发育性运动协调障碍儿童的早期筛查与干预

doi:10.11852/zgetbjzz2024-0280

摘要/Abstract

摘要： 发育性协调障碍(DCD)是一种神经发育障碍性疾病,发病率高,诊断率低,症状出现早,阻碍儿童身心健康发展。DCD的早期识别与干预有利于减轻该疾病的终身不良影响。但目前国内大众对该病仍缺乏认识,医疗工作者对DCD的早期筛查及干预不够重视。本文概述发育性协调障碍的临床特征、早期筛查与诊断,并从西医干预、中医干预两个层面阐述DCD的临床治疗,首次提出中西医结合干预治疗,希望以此促进DCD儿童早期筛查工作的开展,为DCD的干预在我国的研究和发展提供新的方法,提高其康复效果。

关键词: 发育性协调障碍, 早期筛查, 中西医结合干预

Abstract: Developmental coordination disorder (DCD) is a neurodevelopmental disorder with high incidence, low diagnosis rate and early onset of symptoms, which hinders thedevelopment ofphysical and mental health in children.Early identification and intervention of DCD can help reduce the lifelong adverse effects of the disease.However,general public in China still lacks awareness of this condition,and healthcare workers do not pay enough attention to the early screening and intervention of DCD.This paper summarizes the clinical characteristics, early screening and diagnosis of DCD, and expounds the clinical treatment of DCD from the two aspects of western and Chinese medicine intervention, and proposes the intervention treatment of integrated Chinese and western medicine for the first time, hoping to promote the development of early screening work, provide a new method for the research and development of DCD intervention in China, and improve the effectiveness of treatment.

Key words: developmental coordination disorder, early screening, intervention and treatment of integrated Chinese and western medicine

中图分类号:

R741

刘振寰. 发育性运动协调障碍儿童的早期筛查与干预[J]. 中国儿童保健杂志, 2024, 32(5): 475-479.

LIU Zhenhuan. Early screening and intervention of children with developmental coordination disorder[J]. Chinese Journal of Child Health Care, 2024, 32(5): 475-479.

参考文献

[1] 秦志强,花静,张郦君,等.儿童发育性运动协调障碍的干预研究进展[J].中国儿童保健杂志, 2011, 19 (12):1116-1118.
[2] Tsiotra GD, Flouris AD, Koutedakis Y, et al.A comparison of developmental coordination disorder prevalence rates in Canadian and Greek children[J].J Adolesc Health, 2006,39(1):125-127.
[3] American Psychiatric Association.Diagnostic and statistical manual of mental disorder[M].5th ed.Arlington: American Psychiatric Publishing, 2013.
[4] 花静,孟炜,吴擢春,等.苏州城区学龄前儿童发育性运动协调障碍的环境影响因素研究[J].中华儿科杂志,2014,52(8):590-595.
[5] 苏亭娟,孙玉叶,章景丽,等.扬州市城区学龄前儿童发育性协调障碍的流行病学调查[J].中华疾病控制杂志,2017,21(2):183-186.
[6] Caçola P.Movement difficulties affect children′s learning:An overview of developmental coordination disorder (DCD)[J].Learn Disabil Multi discip, 2014, 20:98-106.
[7] Pearsall-Jones JG,Piek JP, Rigoli D, et al.Motor disorder and anxious and depressive symptomatology: A monozygotic cotwin control approach[J].Res Dev Disabil, 2011, 32(4):1245-1252.
[8] King-Dowling S,Missiuna C, Rodriguez MC, et al.Co-occurring motor, language and emotional-behavioral problems in children 3 - 6 years of age[J].Hum Mov Sci, 2015, 39:101-108.
[9] 朱盛,蔡兰富,池银归.发育性运动协调障碍儿童执行功能状况初步研究[J].临床探讨,2012,50(18):161-162.
[10] Wu SK, Lin HH, Li YC, et al.Cardiopulmonary fitnessandendurance in children with developmental coordination disorder[J].Res Dev Disabil, 2010, 31(2):345-349.
[11] American Psychiatric Association.Diagnostic and statistical manual of mental disorder[M].5th ed.Arlington: American Psychiatric Publishing, 2013.
[12] Griffiths A, Morgan P, Anderson PJ, et al.Predictive value of the Movement Assessment Battery for Children-Second Edition at 4 years, for motor impair ment at 8 years in children born preterm[J].Dev Med Child Neurol,2017,59(5):490-496.
[13] Kita YK,Suzuki K, Hirata S, et al. Applicability of the movement assessment battery for children-second edition to japanese children: A study of the Age Band 2[J].Brain Dev,2016,38(8):706-713.
[14] Blank R, Smits-Engelsman B, Polatajko H, et al.Europe-an Academy for Childhood Disability (EACD):Recommendations on the definition, diagnosis and intervention of de-velopmental coordination disorder (long version)[J].Dev Med Child Neurol,2012,54(1):54-93.
[15] 杨红,史惟,王素娟,等.Peabody运动发育量表在婴幼儿评估中的信度和效度研究[J].中国儿童保健杂志, 2010, 18 (02):121-123.
[16] Blank R, Barnett AL, Cairney J, et al.International clinical practice recommendations on the definition, diagnosis, assessment, intervention, and psychosocialaspects of developmental coordination disorder[J].Dev Med Child Neurol, 2019, 61(3):242-285.
[17] Hung WW, Pang MY.Effects of group-based versus individual-based exercise training on motor performance in children with developmental coordination disorder: A randomized trolled study.J Rehabil Med.2010,42(2):122-128.
[18] 肖农.儿童康复诊疗规范[M].北京:人民卫生出版社,2023.
[19] Sugden D.Current approaches to intervention in children with developmental coordination disorder[J].Dev Med Child Neurol, 2007, 49(6):467-471.
[20] Polatajko HJ, Cantin N.Developmental coordination disorder (dyspraxia):An overview of the state of the art[J].Se-min Pediatr Neurol,2005,12(4):250-258.
[21] Mai JN, Jin XK, Diagnosis and treatment of developmental motion coordination disorder[J],Chin J Pediatr,2010,48(2):115-117.
[22] Peens A,Pienaar AE, Nienaber AW.The effect of different intervention programmes on the self-concept and motor proficiency of 7-to 9-year-old children with DCD[J].Child Care Health Dev, 2008, 34(3):316-328.
[23] 刘振寰,戴淑凤.儿童运动发育迟缓康复训练图谱[M].北京:北京大学医学出版社,2020.
[24] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,等.中国脑性瘫痪康复指南(2022)第五章:中医康复治疗[J].中华实用儿科临床杂志,2022,37(18):1365-1376.
[25] 岑丽婷,刘振寰.通督醒脑益肾健脾按摩对脑损伤早产儿神经发育影响的观察[J].中国儿童保健杂志, 2012, 20 (12):1064-1066.
Cen LT,Lin ZH.Observation of effect on neural development on massage of Tongduxingnao and Yishenjianpi in the brain damage in preterm infants[J].Chin J Child Health Care,2012,20(12):1064-1066.(in Chinese)
[26] Pekna M,Pekny M,Nilsson M.Modulation of neural plasticity as a basis for stroke rehabilitation[J].Stroke,2012,43(10):2819-2828.
[27] Li ZJ, Meng XZ,Ren M,et al.Combination of scalp acupuncture with exercise therapy effectively counteracts ischemic brain injury in rats[J].J Stroke Cerebrovasc Dis,2020,29(11):105-286.
[28] 王海丽,吴九伟,林学俭.林学俭运用头皮针治疗部分脑源性疾病经验[J].中国针灸,2005,25(10):729-732.
[29] 陆晓菲,陶雅文,刘凡,等.针灸治疗小儿脑瘫疗效的系统评价再评价[J].中国针灸, 2023, 43(10):1209-1216.
[30] 刘振寰.实用儿童针灸学图谱[M].北京:北京大学医学出版社,2019.