《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 812-814.

• 专题 • 上一篇    下一篇

4～12岁不同类型脑瘫患儿的粗大运动功能分级和手功能分级调查

杨红1;史惟1;李惠1;王素娟1;王娟2   

  1. 1.复旦大学附属儿科医院康复中心，上海市 200032;2.江苏如东县中医院儿童康复科，江苏如东县 226400
  • 收稿日期:2009-03-30 出版日期:2009-09-01 发布日期:2009-09-01
  • 通讯作者: 史惟

Gross Motor Function and Manual Ability Classification in 4～12 Year Old Children with Cerebral Palsy of Different Types

YANG Hong,SHI Wei,LI Hui,et al   

  1. Child Rehabilitation Department, Children's Hospital of Fudan University, Shanghai 200032, China
  • Received:2009-03-30 Published:2009-09-01 Online:2009-09-01

PDF (PC)

被引次数

17

摘要： 目的 分析4～12岁不同类型脑瘫患儿粗大运动功能和手功能受损的状况以及两者之间的关联性。方法 对符合纳入和排除标准的143例4～12岁脑瘫患儿采用中文版脑瘫粗大运动功能分级系统(GMFCS)和手功能分级系统（MACS）进行评定。结果 痉挛性双瘫患儿33例（60.0%）GMFCS和MACS分级Ⅰ～Ⅱ级；痉挛性四肢瘫患儿28例（75.7%）GMFCS和MACS分级Ⅲ～Ⅴ级；痉挛性偏瘫患儿21例（55.3%）GMFCS和MACS分级Ⅰ级，2例患儿GMFCS Ⅱ级，14例MACS Ⅱ级。GMFCS与MACS之间的具有中等程度的相关性（r=0.67，P<0.05）。结论 GMFCS和MACS评价可以明确不同类型脑瘫患儿的粗大运动功能和手功能的受损状况。

关键词: 脑性瘫痪, 粗大运动, 手功能, 分级

Abstract: Objective To explore the distribution and correlation of gross motor function and manual ability in 4～12 year old children with cerebral palsy of different types. Methods 143 children with cerebral palsy (CP) were recruited according to the inclusion and exclusion criterions. They were assessed with Chinese version of Gross Motor Function Classification System （GMFCS） and Manual Ability Classification System （MACS）. Results The classification of GMFCS and MACS was Ⅰ～Ⅱ in 33 (60.0%) children with spastic diplegia; Ⅲ～Ⅴ in 28 (75.7%) children with spastic quadriplegia; Ⅰ in 21 (55.3%) children with spastic hemiplegia, and GMFCS Ⅱ in 2 children, MACS Ⅱ in 14 children. There was moderate correlation between GMFCS and MACS （r=0.67，P<0.05）. Conclusion GMFCS and MACS can be used to determine the gross motor function and manual ability in CP children of different types.

Key words: cerebral palsy (CP), gross motor, manual ability, classification