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孩子总是“笨手笨脚”也会影响生长发育

2015-9-28 19:20| 发布者: steven| 查看: 19504| 评论: 488|原作者: steven

  西西是二年级男生,平时总给人“笨手笨脚”的感觉,放假后妈妈带他来到医院想给他的“各种不协调”找一找原因。在南京市妇幼保健院的儿童体智发展测评中心,西西经一系列评估诊断,被确诊为发育性协调障碍。由于缺乏认识,错失了早期干预训练的最好时机,导致学业、社交受挫、情绪不佳。
  “笨手笨脚” 可能是笨拙儿童综合征
  西西不喜欢体育课,因为很多动作,比如跳绳,其他同学一学就会,而他练习了多次,仍然很不协调;他害怕上语文课,因为他写的字歪歪扭扭,经常出格,字体间架结构差,书写速度慢,经常被老师批评。而回家写家庭作业更是让家长头疼,西西完成作业的时间是同龄孩子的两倍甚至三倍,字迹难看,常常是写了擦擦了写如此反复。
  在南京市妇幼保健院的儿童体智发展测评中心,西西经一系列评估诊断,被确诊为发育性协调障碍。发育性协调障碍是儿童发育行为门诊最常见的疾病之一,过去常被称为 “笨拙儿童综合征”。
  据国外数据显示发病率为5-8%,男童占大多数为75-85%。发育性协调障碍的儿童在动作协调上明显地较同龄儿童差,在学习和日常生活上也存在很多困难。
  孩子发育过程,不能只看重智力
  发育性协调障碍以运动技能障碍为主要特征,同时存在精细运动、球类运动和平衡能力等多类运动技能的缺陷,患儿通常有行为笨拙、邋遢;精细动作和粗大动作控制困难;身体意识和姿势稳定性差;读写困难和执笔怪异,同时可伴有注意力缺陷等认知功能损害和焦虑、忧郁、社会适应能力不良等情绪障碍问题,部分病例将直接影响到成年后的认知水平和社会适应能力。
  池主任提醒,有时家长只关注智力,其实智力只是影响孩子成绩和学校表现的一个因素,很多非智力因素如注意力、视听感知能力、运动能力及学习的态度等都会起着重要的作用,3-6岁是孩子学习能力培养和形成的最佳时期,但有些发育协调暴露问题的因素更是要提早警觉起来。
  几点运动问题要注意
  比如,正常的孩子在两三个月会抬头,四个月开始会翻身,六七个月会坐,八九个月贴肚子爬,九十个月四点爬,这些里程碑式的运动发育指标到时间仍不能做,提示了可能有异常。
  其次是动作完成的质量与同龄孩子相比较差,比如到了某个月龄孩子虽然会坐也会站,但从坐姿转换到站立的动作,没人搀扶就不行;又如明明会坐,但若是在躺、趴的姿势,自己就没法坐起来,这说明缺少动作转换的能力。
  还有学习技巧性动作的能力较同龄孩子差。比如抓捏物品、挥手再见等等,孩子的模仿能力差,动作不灵活等。虽然一些技能会慢慢有所成长,但由于落后同龄人的发展,孩子会自信心不足,容易有挫折感与疏离感。
  史月 于丹丹 整理

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