《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (11): 1055-1056.

• 临床研究 • 上一篇    下一篇

脑性瘫痪儿童智商水平与粗大运动分级关系初探

李珩1; 李峰1; 马若飞2; 蓝靖雯1   

  1. 1.北京中医药大学中医诊断系,北京市 100029;2.北京尔康医院 100094
  • 收稿日期:2008-09-07 出版日期:2008-11-01 发布日期:2008-11-01

Correlation between Intelligence and Gross Motor Function for Children with Cerebral Palsy

LI Heng, LIFeng, MARuo-fei, et al.   

  1. Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2008-09-07 Published:2008-11-01 Online:2008-11-01

PDF (PC)

被引次数

33

摘要： 目的对粗大运动功能(GMF)分级与智商水平的相关性进行探讨。方法使用GMF量表、韦氏儿童智力量表和韦氏学龄前儿童智力量表对90例患儿进行评定,并进行统计学分析。结果手足徐动型患儿的总智商(IQ),语言智商(VIQ)在正常范围内,但与正常儿童平均水平相比仍偏低(P<0.05),VIQ与操作性智商(PIQ)无显著性分离(P>0.05);痉挛型患儿及总体受试患儿的平均IQ、VIQ和PIQ低于正常范围(P<0.05),VIQ与PIQ分离(P<0.05);痉挛型患儿的智商与GMF存在线性相关关系,手足徐动型患儿智商与GMF间无明显相关关系。结论不同类型脑性瘫痪儿童的智商水平与智力结构存在差异,智商值与粗大运动功能的相关性也存在差异。

关键词: 脑性瘫痪, 智力, 粗大运动功能, 痉挛, 手足徐动

Abstract: Objective To study the correlation between intelligence and gross motor function for children with cerebral palsy. Methods 90 children with cerebral palsy (CP) were assessed with Gross Motor Function Classification System (GMFCS), Wechsler preschool and primary scale of intelligence (WPPSI), Wechsler intelligence scale for children (WISC-R) and analyzed statistically. Results The intelligence quotient (IQ) and verbal intelligence quotient (VIQ) of the children with athetotic cerebral palsy were normal, but lower than the average level of normal children(P<0.05). The IQ, VIQ and performance intelligence quotient (PIQ) of the children with spastic cerebral palsy were below the normal (P<0.05), the difference between VIQ and PIQ was significant (P<0.05). For children with spastic cerebral palsy, there was linear correlation between intelligence and the class of GMFCS, and for children with athetotic cerebral palsy there was no linear correlation. Conclusion There were differences of intelligence level and intelligence structure in different types of cerebral palsy, the correlation between intelligence and the class of GMFCS were also different in different types of cerebral palsy.

Key words: cerebral palsy, intelligence, gross motor function, spasm, athetosis