目的 探讨Peabody运动发育量表(PDMS-2)结合配套运动训练方案在运动发育迟缓儿童中的早期干预效果,为运动发育迟缓儿童的早期干预提供科学依据。方法 选取2019年6月—2020年6月湖州市妇幼保健院儿童保健科康复中心收治确诊为运动发育迟缓且符合标准的患儿101例,按不同训练方案分为干预组51例和对照组50例,两组均进行常规早期运动干预训练。根据PDMS-2评估结果,干预组患儿在常规早期干预训练下进行相应Peabody配套运动训练,而对照组仅进行常规早期干预训练。训练1个疗程后采用PDMS-2对两组患儿的运动能力进行再次评估,比较两组的运动评估结果。结果 干预前干预组粗大运动商(GMQ)、精细运动商(FMQ)、总体运动商(TMQ)与对照组之间差异无统计学意义(P＞0.05),干预后的评估显示干预组患儿较治疗前GMQ、FMQ、TMQ均显著提高,差异有统计学意义(t=4.00、3.17、3.97,P＜0.01),且干预组GMQ、FMQ、TMQ评分均显著大于对照组(t=2.13、2.04、2.44,P＜0.05)。干预前,两组精细运动或粗大运动偏移率比较,差异无统计学意义(χ2=2.60,P>0.05)。干预组干预前后比较差异有统计学意义(χ2=7.71,P<0.01),对照组干预前后差异无统计学意义(χ2=3.73,P>0.05)。结论 在运动发育迟缓儿童早期干预训练中使用PDMS-2及其配套运动训练方案,能够有效改善运动功能的发育。
Abstract
Objective To study the early intervention effect of Peabody Developmental Motor Scales 2 (PDMS-2) and the motor activities program in children with motor development retardation, so as to provide scientific reference for the early intervention of motor development retardation.Methods From June 2019 to June 2020, a total of 101 children diagnosed with motor development retardation who met the inclusion and exclusion criteria were selected into this study, and were divided into the intervention group (n=51) and control group (n=50) according to different training methods. Both groups received routine early intervention training. Children in the observation group received motor activities program additionally based on the evaluation results of PDMS-2. After a course of treatment, PDMS-2 was used to evaluate the motor function of children in two groups, and the PDMS-2 evaluation results before and after intervention were compared between the two groups.Results Before intervention, there were no significant differences in gross motor quotient (GMQ), fine motor quotient (FMQ) and total motor quotient (TMQ) between the intervention group and control group (P>0.05). GMQ, FMQ and TMQ of the intervention group were significantly improved after intervention(t=4.00, 3.17, 3.97, P＜0.01), which were also significantly higher than those in the control group after intervention (t=2.13, 2.04, 2.44, P<0.05). Before intervention, the proportion of children with fine or gross movement deviation was significantly different between groups (χ2=2.60, P<0.05).Which was significant difference before and after intervention in the intervention group(χ2=7.71,P<0.01), but which was not significantly different before and afterinterventionin the control group(χ2=3.73,P>0.05). Conclusion PDMS-2 and the motor activities program in the early intervention training can effectively improve the development of motor function of children with motor development retardation
关键词
运动发育迟缓 /
运动训练 /
Peabody运动发育量表 /
早期干预 /
儿童
Key words
motor development retardation /
motor activities program /
Peabody Developmental Motor Scales 2 /
early intervention /
children
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参考文献
[1] 励建安.特殊儿童物理治疗[M].南京:南京师范大学出版社,2015:291.
[2] 何慧.儿童发育迟缓的进展研究[J].健康前沿,2016,9:204-205.
[3] 陈彬.儿童精神运动发育迟缓50例临床分析[J].中国实用神经疾病杂志,2011,14(16):51-52.
[4] 陈彩云,王琦.群体康复训练对运动发育迟缓婴幼儿粗大运动功能的影响[J].中国保健营养,2016,26(1):407.
[5] Oberklaid F,Efron D. Developmental delay-identification and management[J]. Aust Fam Physician,2005,34(9):739-742.
[6] 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,2007:1.
[7] Harris SR. Early identification of motor delay:Family-centred screening tool[J]. Can Fam Physician,2016,62(8):629-632.
[8] 刘玉凤.早产儿头颅CT配套干预方案对运动发育预后的影响[J].临床和实验医学杂志,2016,15(10):1025-1027.
[9] 周文萍,余波,陈文华,等.肌内效贴配合运动疗法治疗肌张力低下型脑瘫患儿的临床疗效观察[J].中国康复医学杂志,2014,29(10):938-940.
[10] 李书丽.Bobath康复疗法联合头针滞针法治疗运动发育迟缓患儿的效果观察[J].河南医学研究,2018,27(7):107108.
[11] 曾鹏,于利,钟小萍,等.低频脉冲电刺激疗法在小儿运动发育迟缓治疗中的应用效果分析[J].内科,2017,12(1):88-89.
[12] 周念丽.特殊婴幼儿早期发现和干预的医教结合模式建构[J].教育生物学杂志,2013,1(1):58-61.
[13] 杨珍珍,吴德.早期干预的研究进展[J].安徽医学,2011,32(8):1196-1197.
[14] 王益梅,张惠佳,何金华,等.Peabody运动发育量表-2配套运动训练方案在运动发育落后患儿中的应用[J].中国医师杂志,2013,10(15):1403-1404.
[15] 曾萍芳,李燕娟,张瑞霞.Peabody运动评估方法及配套训练方案在早产儿中的应用[J].齐鲁护理杂志,2017,23(8):105-106.
[16] 王跑球,张惠佳,覃蓉,等.Peabody运动发育量表-2与Gesell发育量表在脑性瘫痪患儿中的平行效度研究[J].中华物理医学与康复杂志,2009,31(7):452-455.
[17] Barbara HC, McClune NO, RobertaG. Concurrent validity of the Bayley-Ⅲ and the Peabody Developmental Motor Scale-2[J]. Pediatric Physical Therapy,2012,24(4):345-352.
[18] Gill K, Osiovich A, Synnes A, et al. Concurrent validity of the Bayley-Ⅲ and the Peabody Developmental Motor Scales-2 at 18 months[J]. Physical & Occupational Therapy In Pediatrics, 2019,39(5):514-524.
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