《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (08): 452-454.

• 脑神经康复 • 上一篇    下一篇

Peabody精细运动发育量表在脑病患儿中的应用

王素娟; 李惠; 张建萍; 杨红   

  1. 复旦大学附属儿科医院康复中心 上海市 200032
  • 收稿日期:2003-06-18 出版日期:2003-08-25 发布日期:2003-08-25

Evaluation of the fine motor functions by PDMS-FM in children with encephalopathy

WANG Su-juan, LI Hui, ZHANG Jian-ping,et al   

  1. Rehabilitation Center of Children’s Hospital, Fudan University, Shanghai 200032, China
  • Received:2003-06-18 Published:2003-08-25 Online:2003-08-25

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摘要： 目的了解作业治疗前后脑性瘫痪(CP)和精神发育迟滞(MR)患儿的精细运动功能变化,判断Peabody精细运动发育量表(PDMS-FM)在脑病患儿中的应用价值。方法选取本院康复中心CP患儿22例和MR患儿28例,观察作业治疗前后的精细运动功能变化,用PDMS-FM测试。结果经作业治疗后,临床观察患儿的精细运动功能都有明显改善;PDMS-FM测试分析结果为:CP和MR患儿作业治疗前的精细运动功能无显著性差异(P>0.05);MR患儿的精细运动功能在治疗后有显著改善(P<0.001),CP患儿的精细运动功能虽有提高,但与治疗前无显著性差异(P>0.05)。结论Peabody精细运动发育量表可以用来评定脑病患儿的精细运动功能,尤其适用于MR患儿;但此法对于CP患儿在较短时间内的精细运动功能细微变化,还有局限之处,需要进一步改良以满足临床工作的需要。

关键词: Peabody精细运动发育量表, 脑性瘫痪, 精神发育迟滞

Abstract: ObjectiveTo investigat e the improvement of fine motor functions after occupational therapy in children w ith cerebral palsy (CP) and mental retardation (MR), and also using the value of Peabody developmental motor scale-fine motor (PDMS-FM) to evaluate their fine motor functions.MethodsAll children have received occupational therapy (OT) for three months. Their fine motor functions before an d after OT were observed and evaluated using PDMS-FM by the therapist.ResultsAll children have their fine motor functions obvious ly improved after OT. Results of PDMS-FM test indicated that fine motor functio ns between CP and MR group were comparable before and after OT, the MR group hav e their fine motor functions significantly improved after OT (P<0.001 ),although the CP group also have their fine motor functions impr oved after OT, there wasn't significant difference (P>0.05).Conclusions Fine motor functions of CP and MR children could be improved after OT. PDMS-FM was suitable to evaluate fine mot or function changes, especially in children with MR.

Key words: Peabody developmental motor sca le-fine motor (PDMS-FM), cerebral palsy, mental retardation