目的 研究精细运动发育落后幼儿其视觉运动整合能力与视诱发电位潜伏期之间的相关性,为发育落后患儿的早期诊断和干预提供科学依据。方法 2015年1月-2016年12月选择71例经PDMS-Ⅱ测试精细运动发育落后并符合纳入标准的患儿,同时进行闪光视觉诱发电位检测,将闪光视诱发电位P100潜伏期(LP100)均值分别与视觉-运动整合能力(VMI)和精细运动发育商(FMQ)均值进行统计学检验及相关性分析。结果 精细运动发育落后幼儿视诱发电位潜伏期与视觉-运动整合及精细运动发育商存在相关关系(r=-0.859和-0.844,P<0.001),潜伏期越延迟,其视觉-运动整合标准分及精细运动发育商越低。结论 视知觉功能可影响精细运动发育落后幼儿视觉运动整合能力,视诱发电位可作为早期诊断、早期干预提供重要线索和电生理依据。
Abstract
Objective To investigate the association between visual motor integration(VMI) and flash visual evoked potentials(FVEPs) in children with fine motor skills delay,in order to provide scientific basis for early diagnosis and early intervention of child with fine motor skills delay. Methods Totally 71 children with fine motor skills delay diagnosed by PDMS-Ⅱ and accorded with inclusion criterion in Xi'an Children's Hospital were enrolled in this study from January 2015 to December 2016.FVEPs were performed in all children.Besides,visual motor integration(VMI) and fine motor quotient(FMQ)were assessed by PDMS-Ⅱ.And correlation between LP100 and VMI,LP100 and FMQ were analyzed. Result There were significant correlations among FVEPs,VMI and FMQ,that was higher LP100 indicated lower VMI and FMQ(r=-0.859,-0.844,P<0.001). Conclusions Visual perception has an influence on VMI in children with fine motor skills delay,and FVEPs can provide important clues and electrophysiological basis for early diagnosis and early intervention.
关键词
精细运动发育落后 /
视觉-运动整合 /
闪光视觉诱发电位
Key words
fine motor skills delay /
visual motor integration /
visual flash evoked potentials
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参考文献
[1] Geng D,Zhang X,Shi J.The development of fine motor skills and its relation to cognitive develpoment in young children[J].Adv Psychol Sci,2015,23(2):261-267.
[2] Suggate S,Pufke E,Stoeger H.Do fine motor skills contribute to early reading development?[J].J Res Read,2018,41(1):1-19.
[3] 杨玉凤.儿童发育行为心理评定量表[M].北京:人民卫生出版社,2016:84-85.
[4] Thomas AR,Lacadie C,Vohr B,et al.Fine motor skill mediates visual memory ability with microstructural neuro-correlates in cerebellar peduncles in prematurely born adolescents[J].Cereb Cortex,2017,27(1):322-329.
[5] Voitenkov V,Klimkin A,Skripchenko N,et al.Flash visual evoked potentials in healthy infants[J].IES,2016,16(4):614-616.
[6] Ostojic ＇ S,Janc ˇic ＇ J.The importance of visual evoked potentials by unstructured,flash stimuli in assessment of vision impairment in infants and children[J].Clin Neurophysiol,2015,126(9):e177-e177.
[7] Giuliani F,Schenk F.Vision,spatial cognition and intellectual disability[J].Res Dev Disabil,2015,37:202-208.
[8] Liu J,Yang XY,Xia WW,et al.Fine motor skill training enhances functional plasticity of the corticospinal tract after spinal cord injury[J].NRR,2016,11(12):1990-1996.
[9] Steinberg F,Pixa NH.Mirror visual feedback training improves inter-manual transfer in a sport-specific task:a comparison between different skill levels[J].Neural Plast,2016.doi:10.1155/2016/8628039.
[10] 刘伟民,黄素晶,王安琪,等.视觉-运动整合理论模型及其临床应用[J].中国斜视与小儿眼科杂志,2011,19(2):143-144.
[11] 李蓓,冯菁菁,徐秀.1～36月龄早产儿闪光视觉诱发电位随访研究[J].中国儿童保健杂志,2013,21(2):118-121.
[12] 陈秀洁.儿童运动障碍和精神障碍的诊断与治疗[M].北京.人民卫生出版社,2017:29-32.
[13] Carlson AG,Rowe E,Curby TW.Disentangling fine motor skills' relations to academic achievement:the relative contributions of visual-spatial integration and visual-motor coordination[J].J Genet Psychol,2013,174(5):514-533.
[14] 杜婉丽,张瑜,魏芳燕.视觉诱发电位评价出生窒息婴儿视觉功能[J].中国斜视与小儿眼科杂志,2014,22(2):52-54.
[15] Kavcic V,Triplett RL,Das A,et al.Role of inter-hemispheric transfer in generating visual evoked potentials in V1-damaged brain hemispheres[J].Neuropsychologia,2015,68:82-93.
[16] Varcin K J,Ko J,Sahin M,et al.Visual evoked potentials as a readout of cortical function in infants with tuberous sclerosis complex[J].J Child Neurol,2016,31(2):195.
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