Neurodynamic indicators of the sensorimotor response of primary school age children with orthophoria and hetero-tropia

Abstract

Objective: to analyze the neurodynamic indicators of the sensorimotor response of primary school age children with orthophoria and heterotropia. Material and methods. 51 children (102 eyes) aged 6-11 were examined. 2 groups that could be compared in terms of age and sex were formed. The first group consisted of 20 patients (40 eyes) with orthophoria associated with moderate hypertropia of Hm 3.5 (2.3; 5.3) diopters, the second group included children with concomitant convergent strabismus associated with moderate hypertropia of Hm 4.25 (2.0; 6.5) diopters - 31 patients (62 eyes). To study the properties of the nervous system (NS), the computer appliance «NS-Psychotest» (LLC «Neurosoft», Ivanovo, http://neurosoft. com/ru) was used. The neurodynamic indicators of the sensorimotor response were identified with the techniques «Simple Visual Motor Response» (SVMR), «Discrimination reaction» (DR), «Moving Object Response» (MOR), «Critical Flicker-Fusion Frequency» (CFF). Results. Concomitant strabismus in the children of the second group reliably leads to an increase in the time of SVMR, DR by 65.5 ms and 42.4 ms, respectively (p < 0.05), in comparison with the group of the children with orthophoria. The difference between the indices of DR and SVMR in the children of group 1 - 51.5 ms, of group 2 - 28.4 ms, verifies a decrease of the rate of the neurodynamic processes of the NS in the children with heretotropia. In the study with the MOR technique, the time of response in the first group was - -31 (-127; 50) ms, in the second group - 22 (-29; 94) ms (р = 0.000008), a positive value of the indicator of the response time in the children of the second group is a consequence of the prevalence of inhibition processes in the central nervous system in most the examined patients. Conclusion . The obtained results show that the presence of heterotropia in the children of the second group reliably leads to decreased mobility of nervous processes and predominance of inhibition processes in the central nervous system. The combination of the low velocity of the response and expressed inertness of nervous processes in the children of the second group are indicative of a lack of coordination of the interrelations between the centers of the visual and motor analyzers.