PDMS与GDS粗大运动发育量表在脑瘫患儿康复疗效评估中的应用

目的比较Peabody粗大运动发育量表（PDMS-GM）与格赛尔粗大运动发育量表（GDS—GM）两种粗大运动评估方法在脑瘫患儿康复疗效评估中的应用价值。方法根据患儿具体情况选择一种最适合的训练方式，用PDMS—GM和GDS—GM两种方法对33例脑瘫患儿分别于治疗前及治疗1个疗程（3个月）后各进行1次评估。对两种量表评估结果进行统计学处理的比较。结果PDMS—GM评估的33例脑瘫患儿治疗1个疗程前粗大运动功能（22．45±9．70），治疗后（32．26±10．10），比较有显著性差异（P〈0．05）；GDS—GM评估结果显示脑瘫儿童治疗1个疗程前粗大运动功能（36．25±21．74），治疗后（37．88±22．76），比较无显著性差异（P〉0．05）。结论PDMS—GM比GDS—GM能更敏感、更早地反映脑瘫患儿粗大运动功能发育变化，更有利于疗效判断。

The Application of PDMS-GM and GDS-GM in Rehabilitation Effect Evaluation for Brain Paralysis Children

Objective To compare the rehabilitation effect evaluation of brain paralysis with PDMS-GM and GDS-GM. Methods The most correct methods were chosen following the patients＇ concrete conditions, 33 brain paralysis patients were taken stock with PDMS-GM and GDS-GM at pretherapy and posttreatment, and stylistic comparison of the two assessment results was made. Results Clinical efficacy were evaluated with PDMS-GM before and after treatment that were （22.45 ±9.70） and （32.26± 10.10） respectively, and there was significant difference（P〈0.05）. Clinical efficacy were evaluated with GDS-GM before and after treatment that were （36.25±21.74） and （37.88±22.76）,and there was no significant difference （P〉0.05）. Conclusion PDMS-GM can be more sensitive and earlier than GDS-GM to reflect developmental changes of gross motor function in children with cerebral palsy, and be more favorable for curative effect evaluation.