Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children.
Low Motor Dexterity and Significant Behaviors Following Hospitalized Isolation in Children.
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DOI：
10.3390/children10081287
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发表时间：
2023-07-26
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影响因子：
--
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这项研究的主要目的是描述在总体灵巧性任务中大脑活动的皮质模式，并开发经历隔离的儿童的行为特征。在一次访问期间进行了横断面评估。样本：在一家医院内接受隔离的四名儿科患者组成了完整的数据收集。在收集过程中，参与者完成了粗略手动灵活性的方框和方块测试，同时接受了使用功能性近红外光谱对运动皮质进行成像。参与者还完成了儿童行为评估系统第三版(BASC-3)自我报告，该报告与父母报告一起进行分析，以量化他们的情绪和社会行为。所有参与者的总体灵巧度水平都低于标准数据。此外，四名参与者中有三名在灵巧性任务中表现出同侧运动皮质的优势。其中三名参与者的行为测量报告在临床显著或风险评分范围内。临床上显着的行为评分，再加上低于预期的手动灵巧值和同侧大脑半球优势，表明在接受住院隔离的人群中可能会发生神经可塑性变化。虽然在这种情况下，治疗和隔离的影响不能分开，但应该进行进一步的研究，以了解隔离的这些影响。
The main objective of this study was to describe the cortical patterns of brain activity during a gross dexterity task and develop a behavioral profile of children experiencing isolation. A cross-sectional assessment was conducted during one visit. Sample: Four pediatric patients who had undergone isolation within a hospital comprised the full data collection. During the collection, participants completed the Box and Blocks Test of gross manual dexterity while undergoing imaging of the motor cortex using functional near-infrared spectroscopy. Participants also completed a Behavioral Assessment System for Children, Third Edition (BASC-3) self-report, which was analyzed along with a parent report to quantify their emotional and social behaviors. All participants displayed lower gross dexterity levels than normative data. Furthermore, three out of the four participants displayed ipsilateral dominance of the motor cortex during the dexterity task. Three of the participants displayed behavioral measures reported within clinically significant or at-risk scores. Clinically significant behavioral scores coupled with lower than expected manual dexterity values and ipsilateral hemispheric dominance indicate that neuroplastic changes can occur in populations undergoing hospitalized isolation. While the impacts of the treatments and isolation in this case cannot be separated, further studies should be conducted to understand these impacts of isolation.
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