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Pelvic Symmetry Is Influenced by Asymmetrical Tonic Neck Reflex during Young Children's Gait.
International Journal of Environmental Research and Public Health ( IF 4.614 ) Pub Date : 2020-07-02 , DOI: 10.3390/ijerph17134759
Ewa Gieysztor 1 , Anna Pecuch 1 , Mateusz Kowal 1 , Wojciech Borowicz 2 , Małgorzata Paprocka-Borowicz 1
Affiliation  

Gait is one of the examined functions in child development. It should be economical and symmetrical. One test increasingly used by physiotherapists and pediatricians is asymmetrical tonic neck reflex (ATNR). Physiologically, it is observed from in utero up to six postnatal months. This reaction is inhibited with the growing maturation of the central nervous system (CNS). In some children, when the natural process of development is incorrect, ATNR manifests later in life, when it is observed as an automatic response of muscle tension to head rotation. Analysis of pelvis symmetry in the gait of children with active ATNR is important for better understanding their specific movements. In the gait of children with persistent ATNR, some variations are observed. The aim of the study was to investigate the gait symmetry of preschool children and the influence of persistent ATNR. Fifty preschool children with a trace form of ATNR were examined. The distribution of the gait parameters was determined using a BTS G-SENSOR measurement instrument. ATNR negatively influences pelvic obliquity and pelvic rotation (p < 0.01). Younger children have a statistically higher symmetry index of pelvis obliquity in the examined group (p = 0.015). Boys obtain a higher result of symmetry in pelvic tilt than girls in the group (p = 0.027). ATNR affects walking symmetry in preschool children, thus evaluation of the reflex activity and then proper therapy is required to support proper development.

中文翻译:

幼儿步态期间骨盆对称性受非对称性强直颈反射的影响。

步态是儿童发育中被检查的功能之一。它应该是经济和对称的。理疗师和儿科医生越来越多地使用一种测试方法,即不对称的强直性脖子反射(ATNR)。在生理上,从子宫内观察到产后六个月。随着中枢神经系统(CNS)的日趋成熟,该反应受到抑制。在某些儿童中,当自然发育过程不正确时,ATNR会在生命的后期出现,这被视为肌肉张力对头部旋转的自动反应。活动性ATNR患儿步态中骨盆对称性的分析对于更好地了解他们的特定运动很重要。在持续性ATNR患儿的步态中,观察到一些变化。该研究的目的是研究学龄前儿童的步态对称性和持续性ATNR的影响。检查了50名具有痕迹ATNR形式的学龄前儿童。使用BTS G-SENSOR测量仪器确定步态参数的分布。ATNR对骨盆倾斜和骨盆旋转产生负面影响(p <0.01)。在检查的组中,年龄较小的儿童的骨盆倾斜对称性统计指标较高(p = 0.015)。在该组中,男孩比女孩获得更高的骨盆倾斜对称性结果(p = 0.027)。ATNR影响学龄前儿童的行走对称性,因此需要评估反射活动,然后需要适当的治疗以支持适当的发育。
更新日期:2020-07-02
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