《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (04): 361-363.

• 临床研究 • 上一篇    下一篇

脑瘫患儿粗大运动功能与日常生活能力的相关性研究

陈冬冬; 徐东浩; 杨红; 施炳培; 史惟   

  1. 复旦大学附属儿科医院华泾社区卫生服务中心联合小儿康复科,上海市 200032
  • 收稿日期:2007-09-11 出版日期:2008-04-01 发布日期:2008-04-01

Correlation between Gross Motor Function and Activities of Daily Living in Children with Cerebral Palsy

CHEN Dong-dong, XU Dong-hao, YANG Hong, et al   

  1. The Department of Child Rehabilitation, Children's Hospital of Fudan University-Hua Jing Community Health Center, Shanghai 200032, China
  • Received:2007-09-11 Published:2008-04-01 Online:2008-04-01

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摘要： 目的分析脑瘫患儿粗大运动功能与日常生活能力之间的相关性。方法对42例脑瘫患儿(男性26例、女性16例,年龄49.5±21.5个月;痉挛型四肢瘫11例、痉挛型双瘫22例、痉挛型偏瘫5例、徐动型2例、肌张力障碍型2例)采用脑瘫粗大运动功能分级系统(GMFCS)和粗大运动功能测试量表(GMFM)进行粗大运动功能分级和评估;采用能力低下儿童评定量表(PEDI)进行日常生活能力评定,分析不同GMFCS等级脑瘫患儿的日常生活能力表现,以及粗大运动功能与日常生活能力之间的相关性。结果患儿的GMFCS等级越高,PEDI标准分越低;GMFM66与PEDI的移动能力和自理能力的尺度化分之间的相关性最高(r=0.84),与社交能力尺度化分的相关系数为0.72。结论脑瘫患儿的粗大运动功能在很大程度上影响其日常生活能力,应把粗大运动功能训练作为脑瘫康复的主要训练项目,并依据不同GMFCS分级确定日常生活能力训练目标。

关键词: 脑性瘫痪, 粗大运动功能, 日常生活活动

Abstract: Objective To analyze the correlation between gross motor function and activities of daily living(ADL)in children with cerebral palsy.Methods 42 children with CP(26 males,16 females,average age 49.5±21.5 months,11 children with spastic quadriplegia,22 with spastic diplegia,5 with spastic hemiplegia,2 with athetosis and 2 with dystonia)were assessed with Gross Motor Function Classification System(GMFCS)and Gross Motor Function Measure(GMFM)for the assessment and classification of gross motor function.Pediatric Evaluation of Disability Inventory(PEDI)was used to assess the ADL.The ADL of children with different levels of GMFCS and the correlation between gross motor function and ADL were analyzed.Results The more severe of GMFCS,the less standard score of PEDI.There was the highest correlation between the GMFM66 scores and scaled scores of PEDI in mobility and social function(r=0.84),whereas a weaker correlation appeared between GMFM66 scores and scaled scores of PEDI in social function(r=0.72).Conclusion Since the gross motor function of children with CP greatly affects the ADL,the gross motor function training should be the main item for CP children,the training goal of ADL should be made according to the levels of GMFCS.

Key words: cerebra palsy, gross motor function, activities of daily living