目的 研究早产儿纠正胎龄8~9周和12~13周时, 婴儿运动能力测试(Test of Infant Motor Performance, TIMP)原始分的分级与盖泽尔发育量表(Gesell Developmental Scale, GDS)粗大运动发育商分级的相关性, 并比较解读TIMP原始分与美国2004年的TIMP标准原始分的一致性。方法 对30例早产儿分别于纠正胎龄8~9周和12~13周进行TIMP和GDS评估, 记录其评分结果。并对TIMP原始分的分级和GDS粗大运动发育商分级进行相关性分析。另外将本研究TIMP原始分与美国2004年的TIMP标准进行比较。结果 早产儿纠正胎龄8~9周及12~13周的TIMP原始分分级与GDS粗大运动发育商分级显著相关(r=0.533和0.567, P值均＜0.01);本研究中早产儿纠正胎龄8~9周及12~13周TIMP原始分分别为77±18和98±18, 都显著小于美国2004标准原始分(分别为93±18和108±19), 差异有统计学意义(P值均＜0.05)。结论 通过与GDS粗大运动发育商进行比较显示, TIMP可应用于早产儿纠正胎龄8~9周及12~13周时运动能力的评估。与美国2004年标准原始分比较, 本研究相应年龄段范围TIMP评分与美国标准有显著差异。
Abstract
Objective To access the relation between the Test of Infant Motor Performance (TIMP) and the gross motor quotient of Gesell Developmental Scale (GDS), and to compare with the American's TIMP standard. Methods A total of 30 cases of preterm were recruited in this study.Subjects were tested with the TIMP and the GDS in corrected gestational aged 8~9 and 12~13 weeks.Raw scores of TIMP were divided into average, below average, far below average.And gross motor quotient of GDS was divided into normal, critical level, developmental delay.Correlation between TIMP and gross motor quotient of GDS was analyzed.The raw scores of TIMP between this research and the American's standard were also compared. Results In both 8~9 weeks and 12~13 weeks after corrected gestational age, TIMP scores showed highly significant correlation with the gross motor quotient of GDS(r=0.533 and 0.567, P＜0.01).In both 8~9 weeks and 12~13 weeks, raw scores of TIMP of this study were 77±18 and 98±18, which were smaller than American's standards (93±18 and 108±19). Conclusion TIMP can be applied to access babies who were corrected the gestational aged 8~9 weeks and 12~13 weeks.There are significant differences between this study and American's standard.
关键词
婴儿运动能力测试 /
Gesell发育量表 /
粗大运动发育商 /
早产儿
Key words
Test of Infant Motor Performance /
Gesell Developmental Scale /
gross motor quotient /
premature
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参考文献
[1] Stephens BE, Vohr BR.Neurodevelopmental outcome of the premature infant[J].Pediatr Clin North Am, 2009, 56(3):631-646.
[2] Arpino C, Compagnone E, Montanaro ML.Preterm birth and neurodevelopmental outcome:a review[J].Childs Nerv Syst, 2010, 26(9):1139-1149.
[3] Spittle AJ, BPhysio M.A systematic review of the clinimetric properties of neuromotor assessments for preterm infants during the first year of life[J].Developmental Medicine & Child Neurology, 2008, 50(4):254-266.
[4] Kolobe TH, Bulanda M, Lkof S.Predicting motor outcome at preschool age for infants tested at 7, 30, 60, and 90 days after term age using the Test of Infant Motor Performance[J].Phys Ther, 2004, 84(12):1144-1156.
[5] Barbosa VM, Campbell SK, Edgh S.Comparison of test of infant motor performance (TIMP) item responses among children with cerebral palsy, developmental delay, and typical development[J].Am J Occup Ther, 2005, 59(4):446-456.
[6] 黄友旗, 何彩霞, 许少琼, 等.高危儿神经行为发育监测及早期干预[J].中国康复, 2009, 24(4):233-234.
[7] 许娟.引导式教育在高危儿中的应用[J].中国实用神经疾病杂志, 2009, 2(4):94-95.
[8] 于华凤, 李洪英, 马海霞.粗大运动功能测试量表与Gesell发育量表在脑性瘫痪疗效评估中的应用比较[J].中国组织工程研究与临床康复, 2007, 11(30):5925-5927.
[9] Soo A Kim, Yong Jin Lee, Lee YG.Predictive value of Test of Infant Motor Performance for infants based on correlation between TIMP and Bayley Scales of Infant Development[J].Ann Rehabil Med, 2011, 35(6):860-866.
[10] Guimares CL, Reinaux CM, Botelho AC.Motor development evaluated by Test of Infant Motor Performance:comparison between preterm and full-term infants[J].Rev Bras Fisioter, 2011, 15(5):357-362.
[11] Nuysink J, van Haastert IC, Eijsermans MJ, et al.Prediction of gross motor development and independent walking in infants born very preterm using the Test of Infant Motor Performance and the Alberta Infant Motor Scale[J].Early Hum Dev, 2013, 89(9):110-112.
[12] Campbell SK, Levy P, Zawacki L, et al.Population-based age standards for interpreting results on the test of motor infant performance[J].Pediatric Physical Therapy, 2006, 18(2):119-125.
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