对小儿脑性瘫痪精细运动功能评估量表的应用评价

The practicability of fine motor function measure scale in child cerebral palsy

目的探讨精细运动功能评估量表(FMFM)的敏感性、实用性。方法收集45例脑瘫患儿随机分为A、B、C3组,每组各15例,治疗前后使用FMFM进行评估。组A和组B患儿根据评估结果制定康复计划,综合康复治疗后分别于90d、30d后再次评估。组C患儿康复不参考测试结果,常规综合康复治疗90d后再次评估。结果 1.各组治疗前后FMFM量化评估对比均有显著差异(P<0.05);2.组A与组B治疗前后FMFM改变量进行比较,组A较组B明显(P<0.05);3.组A与组C治疗前后FMFM改变量进行比较,组A较组C明显(P<0.05)。结论 FMFM能客观反映疗效、有较高灵敏性和一定的临床康复指导意义,可做为一种可信评估方法推广使用。

Objective. To investigate the sensibility and practicability of Fine Motor Function Measure Scale （FMFM） . Methods： Collect 45 cases of cerebral palsy children, divided randomly into group A, B and C, 15cases in each group, evaluate each case before and after treatment. The rehabilitation programme of group A and group B was determined according their evaluation results, and re-evaluated separately at 90, 30 days. Rehabilitation programme of group C was routine one without referencing their evaluation results, and re-evaluated at 90 days. Results： 1. The FMFM evaluation results of group A, B, and C, after rehabilitation, have significant variation （P〈 0.05） . 2. Compared to group B, the variation of group A was more obvious （P 〈0.05） . 3. Compared to group C, the variation of group A was more obvious （P〈0.05） . Conclusion. FMFM may objectively reflect healing efficacy, was sensitive, and able to guide clinical rehabilitation, should be used as a evaluation method.