目标-活动-丰富运动疗法对全面性发育迟缓患儿运动及日常生活能力的效果  

Effect of goals-activity-motor enrichment intervention on motor function and ability of daily living of children with global developmental delay

作　　者：贾玉凤 李阳 张双[1] 高淑芝[1] 高静云[1] 李爽 JIA Yufeng;LI Yang;ZHANG Shuang;GAO Shuzhi;GAO Jingyun;LI Shuang(Department of Child Rehabilitation,Tangshan Maternal and Child Health Care Hospital,Hebei Province,Tangshan063000,China)

机构地区：[1]河北省唐山市妇幼保健院儿童康复科,河北唐山063000

出　　处：《中国医药导报》2022年第36期105-108,共4页China Medical Herald

基　　金：河北省医学科学研究课题(20221764)。

摘　　要：目的探讨目标-活动-丰富运动(GAME)疗法对全面性发育迟缓患儿运动及日常生活能力的效果。方法选择2021年1月至4月河北省唐山市妇幼保健院儿童康复科收治的全面性发育迟缓患儿82例,采用随机数字表法将其分为GAME组(41例,常规康复治疗联合GAME疗法)和对照组(41例,常规康复治疗)。治疗时间为16周。比较两组治疗前后粗大运动发育商(GMQ)、精细运动发育商(FMQ)、总运动发育商(TMQ)及儿童日常生活活动能力评估量表(ADL)得分。结果研究过程中两组各有1例中途退出,最终对照组纳入40例,GAME组纳入40例。治疗后,两组GMQ、FMQ、TMQ、ADL评分高于治疗前,且GAME组高于对照组,差异有统计学意义(P<0.05)。结论GAME疗法对全面性发育迟缓患儿的运动能力有促进作用,有利于患儿日常生活能力的改善,值得在临床推广应用。Objective To investigate the effect of goals-activity-motor enrichment(GAME)intervention on motor function and activity of daily living of children with global developmental delay.Methods A total of 82 children with global developmental delay admitted to the Department of Children Rehabilitation,Tangshan Maternal and Child Health Hospital of Hebei Province from January to April 2021 were selected.They were divided into GAME group(41 cases,the routine rehabilitation therapy combined with GAME intervention)and control group(41 cases,the routine rehabilitation therapy)by random number table method.The treatment lasted for 16 weeks.Gross motor development quotient(GMQ),fine motor development quotient(FMQ),total motor development quotient(TMQ)and children’s activity of daily living scale(ADL)scores were compared between the two groups before and after treatment.Results During the study,one case dropped out of each group,40 cases were included in control group and 40 cases were included in GAME group.After treatment,the scores of GMQ,FMQ,TMQ,and ADL of two groups were higher than those before treatment,and those of GAME group were higher than those of control group,and the differences were statistically significant(P<0.05).Conclusion GAME intervention can promote the motor ability of children with global developmental delay and improve their activit y of daily living,which is worthy of clinical application.

关 键 词：全面性发育迟缓 目标-活动-丰富运动 运动功能 日常生活能力 

分 类 号：R742.3[医药卫生—神经病学与精神病学]