两种评估量表对脑性瘫痪儿童粗大运动功能评定的相关性研究  

Research on the relevance of two gross motor measure scales in children with cerebral palsy

作　　者：孙垚 朱欢 朱敏[1] 张跃[1] SUN Yao,ZHU Huan,ZHU Min,ZHANG Yue(Department of Rehabilitation,Nanjing Children’s Hospital Affiliated to Nanjing Medical University, Nanjing 210008, Chin)

机构地区：[1]南京医科大学附属南京儿童医院康复科,江苏南京210008

出　　处：《东南大学学报（医学版）》2018年第3期436-440,共5页Journal of Southeast University(Medical Science Edition)

基　　金：国家自然科学基金青年基金资助项目(81401864)

摘　　要：目的:比较两种粗大运动评估量表在脑性瘫痪儿童评估中的相关性和差异。方法:用粗大运动功能测试量表-88(GMFM-88)和Peabody-2粗大运动发育量表(PDMS-2)两种评估量表分别对65例3~59月龄的脑性瘫痪儿童粗大运动功能水平在入院时和综合康复治疗一疗程后进行评估。对综合康复治疗前后两种量表原始分及两者分值的变化进行相关性分析。结果:患儿综合康复治疗前后两种量表评估原始分之间呈现显著相关性(r=0.976、r=0.975,P<0.001);治疗后分值差异也呈现显著相关性(r=0.805,P<0.01),而GMFM-88分值变化高于PDMS-2(P<0.05)。结论:GMFM-88及PDMS-2在康复评估中呈高度相关性,均能精确地反映治疗前后粗大运动功能的变化,交换使用被认为是可靠的。但在粗大运动功能的康复评估中GMFM-88分值改变较大,提示可能具有更高的敏感性。Objective： To compare the difference and relevance of two gross motor measure scales in children with cerebral palsy. Methods： Sixty-five children with cerebral palsy aged 3-59 months old were involved in this research. Their gross motor functions were evaluated by gross motor function measure-88（GMFM-88） and Peabody developmental motor scales-2（PDMS-2） when they were hospitalized. The gross motor functions were re-evaluated by the two gross motor measure scales after they received a course of comprehensive rehabilitation therapy. Total raw scores of the two gross motor measure scales were analyzed. The correlation coefficient between the two scales was calculated. Results： There were significant relevance between GMFM-88 and PDMS-2. The correlation coefficient was 0. 976 when they were hospitalized. The correlation coefficient was 0. 975 after they received a course of comprehensive rehabilitation therapy. The difference of the raw scores was also correlated significantly（r = 0. 805,P 〈0. 01）. The raw scores of GMFM-88 increased more than those of PDMS-2 with statistical significance（P 〈 0. 05）after they finished a course of comprehensive rehabilitation therapy. Conclusion： There are significant correlations between GMFM-88 and PDMS-2. The gross motor function of children with cerebral palsy can be evaluated accurately with the two scales,which can be alternatively and reliably conducted. We deduce that GMFM-88 is more sensitive than PDMS-2 because the changes of GMFM-88 raw scores are more significantly than those of PDMS-2.

关 键 词：脑性瘫痪 粗大运动功能 粗大运动功能测试量表-88 Peabody-2粗大运动发育量表 相关性 

分 类 号：R722.19[医药卫生—儿科]