婴幼儿脑性瘫痪运动功能量表及其评价

The Motor Function Measurement and Evaluation in Infants with Cerebral Palsy

为探讨对脑瘫患儿运动功能进展的客观评价方法，以６２０例正常小儿运动发育的年龄特征为依据，对６２例脑瘫患儿治疗前后的运动功能变化进行量化评价。结果表明，２岁前是小儿运动发育的关键时期，总分平均为３．９２±０．２１分／月，而脑瘫儿的运动功能发育严重落后，其总分平均为１．２８±０．３４分／月．治疗后（＞８周）其运动功能较治疗前有显著改善．总分平均８分／月左右，较治疗前增加５～６倍，较正常儿童运动功能发育率亦增加１倍左右，表明理疗有效，同时亦表明量化评价是敏感的．随访２８例已有１９例能独立行走，其中６例已正常，总分平均增加１７分，结果证明此量（表）化评价是可靠的。

On the basis of data of the motor function development of 620 nonmal children, the motor function development of 62 children with cerebral palsy were quantitatively analysed before and after the treatment.The children's age ranged from 4 months to 5 years old.The result is as followings:The key period of the motor function development in normal children was in 1-2 years,the total score was 3.92±0.21/per month averagely,and that of children with cerebral palsy was only 1.28±0.34/per month (P<0.01).It suggested that the motor function development of children with cerebral palsy was severely delayed.However,after the rehabilitation and physical therapy, the motor function in cerebral palsy children was obviously improved,their total score was 8.0/per month.Among them,28 cerebral palsy children were followed up 6 months to 3 years in which 19 cases were free walking and 6 cases were returned to normal.The conclusion reveals that the rehabilitaion and physiotherapy is an effective method and the evaluation method is reliable for cerebral palsy children.