《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (09): 815-818.

• 专题 • 上一篇    下一篇

1～6岁不同级别脑瘫患儿粗大运动功能发育的初步研究

史惟;杨红;廖元贵;朱默;王素娟;王艺   

  1. 复旦大学附属儿科医院康复中心，上海市 200032
  • 收稿日期:2009-03-30 出版日期:2009-09-01 发布日期:2009-09-01

Preliminary Study on Gross Motor Development in 1～6-year-old Children with Cerebral Palsy at Different Levels

SHI Wei,YANG Hong,LIAO Yuan-gui,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

33

摘要： 目的 分析1～6岁不同级别脑瘫患儿的粗大运动功能发育特性。方法 对708例1～6岁脑瘫患儿采用中文版粗大运动功能测试（GMFM）进行粗大运动功能评估，中文版脑瘫粗大运动功能分级系统（GMFCS）进行粗大运动功能分级，分析不同GMFCS级别脑瘫患儿的GMFM分值分布状况。结果 GMFCS Ⅰ级患儿GMFM-66分值上升幅度最大，从48～50个月起,各月龄组75%以上的患儿GMFM-66分值大于67分；GMFCS Ⅱ～Ⅳ级患儿1～6岁间GMFM-66分值上升的幅度比较相似，GMFCS Ⅱ级患儿6岁以前各月龄组只有不超过25%的患儿GMFM-66分值可以超过67分，GMFCS Ⅲ级患儿6岁以前各月龄组均有超过50%的患儿GMFM-66分值低于56分，GMFCS Ⅳ级患儿6岁以前各月龄组（除54～56和66～68月龄组）有75%的患儿GMFM-66分值不能超过46分；GMFCS V级患儿GMFM-66分值1～6岁间始终处于很低的水平，与其他级别患儿相比,V级患儿从5岁起GMFM-66分值还呈现出随着月龄的增加而下降趋势。结论 不同GMFCS级别脑瘫患儿的粗大运动功能具有各自的发育特性。

关键词: 脑性瘫痪, 粗大运动, 功能, 发育, 分级

Abstract: Objective To explore the characteristics of gross motor development in 1～6-year-old children with cerebral palsy at different levels. Methods 708 children (487 males and 221 females, age range: 1～6 years, from 6 rehabilitation centers in Shanghai) with cerebral palsy (CP) were assessed with Chinese version of Gross Motor Function Classification System （GMFCS） and Gross Motor Function Measure (GMFM). Distributions of GMFM scores at different GMFCS levels in children with cerebral palsy were analyzed. Results The GMFM-66 scores increased most in children with GMFCS Level Ⅰ, and more than 75% of them would be greater than 67 points in GMFM-66 score after the age of 48～50 months. The children with GMFCS Level Ⅱ～Ⅳ appeared similar increasing range of GMFM-66 scores in 1～6 years old. Less than 25% of the children at GMFCS Level Ⅱ would be greater than 67 points in GMFM-66 score before the age of 6 years, more than 50% of those at GMFCS Level Ⅲ would be less than 56 points, more than 75% of those at GMFCS Level Ⅳ couldn't exceed 46 points （except groups of 54～56 months and 66～68 months）. Compared with the children with other GMFCS levels, the GMFM-66 scores were always at very low level in children with GMFCS Level V, and trended to decrease with time after 5 years old. Conclusion The characteristics of gross motor development are different in children with cerebral palsy at different GMFCS levels.

Key words: cerebral palsy, gross motor, function, development, classification