目的 通过使用婴儿运动表现测试(TIMP)对昆明地区168名婴儿进行测试,并与美国常模数据进行比较,分析影响得分的相关因素及临床应用价值,为TIMP的本土化提供一定的参考依据。 方法 对昆明地区168例足月儿及矫正胎龄 34~57+6 周早产儿进行TIMP测试,并记录原始得分及婴儿一般情况。 结果 1)随着婴儿胎龄的增加,TIMP测试得分逐渐升高,且各组测试得分均明显低于同周龄组美国常模标准,差异有统计学意义(t＝-3.763、-4.181、-3.554、-3.423、-2.489、-3.463、-4.579、-2.612、-2.359、-3.249、-3.038、-4.248,P<0.05);2)足月儿的TIMP得分高于早产儿(t=2.615,P<0.05);出生体重≥2 500 g婴儿的TIMP得分高于出生体重在1 500~<2 500 g之间的婴儿(t=-2.593,P<0.05);测试时矫正年龄在<40周、40~44周、45~48周、49~52周、≥53周的各组婴儿间TIMP得分比较,差异有统计学意义(F=168.226,P<0.001)。3)出生时胎龄(足月或早产儿),以及进行TIMP测试时的矫正胎龄分组是TIMP得分的影响因素(β=0.164、0.743,P<0.05)。 结论 TIMP评估得分能反映不同矫正胎龄婴儿的运动表现能力,各组测试得分均明显低于同周龄组美国常模标准,因此需要建立中国常模提供本土化数据参考;并对早产儿及低出生体重儿给予早期评估和干预。
Abstract
Objective To assess the motor development of 168 infants in Kunming by using Test of Infant Motor Performance(TIMP), and to compare the original score of TIMP in this study with the constant modulus data in the United States, so as to provide certain reference for the localization of TIMP. Methods TIMP was performed in 168 full-term infants and premature infants with corrected gestational age of 34 - 57+6 weeks in Kunming, the original scores and general conditions of infants were recorded. Results 1)With the increase of fetal age, TIMP scores increased gradually, and the scores in each group were significantly lower than the American normal standard for the same age group (t＝-3.763,-4.181,-3.554,-3.423,-2.489,-3.463,-4.579,-2.612,-2.359,-3.249,-3.038,-4.248,P<0.05). 2) The TIMP score of full-term infants was higher than that of premature infants (t=-2.615, P＜0.05). TIMP score of infants with birth weight ≥2 500 g was higher than that of infants with birth weight between 1 500 and 2 499 g (t=-2.593, P＜0.05).There were significant differences in TIMP scores among infants with corrected ages <40 weeks, 40 - 44 weeks, 45 - 48 weeks, 49 - 52 weeks, and ≥53 weeks (F=168.226, P<0.001). 3) Gestational age at birth (full-term or premature) and the corrected gestational age at TIMP test were influential factors for TIMP score (t=2.550, 11.539,P<0.05). Conclusions TIMP assessment scores can reflect the athletic performance of infants at different corrected gestational ages. However, test scores of each group are significantly lower than the American normal standard of the same age group. Therefore, it is necessary to establish Chinese norm for providing local data reference, and to provide early assessment and intervention for preterm infants and low birth weight infants.
关键词
婴儿运动表现测试 /
运动发育 /
高危儿
Key words
test of infant motor performance /
motor development /
high risk infant
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Cheong JL,Doyle LW,Burnett AC,et al.Association between moderate and late preterm birth and neurodevelopment and social-emotional development at age 2 years[J]. JAMA Pediatr,2017,171(4):e164805.
[2] 王桃,吴文坚,余冰,等. 新生儿神经行为测定对评估早产儿脑损伤的应用价值分析[J].临床合理用药杂志,2013,6(19):128-129.
[3] Spittle A,Orton J,Anderson PJ,et al. Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants[J/OL]. Cochrane Database Syst Rev,2015.doi: https://doi.org/10.1002/14651858.CD005495.pub4.
[4] Campbell SK. The Test of Infant Motor Performance[M]. Test User's Manual Version 3.0. Chicago: Infant Motor Performance Scales, LLC, 2012.
[5] 马雪玲,张倩男,华子瑜,等. 婴儿运动能力检查对早产儿运动发育异常的早期诊断价值文献回顾[J]. 中国实用儿科杂志,2019,34(2):126-131.
[6] Campbell SK, Levy P,Zawacki L, et al. Population-based age standards for interpreting results on the test of motor infantperformance[J]. Pediatr Phys Ther, 2006, 18(2): 119-125.
[7] Peyton C,Yang E,Kocherginsky M,et al. Relationship between white matter pathology and performance on the General Movement Assessment and the Test of Infant Motor Performance in very preterm infants[J]. Early Hum Dev,2016,95:23-27.
[8] 贺莉,邵冬冬,杜慧莹,等. 婴儿运动能力测试对早产儿纠正胎龄及12~13 周运动能力的评估作用 [J]. 中国儿童保健杂志, 2014, 22(3): 252-254.
[9] 王成举,赵树琳,申量,等.642例矫正胎龄38～58周婴儿运动表现测试结果的分析[J].中国当代儿科杂志,2017,19(12):1252-1256.
[10] 政晓果,辛倩倩,杨慧敏,等. 3岁以下儿童精细动作发育情况的影响因素分析[J].中国妇幼保健,2018,33(23):5562-5564.
[11] 黄旭丽,熊淑英,陈水莲,等.足月小样儿神经发育状况及气质类型特点分析[J].中国妇幼健康研究,2020,31(11):1445-1449.
[12] 陈鸣,杨红,侯方华,等.全身运动评估对极低出生体重早产儿运动发育结局的预测价值[J].中国儿童保健杂志,2012,20(12):1067-1069.
[13] Mello B,Gaqliardo H,Goncalves V.Neurodevelopment of small-for-gestational age infants:behavioral aspects in first year[J].Arq Neuropsiquiatr,2014,72(7):517-523.
[14] Kim SA, Lee YJ, 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,2011,35:860-866.
[15] 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.
PDF(591 KB)
