顶上通过项目记分对Peabody运动发育量表评估结果的影响  

Impact of passing items above the ceiling on the assessment results of Peabody developmental motor scales

作　　者：赵改[1] 边旸[1] 李明[1] 

机构地区：[1]北京大学第一医院儿科,北京100034

出　　处：《北京大学学报（医学版）》2013年第6期928-932,共5页Journal of Peking University:Health Sciences

摘　　要：目的：在临床应用《Peabody运动发育量表（第二版）》（Peabody developmental motor scales，PDMS-2）评估中可能出现顶上通过项目，通过分析顶上通过项目出现的情况，比较顶上项目记分与否对评估结果的影响，为临床上选择合理的记分方法提供依据。方法：回顾分析124例1.2~71.0个月的儿童PDMS-2结果，分析顶上通过项目出现的情况，比较顶上项目计分与否对原始分总分和标准分以及发育商的影响。结果：姿势能区中出现顶上通过项目者1例，占0.8%；移动能区有19例，占15.3%；视觉运动整合能区有17例，占13.7%。顶上通过项目记分使得原始分总分增加值范围为1~12分，标准分的增加值为0~1分，发育商的增加值范围为0~3分。仅有两例儿童的发育商等级提升一个级别。两独立样本t检验显示，两种方法所得出的原始分、标准分、发育商之间差异均没有统计学意义。结论：顶上通过项目主要出现在移动和视觉运动整合能区中，顶上通过项目记入原始分不会造成标准分及发育商的显著改变，并且可以精确记录儿童的能力及敏感反映干预治疗的结果，也不会显著影响对儿童发育水平的判断。To analyze the impact of passing items above the roof level in the gross motor subtest of Peabody development motor scales （PDMS-2） on its assessment results. Methods： In the subtests of PDMS-2, 124 children from 1.2 to 71 months were administered. Except for the original scoring method, a new scoring method which includes passing items above the ceiling were developed. The standard scores and quotients of the two scoring methods were compared using the independentsamples t test.Results： Only one child could pass the items above the ceiling in the stationary subtest, 19 children in the locomotion subtest, and 17 children in the visualmotor integration subtest. When the scores of these passing items were included in the raw scores, the total raw scores got the added points of 1-12, the standard scores added 0-1 points and the motor quotients added 0-3 points. The diagnostic classification was changed only in two children. There was no significant difference between those two methods about motor quotients or standard scores in the specific subtest （P〉0.05）. Conclusion： The passing items above a ceiling of PDMS-2 isn’t a rare situation. It usually takes place in the locomotion subtest and visual-motor integration subtest. Including these passing items into the scoring system will not make significant difference in the standard scores of the subtests or the developmental motor quotients （DMQ）, which supports the original setting of a ceiling established by upassing 3 items in a row. However, putting the passing items above the ceiling into the raw score will improve tracking of children’s developmental trajectory and intervention effects.

关 键 词：儿童发育 运动活动 早期干预 

分 类 号：R339.31[医药卫生—人体生理学]