3 ~ 6岁脑性视觉障碍和脑瘫儿童的视觉障碍和感觉统合。

IF 2.8 4区 医学 Q1 REHABILITATION
PM&R Pub Date : 2025-09-30 DOI:10.1002/pmrj.70001
Mustafa Cemali, Sümeyye Belhan Çelik
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引用次数: 0

摘要

背景:在脑瘫(CP)患儿中经常观察到感觉和行为困难,当脑视觉障碍(CVI)同时发生时,这些挑战可能会加剧。然而,这些综合影响的程度和性质仍未得到充分探讨。目的:本研究的目的是比较患有CP和CVI、无CVI的CP和典型发育(TD)儿童的感觉加工技能和行为,并探讨这些组儿童的感觉加工技能和行为之间的关系。设计:前瞻性、横断面研究与对照组。单位:特殊教育康复中心。研究对象:共120名3-6岁儿童,分为三组:合并CP和CVI的儿童40名,合并CP不合并CVI的儿童40名,合并TD的儿童40名。主要观察指标:感官能力量表(SP)评估感觉技能,儿童行为评定量表(CBRS)评估行为。结果:三组间、SP子域与CBRS评分两两比较差异均有统计学意义(p)。本研究发现,与TD患儿相比,CP患儿在感觉加工和行为功能方面存在更多的问题,并且在伴有CVI的情况下,这些问题会加剧。此外,观察到的感觉加工技能下降与行为问题增加之间的显著关系强调了综合评估这两个领域的重要性,并在干预计划中采用整体方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Visual disorder and sensory integration in 3- to 6-year-old children with cerebral visual impairment and cerebral palsy.

Background: Sensory and behavioral difficulties are frequently observed in children with cerebral palsy (CP), and these challenges may intensify when cerebral visual impairment (CVI) co-occurs. However, the extent and nature of these combined effects remain underexplored.

Objective: The aim of this study is to compare sensory processing skills and behavior of children with CP and CVI, CP without CVI, and typically development (TD) and to examine the relationship between sensory processing skills and behavior in children in these groups.

Design: Prospective, cross-sectional study with control group.

Setting: Special education and rehabilitation center.

Participants: A total of 120 children aged 3-6 years, consisting of three groups, were included in the study: 40 children with CP and CVI, 40 children with CP without CVI, and 40 children with TD.

Main outcomes measures: The Sensory Profile (SP) was used to assess sensory skills and the Child Behavior Rating Scale (CBRS) was used to assess behavior.

Results: There were significant differences in all pairwise comparisons between the three groups and between SP subdomains and CBRS scores (p < .05). Children with CP and CVI had the lowest median scores (SP: 7-78.5; CBRS: 26), followed by those with CP without CVI (SP: 9-95; CBRS: 33), whereas TD children had the highest scores (SP: 12-129; CBRS: 49). These findings suggest a trend toward worsening sensory and behavioral outcomes in the presence of CVI in addition to CP and in CP alone. Furthermore, moderate to strong positive correlations were observed between SP and CBRS scores in all groups (rho = 0.468-0.872; p < .001), suggesting that behavioral problems increase with decreased sensory processing skills.

Conclusions: This study reveals that children with CP have more problems in sensory processing and behavioral functioning compared to their peers with TD and that these problems are exacerbated in the presence of CVI accompanying CP. In addition, the significant relationship observed between the decrease in sensory processing skills and the increase in behavioral problems emphasizes the importance of evaluating these two areas together and adopting a holistic approach in intervention planning.

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来源期刊
PM&R
PM&R REHABILITATION-SPORT SCIENCES
CiteScore
4.30
自引率
4.80%
发文量
187
审稿时长
4-8 weeks
期刊介绍: Topics covered include acute and chronic musculoskeletal disorders and pain, neurologic conditions involving the central and peripheral nervous systems, rehabilitation of impairments associated with disabilities in adults and children, and neurophysiology and electrodiagnosis. PM&R emphasizes principles of injury, function, and rehabilitation, and is designed to be relevant to practitioners and researchers in a variety of medical and surgical specialties and rehabilitation disciplines including allied health.
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