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Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay

The development of motor function is related to the development of neural pathways in the white matter. Children with developmental delay (DD) and hypotonia have reduced motor function, and their neural pathways are observed differently from those of typically developed children. We investigated cha...

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Autores principales: Ha, Sun-Young, Sung, Yun-Hee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8534406/
https://www.ncbi.nlm.nih.gov/pubmed/34682183
http://dx.doi.org/10.3390/children8100918
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author Ha, Sun-Young
Sung, Yun-Hee
author_facet Ha, Sun-Young
Sung, Yun-Hee
author_sort Ha, Sun-Young
collection PubMed
description The development of motor function is related to the development of neural pathways in the white matter. Children with developmental delay (DD) and hypotonia have reduced motor function, and their neural pathways are observed differently from those of typically developed children. We investigated changes in neural pathways through diffusion tensor imaging (DTI) after utilizing the Vojta approach. The participant was a child with DD and hypotonia, and had delayed motor function. Although he had no brain damage on magnetic resonance imaging findings, damage to the neural pathway was confirmed through DTI due to cytomegalovirus infection in the mother’s womb. From 11 months of age, the Vojta approach was performed for a total of 8 months. In this study, we found that in CST, the left FA and right TV increased in follow-up DTI more than in the initial DTI. In CRP, Wallerian degeneration was observed in the left FA, MD, and TV in follow-up DTI. GMFM-88 improved after intervention. The structural change of neural pathways through the Vojta approach influenced the improvement of gross motor function. Therefore, it is thought that the Vojta approach can be suggested as a meaningful intervention for children with DD and hypotonia.
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spelling pubmed-85344062021-10-23 Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay Ha, Sun-Young Sung, Yun-Hee Children (Basel) Case Report The development of motor function is related to the development of neural pathways in the white matter. Children with developmental delay (DD) and hypotonia have reduced motor function, and their neural pathways are observed differently from those of typically developed children. We investigated changes in neural pathways through diffusion tensor imaging (DTI) after utilizing the Vojta approach. The participant was a child with DD and hypotonia, and had delayed motor function. Although he had no brain damage on magnetic resonance imaging findings, damage to the neural pathway was confirmed through DTI due to cytomegalovirus infection in the mother’s womb. From 11 months of age, the Vojta approach was performed for a total of 8 months. In this study, we found that in CST, the left FA and right TV increased in follow-up DTI more than in the initial DTI. In CRP, Wallerian degeneration was observed in the left FA, MD, and TV in follow-up DTI. GMFM-88 improved after intervention. The structural change of neural pathways through the Vojta approach influenced the improvement of gross motor function. Therefore, it is thought that the Vojta approach can be suggested as a meaningful intervention for children with DD and hypotonia. MDPI 2021-10-15 /pmc/articles/PMC8534406/ /pubmed/34682183 http://dx.doi.org/10.3390/children8100918 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Ha, Sun-Young
Sung, Yun-Hee
Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay
title Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay
title_full Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay
title_fullStr Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay
title_full_unstemmed Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay
title_short Changes of Neural Pathways after Vojta Approach in a Child with Developmental Delay
title_sort changes of neural pathways after vojta approach in a child with developmental delay
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8534406/
https://www.ncbi.nlm.nih.gov/pubmed/34682183
http://dx.doi.org/10.3390/children8100918
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