Carroll 双上肢功能评定和Peabody 运动发育量表-2 中精细动作在偏瘫型脑瘫患儿中的有效性研究

目的了解Carroll 双上肢功能测试量表是否能更好地反应脑瘫偏瘫患儿的精细运动情况。方法45 例脑瘫偏瘫症状的患儿由同两名评估者在1 周之内进行Peabody 运动发育量表-2(PMDS-2)与Carroll 双上肢功能测试。分析Carroll 双上肢功能评定分与PDMS-2 中精细运动分值的相关性，同时比较健手和患手的Carroll 双上肢功能评定分。结果Carroll 双上肢功能评定分与患手和健手PDMS-2 抓握原始分、视觉-整合原始分显著相关(P<0.001)，与患手(r=0.022, P=0.888)和健手(r=0.165, P=0.278)精细运动发育商(FMQ)均不相关。所有患儿健手和患手Carroll 双上肢功能评定分有显著性差异(Z=4.475, P<0.001)。结论临床康复评定脑瘫偏瘫患儿使用Carroll 双上肢功能评定量表更有利于了解患儿精细动作情况，制订康复计划与康复目标。

Vadility of Carroll Upper Extremities Functional Test and Fine Motor Domains of Peabody Developmental Motor Scale-2 in Children with Hemiplegic Cerebral Palsy

Objective To investigate if Carroll Uupper Extremities Functional Test(UEFT) is an effective rating scale for evaluating fine motor of upper limbs in children with hemiplegic cerebral palsy.Methods 45 children with hemiplegia were assessed by 2 certified valuers at the same week.Their upper limbs function was evaluated by the Peabody Developmental Motor Scale(PMDS)-2 and Carroll UEFT.The relationship of the scores of Carroll UEFT and PDMS-2 was analyzed.The scores of Carroll UEFT were compared between 2 limbs.Results The score of Carroll UFET significantly correlated with the PDMS-2 grasping raw scores and vision-integration raw scores of both limbs(P<0.001),was not correlated with the score of fine movement quotient(FMQ) both in the healthy side(r=0.165,P=0.278) and the hemiplegic side(r=0.022,P=0.888).There was significant difference in the scores of Carroll UEFT between 2 limbs(Z=4.475,P<0.001).Conclusion Carroll UEFT is effective used clinically in evaluating fine motor function of children with hemiplegic cerebral palsy.