《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (11): 1060-1061.

• 论文 • 上一篇    下一篇

运动障碍儿童Gesell 发育量表评估情况分析

李玲，焦云，黄翠   

  1. 海南省人民医院儿童康复科，海南海口市570102。
  • 收稿日期:2012-07-18 修回日期:2012-08-24 出版日期:2012-11-25 发布日期:2012-11-25

Characteristics of Gesell Developmental Schedules in Children with Movement Disorders

LI Ling, JIAO Yun, HUANG Cui.   

  1. Department of Rehabilitation for Children, Hainan Provincial People's Hospital, Haikou 570102, Hainan, China
  • Received:2012-07-18 Revised:2012-08-24 Published:2012-11-25 Online:2012-11-25

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摘要： 目的了解运动障碍儿童的智力低下发生率和智力结构特点。方法对157 例运动障碍儿童(脑瘫103 例，精神发育迟滞54 例)采用Gesell 发育量表进行评估，发育商<75 为智力低下。结果脑瘫患儿智力低下发生率92.2%，其中痉挛型为91.2%，不随意型、混合型和肌张力低下型均为100%。痉挛型脑瘫患儿大运动发育落后于精神发育迟滞患儿，不随意型脑瘫患儿大运动和精细运动发育均落后于精神发育迟滞患儿。结论运动障碍儿童，特别是不随意型脑瘫患儿的智力评估和康复值得注意。Gesell 发育量表用于运动障碍儿童有其局限性。

关键词: 运动障碍, 发育商, 智力低下, 脑性瘫痪, 儿童, Gesell 发育量表

Abstract: Objective To investigate the incidence and structure of mental disability in children with movement disorders. Methods 157 children with movement disorders (103 with cerebral palsy and 54 with mental retardation) were assessed with Gesell developmental schedules,and mental disability was identified as development quotient (DQ)<75. Results The incidence of intelligence disability was 92.2% in children with cerebral palsy, including 91.2% in spastic type, and 100% in dyskinetic, mixed or dystonic type. The development of gross motor was retarded in children with spastic cerebral palsy, and gross and fine motor in children with dyskinetic cerebral palsy, compared with those with mental retardation. Conclusion It is important to focus the mental development in children with movement disorders, especially the dyskinetic cerebral palsy. Gesell developmental schedules should be used carefully to assess the mental development in children with movement disorder.

Key words: movement disorder, development quotient, mental disability, cerebral palsy, children, Gesell developmental schedules