Children (Movement ABC) that were performed both 1-week before surgery (T1) and about 3 months ( 2 weeks) after surgery (T2).Results and conclusions: At T1, abnormal or borderline results were found in more than half of the children with strabismus, as opposed to only about 17% of the controls. At T2 none of the children showed abnormal Movement ABC total scores and there was no difference in global scores between the study and the control group. The two groups also did not show any significant difference in individual items of the movement ABC with the exception of those assessing ball skills.Our results suggest that surgical correction of strabismus, even when performed after the 4th year of life, appears to be effective in improving perceptual-motor and motor function. (c) 2007 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.