Minimalne neurološke disfunkcije kod dece uzrasta od 5 do 7 godina

  • Maja Galić Preschool Teachers Training College Novi Sad, Novi Sad, Serbia
  • Aleksandra Mikov Institute for Child and Youth Health Care of Vojvodina, Novi Sad, Serbia
  • Slobodan Sekulić Clinical Center of Vojvodina, Clinic for Neurology, Novi Sad, Serbia
  • Aleksandar Kopitović Clinical Center of Vojvodina, Clinic for Neurology, Novi Sad, Serbia
  • Ivana Peričin Starčević Institute for Child and Youth Health Care of Vojvodina, Novi Sad, Serbia
DOI: https://doi.org/10.2298/VSP160629389G
Ključne reči: neurološke manifestacije;, rizik;, deca;, deca, predškolska;, životno doba, faktor;, pol, faktor.

Sažetak


Uvod/Cilj. Procena minimalnih neuroloških disfunk­cija (MND) pruža informacije o neurološkom stanju deteta, štp pomaže u identifikovanju vulnerabilnosti deteta ka razvoju motornih slabosti, teškoća u učenju ili poremećaja ponašanja. Cilj rada bio je utvrđivanje razlike u učestalosti MND kod dece iz opšte populacije u odnosu na uzrast (5 i 6 godina) i pol. Metode. Ispi­tivanje je urađeno u predškolskoj ustanovi na teritoriji grada Novi Sad. Ukupan uzorak je obuhvatio 120. dece koja su bila podelјena u dve grupe u odnosu na uzrast – 60. dece starosti 5 godina (grupa A) i 60. dece starosti 6 godina (grupa B). Metodom slučajnog izbora izabrana su tri vrtića, a deca su nasumično odabrana, sa približno jednakom zastuplјenošću polova. Testiranje je urađeno Touwen-ovim testom modifikovanim od strane Had­ders-Algre. Rezultati su grupisani u tri grupe: odsustvo, prisustvo jednostavnih (prisustvo jedne ili dve oblasti disfunkcije) i prisustvo kompleksnih MND (prisustvo najmanje tri oblasti disfunkcije). Rezultati. Šezdeset­se­dam (55,8%) od 120. dece imalo je normalne neurološke nalaze, dok je 53. (44,2%) pokazalo prisustvo MND, 49. (40.8%) jednostavne, a 4 (3.4%)  kompleksne. U mlađoj uzrasnoj grupi MND su se češće javljale nego u starijoj (57% vs. 32%; p = 0.01). Takođe, MND su se češće javlјale kod dečaka u odnosu na devojčice, ali razlika nije bila statistički značajna. Zaključak. Naši rezultati pokazuju značaj testiranja dece u predškolskom uzrastu radi otkrivanja eventualnih odstupanja i blagovremenog započinjanja adekvatne terapije.

Reference

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Objavljeno
2020/12/08
Broj časopisa
Vol. 75 Br. 8 (2018): August Vol. 75 (No. 8)
Rubrika
Kratko saopštenje