目的 分析Alberta婴儿运动量表(AlMS)用于指导早产儿超早期家庭干预对早产儿运动技能发展的价值。方法 以2018年1月-2020年8月在唐山市妇幼保健院儿童康复科门诊就诊的纠正月龄1个月以内的早产儿70例为研究对象,随机分为干预组(n=34)和对照组(n=36),并进行全身运动(GMs)评估和AIMS评估确定基线。对照组行常规家庭护理指导;干预组在接受常规家庭护理指导的基础上,由专业康复治疗师基于AIMS评估指导家长的家庭干预训练;干预时间为3个月。两组早产儿在纠正4月龄时行GMs评估和AlMS评估,比较两组早产儿运动技能发育情况。结果 两组早产儿干预后AlMS评估各体位评分及总分均较干预前提高,差异均有统计学意义(P<0.001);干预后,干预组早产儿AlMS评估俯卧位、仰卧位评分及总分显著高于对照组(t=8.174、3.936、5.619,P<0.001)。结论 基于AIMS评估指导的家庭干预对早产儿运动技能发育有一定的促进作用。
Abstract
Objective To explore the effect of the Alberta Infant Motor Scale (AlMS) guiding of ultra-early family intervention on the motor skill development of premature infants. Methods A total of 70 preterm infants with corrected age of less than 1 month were enrolled in this study, and were randomly divided into the intervention group (n=34) and the control group (n=36) from January 2018 to August 2020.The baseline was determined by General Motor Scale (GMS) and AIMS assessment.The control group received routine home nursing instruction.While, parents of preterm infants in the intervention group were instructed by professional rehabilitation therapists to give individualized family intervention training guided by AIMS assessment additionally.Both groups were intervened for 3 months.GMs assessment and AIMS assessment were performed at the corrected age of 4 months in order to compare the motor skill development between the intervention group and control group. Results After intervention, each position score and total score in AIMS assessment was significantly improved in both intervention group and control group (P<0.05).But the scores of prone and supine position and total scores in the intervention group were significantly higher than those in the control group (t=8.174, 3.936, 5.619, P<0.001). Conclusion The individualized family intervention guided by AIMS can promote motor skill development of premature infants.
关键词
Alberta婴儿运动量表 /
康复 /
运动技能 /
早产儿
Key words
Alberta Infant Motor Scale /
rehabilitation /
motor skill /
premature infants
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 李杨,王海娜,岳佳.早产儿神经心理发育及干预研究进展[J].中国儿童保健杂志,2019,27(8):851-853,860.
[2] Soleimani F, Vameghi R, Biglarian A, et al.Prevalence of motor developmental disorders in children in alborz province, iran in 2010[J].Iran Red Crescent Med J,2014,16(12):e16711.
[3] Wang Y, Shi JP, Li YH, et al.AIMS baby movement scale application in high-risk infants early intervention analysis[J].Eur Rev Med Pharmacol Sci, 2016,20(16):3447-3451.
[4] 王翠,黄真.Alberta婴儿运动量表[J].中国康复医学杂志,2009,24(9): 858-861.
[5] Oberg GK, Campbell SK, Girolami GL, et al.Study protocol:an early intervention program to improve motor outcome in preterm infants:a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences[J].BMC Pediatrics,2012,12(2):15-24.
[6] Martha CP,Darrah J.发育中婴儿的运动评估-Alberta婴儿运动量表[M].黄真,李明,译.北京:北京大学医学出版社,2009:39-161.
[7] 高淑芝,董琰,王丽娟,等.全身运动质量评估和0～1岁神经运动20项检查预测高危儿运动发育情况的一致性比较[J].中华物理医学与康复杂志,2020,42(6):550-551.
[8] 王翠,李一芳,黄真,等.Alberta婴儿运动量表与Peabody粗大运动发育量表在高危儿中的预测能力研究[J].中国康复医学杂志,2019,34(3):293-296.
[9] 王慧,李海峰,王江平,等.Alberta婴儿运动量表在脑损伤高危儿康复随访中的应用[J].中华物理医学与康复杂志,2018,40(2):115-117.
[10] 王翠,李一芳,黄真,等.Alberta婴儿运动量表的效度研究[J].中国康复医学杂志,2018,33(1):55-58.
[11] 胡恕香,黄蓉,彭桂兰,等.Alberta婴儿运动量表在高危儿早期干预中的应用分析[J].中国康复医学杂志,2015,30(2):157-159,170.
[12] De Kegel A, Peersman W, Onderbeke K, et al.New reference values must be established for the Alberta Infant Motor Scales for accurate identification of infants at risk for motor developmental delay in Flanders[J].Child Care Health Dev,2013,39(2):260-267.
[13] Bracewell M, Marlow N.Patterns of motor disability in very preterm children[J].Ment Retard Dev Disabil Res Rev,2002,8(4):241-248.
[14] Valentini NC, Pereira KRG, Chiquetti EMDS, et al.Motor trajectories of preterm and full-term infants in the first year of life[J].Pediatr Int,2019,61(10):967-977.
[15] Koldewijn K, van Wassenaer A, Wolf MJ, et al.A neurobehavioral intervention and assessment program in very low birth weight infants:outcome at 24 months[J].J Pediatr,2010,156(3):359-365.
[16] 张国华,袁柳芬,黄巧莲,等.早产儿轻度运动发育迟缓的评定与干预模式研究[J].中国儿童保健杂志,2020,12:1374-1377.
基金
河北省2018年度医学科学研究重点课题计划 (20181349)
PDF(881 KB)
