关键词: 脑性瘫痪, 痉挛型, 精细运动, 中文版上肢技巧质量测试

Abstract: Objective To apply the Chinese Version of the Quality of Upper Extremity Skills Test (Ch-QUEST) in the rehabilitation fine motor training of children with spastic cerebral palsy, and to evaluate its value in clinical application. Methods A total of 40 children with spastic cerebral palsy were recruited and randomly divided into observation and control group with 20 cases in each group. Both groups received routine occupational therapy,and the observation group was given demonstration game based on the Ch-QUEST manual additionally. The plans would be modified every month. Peabody Developmental Motor Scale-Fine Motor (PDMS-FM) and Fine Motor Function Measure (FMFM) were used to evaluate the function of children in two groups before and 3 months after intervention. Results Before treatment,there were no significant differences on raw scores of PDMS-FM and FMFM between observation and control group(P＞0.05). After 3-months treatment,the raw scores of PDMS-FM and FMFM improved significnatly in both groups(P＜0.05).Moreover,the scores were significantly higher in observation group than in control group(P＜0.05). Conclusion The training program based on the guidance of Ch-QUEST is effective clinically on improving fine motor skills in children with spastic cerebral palsy.

Key words: cerebral palsy, spastic, fine motor, the Quality of Upper Extremity Skills Test