痉挛型脑性瘫痪儿童视觉运动整合障碍的特征研究  

Characteristics of visual motor integration ability in children with spastic cerebral palsy

作　　者：姬卫华 高宏华 王娟 宝竹仙 唐欣 JI Weihua;GAO Honghua;WANG Juan(Yunnan Province Rehabilitation Center for the Disabled,Kunming,Yunnan,650024)

机构地区：[1]云南省残疾人康复中心,云南省昆明市650024 [2]昆明医科大学康复学院

出　　处：《中国康复医学杂志》2023年第8期1073-1078,共6页Chinese Journal of Rehabilitation Medicine

基　　金：国家重点研发计划项目(2018YFC2001604)。

摘　　要：目的:视觉运动整合能力是儿童功能发育的重要指标之一。本研究对痉挛型脑瘫(spastic cerebral palsy,SCP)儿童的视觉运动整合(visual motor integration,VMI)能力进行调查,并分析与视知觉(visual perception,VP)、运动协调性(motor coordination,MC)的相关性,为康复治疗提供参考。方法:选取在云南省残疾人康复中心就诊的36例SCP儿童纳入研究,由2名治疗师分别对儿童进行Berry VMI测试(共有3个分测验),将原始分均值转换成标准分后与常模进行对比,选取3个分测验的标准分以分析SCP儿童发育水平,并对比性别和年龄组的差异,最后分析3个分测验标准分间的相关性。结果:与常模相比,SCP儿童3个分测验的标准分均显著落后,差异具有显著性意义(P<0.001)。SCP中男童与女童的3个分测验的标准分差异无显著性意义。与学龄前期SCP儿童相比,学龄期患儿视觉运动整合和运动协调性分测验的原始分显著增加,视知觉差异无显著性意义。学龄期SCP儿童3个分测验的标准分与学龄前期相比是显著下降的(P<0.05)。VMI与MC和VP的相关性均显示强正相关(r_(s)=0.749,r=0.768)。结论:SCP儿童的视觉运动整合能力与常模对照相比是显著落后的,但仍然随着年龄的增长而增强,VMI与视知觉和运动协调性都具有相关性。Objective:The ability of visual motor integration(VMI)is one of the important indicators of children development.The aim of our research is to investigate the VMI in children with spastic cerebral palsy(SCP)and the relationship with visual perception(VP)amd motor coordination(MC).Method:Thirty-six children with SCP were recruited from Yunnan rehabilitation center where they received rehabilitation treatment.The Berry VMI which includes 3 subtests were performed by two experienced therapists.The raw scores were converted into the standard scores,which were used to compare children with SCP to those without SCP.Then the children were divided into two groups based on gender and age,and the differences in three subtests were compared.The relationship between VMI,MC and VP also be investigated.Result:The average score of the three SCP subtests was significantly lower than the published norm criteria(P<0.001).There were no significant differences in each standard scores of the three subtests between boys and girls.The raw scores of VMI and MC in school-age children were significantly higher than those in preschool children.However,there was no difference in VP raw scores between the two groups.Standard scores on three subtests were significantly lower in school-age children than in preschool children(P<0.05).Both VMI and MC,and VMI and VP had highly significant positive correlations(r_(s)=0.749 and r=0.768,respectively).Conclusion:The VMI ability of children with SCP is significantly lower when compared with the published norm criterion.However,the raw scores showed increase with the age.The VMI was found to be significantly related to the VP and MC.

关 键 词：脑性瘫痪 视觉运动整合 视知觉 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R722[医药卫生—临床医学]