Carroll双上肢功能测试与Gesell发育量表中精细运动在脑性瘫痪患儿中的相关性研究

Correlation between Carroll Upper Extremities Functional Test and Fine Motor Domain of Gesell Developmental Scale in Children with Cerebral Palsy

目的了解Carroll双上肢功能测试(UEFT)是否能更好地反应脑瘫患儿的精细运动情况。方法 2011年1月至2014年1月,104例脑瘫患儿分为非偏瘫组(n=76)和偏瘫组(n=28)。两名评估者在1周之内对所有患儿进行UEFT和Gesell发育量表测试。比较UEFT评分与Gesell发育量中精细运动的发育年龄(DA)和发育商(DQ)的相关性,同时比较脑瘫偏瘫患儿中健手和患手UEFT评分。结果非偏瘫组患儿UEFT评分与Gesell的精细运动DA强相关(r=0.752,P<0.001),与DQ中等相关(r=0.456,P<0.001)。偏瘫组患儿健侧UEFT评分与Gesell的精细运动DA强相关(r=0.722,P<0.001),患侧UEFT评分与DA中等相关(r=0.591,P<0.001);双侧UEFT评分均与DQ不相关(r<0.186,P>0.05);健侧UEFT评分显著高于患侧(Z=-4.708,P<0.001)。结论临床康复评定脑瘫患儿精细运动发育时,均可使用UEFT和Gesell发育量表;UEFT在精细运动中更能全面地了解患儿偏瘫情况。

Objective To investigate if Carroll Upper Extremities Functional Test （UEFT） is a better rating scale for evaluating fine mo- tor function in children with cerebral palsy. Methods From January, 2011 to January, 2014, 104 children with cerebral palsy were divided in- to non-hemiplegic palsy group （n=76） and hemiplegic palsy group （n=28）, they were assessed by two certified valuers in one week. Their fine motor function was evaluated with UEFT and the Gesell Developmental Scale. The scores of UEFT were compared respectively with the developmental age （DA） and developmental quotient （DQ） in fine motor domain of Gesell Developmental Scale. At the same time, the UEFT score of the affected limb was compared with of the unaffected limb in children with hemiplegic palsy. Results In the non-hemiplegic palsy group, the UEFT score strongly correlated with DA （r=0.752, P〈0.001） and moderately correlated with DQ （r=0.456, P〈0.001）. In the hemiplegic palsy group, the UEFT score of the unaffected limb strongly correlated with DA （r=0.722, P〈0.001）, and a moderate correlation was found in the affected limb （r=0.591, P〈0.001）. The UEFT scores of both sides did not correlated with DQ （r〈0.186, P〉0.05）. The UEFT score of unaffected limb was significantly higher than that of the affected limb （Z=-4.708, P〈0.001）. Conclusion Both of UEFT and the Ge- sell Developmental Scale could be used clinically in assessment of fine motor function in children with cerebral palsy. The UEFT was better in evaluating children with hemiplegic palsy.