Peabody运动发育量表结合配套运动训练方案在运动发育迟缓儿童中早期干预效果

Effect of Peabody Developmental Motor Scales and the motor activities program in early intervention of children with motor development retardation

目的 探讨Peabody运动发育量表(PDMS-2)结合配套运动训练方案在运动发育迟缓儿童中的早期干预效果,为运动发育迟缓儿童的早期干预提供科学依据。方法 选取2019年6月—2020年6月湖州市妇幼保健院儿童保健科康复中心收治确诊为运动发育迟缓且符合标准的患儿101例,按不同训练方案分为干预组51例和对照组50例,两组均进行常规早期运动干预训练。根据PDMS-2评估结果,干预组患儿在常规早期干预训练下进行相应Peabody配套运动训练,而对照组仅进行常规早期干预训练。训练1个疗程后采用PDMS-2对两组患儿的运动能力进行再次评估,比较两组的运动评估结果。结果 干预前干预组粗大运动商(GMQ)、精细运动商(FMQ)、总体运动商(TMQ)与对照组之间差异无统计学意义(P>0.05),干预后的评估显示干预组患儿较治疗前GMQ、FMQ、TMQ均显著提高,差异有统计学意义(t=4.00、3.17、3.97,P<0.01),且干预组GMQ、FMQ、TMQ评分均显著大于对照组(t=2.13、2.04、2.44,P<0.05)。干预前,两组精细运动或粗大运动偏移率比较,差异无统计学意义(χ^(2)=2.60,P>0.05)。干预组干预前后比较差异有统计学意义(χ^(2)=7.71,P<0.01),对照组干预前后差异无统计学意义(χ^(2)=3.73,P>0.05)。结论 在运动发育迟缓儿童早期干预训练中使用PDMS-2及其配套运动训练方案,能够有效改善运动功能的发育。

Objective To study the early intervention effect of Peabody Developmental Motor Scales 2(PDMS-2) and the motor activities program in children with motor development retardation, so as to provide scientific reference for the early intervention of motor development retardation. Methods From June 2019 to June 2020, a total of 101 children diagnosed with motor development retardation who met the inclusion and exclusion criteria were selected into this study, and were divided into the intervention group(n=51) and control group(n=50) according to different training methods. Both groups received routine early intervention training. Children in the observation group received motor activities program additionally based on the evaluation results of PDMS-2. After a course of treatment, PDMS-2 was used to evaluate the motor function of children in two groups, and the PDMS-2 evaluation results before and after intervention were compared between the two groups. Results Before intervention, there were no significant differences in gross motor quotient(GMQ), fine motor quotient(FMQ) and total motor quotient(TMQ) between the intervention group and control group(P>0.05). GMQ, FMQ and TMQ of the intervention group were significantly improved after intervention(t=4.00, 3.17, 3.97, P<0.01), which were also significantly higher than those in the control group after intervention(t=2.13, 2.04, 2.44, P<0.05). Before intervention, the proportion of children with fine or gross movement deviation was significantly different between groups(χ^(2)=2.60, P<0.05).Which was significant difference before and after intervention in the intervention group(χ^(2)=7.71,P<0.01), but which was not significantly different before and after intervention in the control group(χ^(2)=3.73,P>0.05). Conclusion PDMS-2 and the motor activities program in the early intervention training can effectively improve the development of motor function of children with motor development retardation.