应用Peabody量表指导脑瘫患儿康复的效果观察

目的:探讨Peabody运动发育量表(PDMS-2)评估方法对脑瘫患儿各运动能区发育水平的判断,评价其配套训练方案在改善患儿运动技能中的应用价值。方法:选取0～6岁脑瘫患儿200例,随机分成两组,观察组和对照组,用PDMS-2量表进行运动发育水平评估,对照组采用常规康复治疗,包括运动疗法(主要是Bobath疗法)、理疗等,观察组采用在常规康复治疗的基础上,指导家长参与根据PDMS-2评估结果运用其配套训练方案对观察组进行干预,6个月后再次运用PDMS-2量表对两组患儿各运动能区发育水平进行评估。结果:干预前对照组粗大运动商(GMQ)、精细运动商(FMQ)和总运动商(TMQ)与干预组之间差异无统计学意义(P0.05);干预后评估显示两组患儿运动技能都有所提高,但观察组GMQ,FMQ和TMQ均显著大于对照组(P0.05)。结论:PDMS-2评估方法对脑瘫患儿各运动能区发育水平有很好的评估作用,其配套训练方案对提高患儿的运动技能很有价值。

Observation on the rehabilitation efficacy of children with cerebral palsy directed by Peabody scale

Objective:To explore the application of Peabody movement growth scale(PDMS-2) in evaluation and determination of developmental levels of various movements energy regions in children with cerebral palsy.Methods:200 children with cerebral palsy aged 0～6 years old were selected and divided into observation group and control group,PDMS-2 was used to evaluate the developmental levels of movements,the children in control group were treated with conventional rehabilitative therapy,including kinesiotherapy(Bobath therapy was the main therapy) and physical therapy;the children in observation group were intervened by parents with supporting training programs according to the results of PDMS-2 based on conventional rehabilitative therapy,the developmental levels of various movements energy regions in the two groups were evaluated by PDMS-2 after 6 months.Results:Before intervention,there was no significant difference in gross motor quotient(GMQ),fine motor quotient(FMQ) and total motor quotient(TMQ) between intervention group and control group(P>0.05);After intervention,the appraises demonstrated that motor skills of the two groups were improved,but GMQ,FMQ and TMQ in observation group were significantly higher than those in control group(P<0.05).Conclusion:The effect of PDMS-2 is very good in evaluation of developmental levels of various movements energy regions in children with cerebral palsy,and the supporting training programs are very valuable for improvement of motor skills.