精神发育迟滞患儿运动发育特点初探

目的探讨精神发育迟滞儿童的运动发育特点。方法 6~36月龄精神发育迟滞患儿430例采用Peabody运动发育量表(PDMS-2)和Gesll发育量表(GDS)进行评定。结果精神发育迟滞患儿的粗大运动发育商和精细运动发育商及总体发育水平均落后,且轻、中、重度之间有非常显著性差异(P<0.01);PDMS-2各项标准分均与GDS适应性发育商明显相关(P<0.01);不同智力发育水平患儿的粗大运动项标准分与精细运动发育商明显相关(P<0.01),精细运动项标准分与粗大运动发育商明显相关(P<0.01)。结论精神发育迟滞儿童粗大和精细运动发育均落后,智力发育水平与运动发育水平相关,智力发育迟缓患儿的粗大运动和精细运动发育相关性。

Motor Development in Children with Mental Retardation: 430 Cases Investigation

Objective To investigate the characteristics of motor development in children with mental retardation.Methods Motor development was assessed with the Peabody Developmental Motor Scale 2(PDMS-2) and mental development with adaptive developmental quotient(ADQ) of Gesell developmental schedules(GDS) in 430 infants(6~36 months old) with mental retardation.Results The gross(GDQ),fine(FDQ) and total motor developmental quotient were poor in all the children,and significantly different among children with slight,mild,and serious retardation(P<0.01).ADQ correlated with each sub-score of PDMS-2(P<0.01).For PDMS-2,FDQ correlated with sub-scores of gross motor,and GDQ with sub-scores of fine motor(P<0.01) in all the mental retardate children.Conclusion The development of both gross and fine motor is poor in children with mental retardation.Mental development correlate with motor development,and gross with fine motor development.