目的 探究不同出生情况的患儿在不同月龄段使用Peabody运动发育量表第二版(PDMS-2)与Gesell发育量表对运动功能评估结果的相关性。方法 选取2016年2月-2020年7月在成都市妇女儿童中心医院康复科同时使用PDMS-2与Gesell量表进行评估的不同出生情况且月龄(纠正月龄)为3~12个月的患儿共900例(男性490例、女性410例),横纵向对比分析两种量表对不同出生情况的患儿在粗大运动和精细运动评估结果的相关性。结果 极低出生体重早产儿组(ELBWI)、低出生体重早产儿组(LBWI)和足月儿组PDMS-2与Gesell量表的粗大运动以及精细运动评估结果均呈正相关(r=0.386~0.530,P＜0.001)。随着月龄的增加,相关性逐渐增加,12月龄时相关性最高(ELBWI: r=0.641、0.601;LBWI:r=0.678、0.647;足月儿组:r=0.896、0.749)。 足月儿PDMS-2与Gesell量表的粗大运动以及精细运动评估结果的相关性(r=0.530、0.483)高于LBWI(r=0.496、0.459)和ELBWI(r=0.449、0.386)。结论 对患儿进行运动功能评估时,应根据患儿的出生情况以及不同月龄段对评估量表的敏感性来选择量表,使评估结果更加科学准确。
Abstract
Objective To analyze the correlation of the motor development assessment between Peabody Motor Development Scale-2(PDMS-2) and Gesell Development Scale(GDS) in children with different birth conditions and different gestational ages. Methods A total of 900 infants, who were 3 to 12 months old and in the rehabilitation department of Chengdu Women′s and Children′s Central Hospital, were enrolled in this study and were assessed by PDMS-2 and GDS. The assessment results between PDMS-2 and GDS were described and their correlation was analyzed. Results The gross and fine motor assessment results between PDMS-2 and GDS were positively correlated among extremely low birth weight infants, low birth weight infants and full-term infants(r=0.386-0.530,P＜0.001).With the increasing of age, the correlation became stronger, and it was highest at the age of 12 months old(ELBWI: r=0.641, 0.601; LBWI: r=0.678, 0.647; full-term infants: r=0.896, 0.749).The correlation between PDMS-2 and GDS in terms of gross motor assessment and fine motor assessment of full-term infants(r=0.530, 0.483) were higher than those in LBWI(r=0.496, 0.459) and ELBWI(r=0.449, 0.386). Conclusions Children′s motor function should be assessed according to their birth condition and age, as well as the sensitivity of the assessment scale, so that the assessment results will be more scientific and accurate.
关键词
Peabody运动发育量表 /
Gesell发育量表 /
早产儿 /
粗大运动 /
精细运动
Key words
Peabody Developmental Motor Scale /
Gesell Developmental Scale /
premature babies /
gross motor /
fine motor
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