学龄前痉挛型脑瘫儿童视觉运动整合特征及相关因素研究  

Visual motor integration characteristics and association factors in preschool children with spastic cerebral palsy

作　　者：唐欣 刘垚 姬卫华 朱晓娥 敖丽娟 TANG Xin;LIU Yao;JI Weihua;ZHU Xiao'e;AO Lijuan(Physiotherapy Department of School of Rehabilitation,Kunming Medical University,Kunming,Yunnan 650500,China;Department of Rehabilitation,Yunnan Centre for Disability Rehabilitation;Affiliated Kindergarten of Kunming Medical University)

机构地区：[1]昆明医科大学康复学院,云南昆明650500 [2]云南省残疾人康复中心儿童康复科 [3]昆明医科大学幼儿园

出　　处：《中国儿童保健杂志》2025年第3期277-281,共5页Chinese Journal of Child Health Care

基　　金：昆明医科大学2023年研究生创新基金(2023B006);云南省科技厅-昆明医科大学基础研究联合专项面上项目(202401AY070001-204)。

摘　　要：目的 对学龄前痉挛型脑瘫(SCP)儿童的视觉运动整合(VMI)能力进行评估并分析其相关因素,为SCP患儿的早期干预提供参考。方法 选取2022年12月—2023年6月在云南省残疾人康复中心就诊的51例SCP患儿和同期就读于昆明医科大学幼儿园的74例正常儿童纳入研究。所有儿童均完成Beery-Buktenica视觉运动整合发育测试(Beery VMI)、视知觉(VP)测试及运动协调性(MC)测试,通过调查问卷收集人口学特征数据,分析SCP儿童VMI的相关性因素。结果 正常儿童不同年龄组间Beery VMI、VP及MC测试结果,差异有统计学意义(F=65.458、23.526、45.270,P<0.001),SCP儿童不同年龄组间比较,差异无统计学意义(P>0.05)。与正常儿童相比,除3~岁年龄组外,其他年龄组SCP儿童VMI原始分均落后于正常儿童,差异有统计学意义(t=3.033、4.933、6.014,P<0.05)。SCP儿童VMI与粗大运动功能分级呈负相关(r_(s)=-0.376,P=0.007),与VP和MC均呈强正相关(r=0.618,r_(s)=0.743,P<0.001)。结论 学龄前SCP儿童的VMI、VP和MC能力显著落后于正常儿童,提示这三个功能是其常见障碍,可考虑纳入常规评估流程。学龄前SCP儿童的VMI与粗大运动功能分级、VP和MC具有相关性,为改善VMI的康复治疗提供了参考信息。Objective To assess the visual motor integration(VMI)in preschool children with spastic cerebral palsy(SCP),and to analyze the associated factors,so as to provide reference for the early intervention of SCP.Methods A total of 51 children with SCP who received treatment at the Yunnan Rehabilitation Center from December 2022 to June 2023 and 74 typically developed children attending the Kunming Medical University Kindergarten during the same period were included in the study.All children completed the Beery-Buktenica Developmental Test of VMI(Beery VMI),visual perception(VP)test,and motor coordination(MC)test.Demographic characteristics were collected through a survey questionnaire,and the factors related to VMI in children with SCP were analyzed.Results There were significant differences in Beery VMI,VP,and MC tests scores in typically developed children among different age groups(F=65.458,23.526,45.270,P<0.001),there were no significant differences in children with SCP among different age groups(P>0.05).Compared to typically developed children,except for the 3-year-old age group,the raw scores of VMI in SCP children in other age groups were significantly lower than those of typically developed children(t=3.033,4.933,6.014,P<0.05).VMI score in children with SCP was negatively related to Gross Motor Function Classification System(GMFCS)score(r_(s)=-0.736,P=0.007),and showed strongly positive correlations with VP and MC(r=0.618,r_(s)=0.743,P<0.001).Conclusions The VMI,VM,MC of preschool children with SCP are significantly behind those of normal children,suggesting that these three functions are common disabilities and could be considered for inclusion in routine assessment procedures.The VMI of preschool children with SCP is correlated with GMFCS,VP,and MC,providing reference for improving VMI in rehabilitation treatment.

关 键 词：学龄前痉挛型脑瘫 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]