三种粗大运动评估方法在婴幼儿脑瘫中的应用研究

Application of three gross motor measure scales in children with cerebral palsy

【目的】 比较三种粗大运动评估方法在婴幼儿脑瘫中的应用价值。 【方法】 用Peabody粗大运动发育量表 (PeabodyDevelopmentalMotorScale GrossMotor ,PDMS GM )、粗大运动功能测试量表 (GrossMotorFunctionMeasure ,GMFM )和儿心量表中的粗大运动能力评估三种方法分别评估 63例 0～ 3岁脑瘫儿 ,在 ( 3 .9± 1.8)月后对其中 3 3例进行复评。在PDMS GM的原始分、GMFM的总百分比和儿心量表的大运动原始分三者之间进行相关分析 ;痉挛型脑瘫分型和PDMS粗大运动发育商 ( grossmotorquotient ,GMQ)之间进行相关分析。 【结果】 PDMS GM的原始分、GMFM的总百分比和儿心量表的大运动原始分三者之间呈高度正相关 (P <0 .0 0 1) ;痉挛型脑瘫分型与GMQ之间的相关性随着年龄增大而增加。 【结论】 儿心量表能够初步判断脑瘫儿童粗大运动发育水平 ,PDMS

To compare the advantages of three gross motor measure scales in children with cerebral palsy (CP). 63 CP children in 0～3 years old were involved. Their gross motor functions were evaluated by the raw scores and the gross motor quotient(GMQ) of Peabody Developmental Measure Scale Gross Motor (PDMS GM), total scores of Gross Motor Function Measure Scale(GMFM) and the gross motor raw scores of Neuro psychology developmental scale for 0～6 children (Er xin Scale). 33 children were evaluated again after (3.9±1.8)months.The relationship among these results were analyzed, also the relationship between GMQ and the types of spastic cerebral palsy. There was significant relationship among raw score of PDMS GM, total score of GMFM and the gross motor raw score of Er xin scale ( P <0.001). The relationship between GMQ and the type of spastic CP increased with age.[Conclusion] With gross motor raw score of Er xin scale,the gross motor level could be judged. The PDMS GM and GMFM could accurately identify the gross motor functions of CP children.