Peabody精细运动发育量表在脑病患儿中的应用

目的了解作业治疗前后脑性瘫痪 (CP)和精神发育迟滞 (MR)患儿的精细运动功能变化 ,判断Peabody精细运动发育量表 (PDMS FM)在脑病患儿中的应用价值。方法选取本院康复中心CP患儿 2 2例和MR患儿 2 8例 ,观察作业治疗前后的精细运动功能变化 ,用PDMS FM测试。结果经作业治疗后 ,临床观察患儿的精细运动功能都有明显改善 ;PDMS FM测试分析结果为 :CP和MR患儿作业治疗前的精细运动功能无显著性差异 (P >0 .0 5) ;MR患儿的精细运动功能在治疗后有显著改善 (P <0 .0 0 1 ) ,CP患儿的精细运动功能虽有提高 ,但与治疗前无显著性差异 (P >0 .0 5)。结论Peabody精细运动发育量表可以用来评定脑病患儿的精细运动功能 ,尤其适用于MR患儿 ;但此法对于CP患儿在较短时间内的精细运动功能细微变化 ,还有局限之处 ,需要进一步改良以满足临床工作的需要

Evaluation of the fine motor functions by PDMS-FM in children with encephalopathy

ObjectiveTo investigat e the improvement of fine motor functions after occupational therapy in children w ith cerebral palsy (CP) and mental retardation (MR), and also using the value of Peabody developmental motor scale-fine motor (PDMS-FM) to evaluate their fine motor functions.MethodsAll children have received occupational therapy (OT) for three months. Their fine motor functions before an d after OT were observed and evaluated using PDMS-FM by the therapist.ResultsAll children have their fine motor functions obvious ly improved after OT. Results of PDMS-FM test indicated that fine motor functio ns between CP and MR group were comparable before and after OT, the MR group hav e their fine motor functions significantly improved after OT ( P< 0.001 ), although the CP group also have their fine motor functions impr oved after OT, there wasn't significant difference ( P> 0.0 5 ).Conclusions Fine motor functions of CP and MR children could be improved after OT. PDMS-FM was suitable to evaluate fine mot or function changes, especially in children with MR.