先天性盲聾児の平衡と運動の発達

  • 新正 由紀子
    東京医療センター臨床研究(感覚器)センター
  • 加我 君孝
    東京医療センター臨床研究(感覚器)センター 国際医療福祉大学三田病院耳鼻咽喉科

書誌事項

タイトル別名
  • Vestibular functions and motor developments of congenitally deafblind children

抄録

Background: The relationship of visual vestibular interaction with congenitally visual and hearing impairment in children has been discussed. The cochlear and vestibular organs are closely related anatomically and phylogenetically. Many studies have revealed the abnormal vestibular function and delayed motor development in the cases of severely hearing impaired children. Bilateral vestibular dysfunction may be manifested as the loss of postural control and the delay of development in gross motor function. In addition, congenitally blind children manifest delayed motor development due to the difficulties in space perception. Methods: The vestibular functions and gross motor development were assessed in 4 congenitally deafblind children. Of the 4 cases, one patient had congenital rubella syndrome and one had CHARGE syndrome. In all patients there was severe hearing loss with severe visual impairment. Results: Motor development in all cases was significantly delayed. None of the patients could stand up and walk by themselves until they were at least 2 years and 4 months old. The results of the rotational chair test in two patients showed no response. Conclusions: Because of loss of visual vestibular interaction, the gross motor development in all severe congenital deafblind cases was found to be delayed further than that in the cases with only congenital hearing impairment. Careful treatment and planning for rehabilitation or placement of a cochlear implant in deafblind children is needed to improve their quality of life.

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詳細情報 詳細情報について

  • CRID
    1390001204949033344
  • NII論文ID
    130002127646
  • DOI
    10.3757/jser.71.264
  • ISSN
    1882577X
    03855716
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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