那怕是,寒冬,深夜,路邊的小黄花, 也燦爛綻放。

Vestibular System 前庭系統


Vestibular System 前庭系統

Where:
Vestibilar organs are situated in the inner ears next to the hearing organ (Cochlear).

What:
The structure composed of the utricle, saccule (to detect linear acceleration, e.g going forward,/ backwark; up/down);  and the three semicircular ducts (to detect angular acceleration, e.g. spinning, turning head, nodding head)


Responsible for:
  • Balance
  • Muscle tone
  • Spatial Sense (where you are in space)
  • Head orientation
  • Gaze stabilization (can't read if poor)
  • Motor coordination
  • Eye hand / eye foot coordination
  • "Feel" where you are
 
 
Responsible for reflex development
  • Vestibular Ocular Reflex (for gaze stabilization when moving, reading)
  • Vestibulospinal Reflex (to stabilize head and control erect stance in relation to gravity, under static and dynamic conditions)
  • Vestibular Collic reflex (righting reflex) (to maintain head horizontal gaze position in relative to gravity, independent of trunk movement; stabilize head in space)
  • Moro reflex
  • Tonic neck reflex (ATNR) (integrate at 3-4 months)
  • head righting reflex (TLR)
  • Positive support reaction
  • Parachute reflex
 
Disorders of the vestibular system
  • Developmental delays
  • Motor disco-ordination
  • Postural abnormalities
  • Balance problems
  • Poor spatial perception
  • Reading problems
  • Learning disabilities

Children with vestibular problems may have
  • ear pain
  • stomach pain
  • headache
  • visual disturbance
  • vegetative symptoms
  • walk to 1 side
  • delay development
  • presyncopal feeling
  • anxiety with hyper ventilation
  • learning disabilities
  • dizziness
  • visual acuity problems
  • poor spatial relationship (skip workds / letters when reading, disorganized writing)
  • nystamus
  • difficulty in dark
  • hearing loss
  • motion sickness
  • nausea
  • abnormal movement pattern, unsteady gait, clumsiness, poor posture, decrease eye hand/foot coordiantion
  • headache wit nausea/dizziness
  • couldn't ride bicycle, swimming, hopping, walking stair

Cause
  • ear infection, otitis media
  • congenital sensorineural hearing loss
  • CMV infection
  • Anoxia
  • Usher syndrome
  • Mondini dysplasia
  • Meningitis
  • Cerebral Palsy, hydrocephalus, brain tumour
  • maternal drug/alcohol abuse
  • metabolic disorder-diabetes

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