Hypoactive Labyrinths and Motor Development
Hypoactive Labyrinths and Motor Development
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迷宫活动减退和运动发育
DOI：
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发表时间：
1974
期刊：
影响因子：
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通讯作者：
I. Rapin
中科院分区：
文献类型：
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作者：
I. Rapin
这项研究考察了运动性迷宫与运动里程碑(如坐和走)的实现之间的关系。两名患有遗传性感音神经性听力损失并伴有前庭功能障碍的儿童，行走很晚，在后续检查中没有任何证据表明这种延迟是弥漫性神经原因造成的。对353名10岁以下儿童的前庭电子标记(ENG)测试的回顾发现，17名儿童曾接受过两次或两次以上的测试。有4例(24%)两种测试结果不一致，表明ENG测试结果在婴儿和儿童中的可靠性不够高。49名儿童有活动不足的迷路。其中22例记录适合研究行走时前庭功能障碍与年龄的关系。22名儿童中有10名在18个月或18个月后行走，这表明一些但不是所有前庭功能障碍的儿童将是晚行者。一些正常年龄走路的孩子被描述为“脖子虚弱”或“头部松弛”，还有一些孩子坐得很晚。因此，对走路晚的聋儿的父母的咨询应该推迟到进行前庭测试后再进行，以避免相关脑损伤或智力低下的错误诊断。人们敦促所有的聋儿接受前庭测试，并对测试异常的儿童进行重新测试，以确定结果。通过个人观察和对相关文献的调查，婴儿和儿童的前庭功能测试程序需要标准化。
This study examines the relation of hypoac tive labyrinths to the achievement of motor milestones such as sitting and walking. Two children with genetic sensorineural hearing losses with vestibular dysfunction who walked very late did not show any evidence to suggest a diffuse neurologic cause for this delay at follow-up examinations. A review of electronys tagmographic (ENG) vestibular tests of 353 children under age ten years discovered 17 children who had been tested twice or more. There was disagreement between the two tests in four (24%), suggesting less than adequate relia bility of ENG test results in infants and chil dren. Forty-nine children had hypoactive labyrinths. The records of 22 of these were suitable for surveying the relation of the vestibu lar dysfunction to age at walking. Ten of the 22 children walked at 18 months or later, indicating that some, but not all children with vestibular dysfunction will be late walkers. Some of the children who walked at a normal age were described as having "weak necks" or "floppy heads," and some sat late. Accordingly, counsel ing of parents of deaf children who walk late should be delayed until vestibular testing has been carried out to avoid false diagnoses of associated brain damage or mental retardation. It is urged that all deaf children undergo vestibular testing, and that those with abnormal tests be retested to make certain of the results. Procedures to test vestibular function in infants and children need to be standardized, as shown by personal observations and a survey of the pertinent literature.