BACKGROUND： In clinical practice, the degree of cognitive competence damage correlates to fine motor function deficits in children with psychomotor development retardation. Clear correlations between the two can help...BACKGROUND： In clinical practice, the degree of cognitive competence damage correlates to fine motor function deficits in children with psychomotor development retardation. Clear correlations between the two can help to develop and perform corresponding functional training for children with mental retardation （MR）. OBJECTIVE： This study was designed to evaluate and analyze the correlation of fine motor function to cognitive competence in MR children using the Peabody Developmental Motor Scale-Fine Motor （PDMS-FM） and Symbolic Play Test. DESIGN： Scale evaluation and correlation analysis. SETTING： Children＇s Rehabilitation Center ＆ Huajing District Hospital, Children＇s Hospital Affiliated to Fudan University. PARTICIPANTS： A total of 42 MR children, 28 males and 14 females, aged 14-69 months, were admitted to the Rehabilitation Center, Children＇s Hospital, Fudan University between June 2003 and April 2006, and were recruited for this study. All children corresponded to MR diagnosis criteria determined by Chinese Neurology and Psychiatry Society in 1989. Written informed consent for participating in the evaluation and for evaluated content was obtained from each child＇s guardian. METHODS： Subsequent to admission and prior to treatment, fine motor function of each MR child was evaluated using PDMS-FM （Chinese version）. The scale captured 98 items that formed the grasping （Gr） and visual-motor integration （Vi） subtests. Cognitive competence was evaluated using the Symbolic Play Test （Chinese version）, which captured four 6-item specific contents. The original score of each subtest was used to evaluate results for statistical analysis. Higher scores from the two evaluations indicated stronger abilities. Pearson correlation analysis was applied for analyzing data correlation. MAIN OUTCOME MEASURES： Fine motor function was evaluated using PDMS-FM. Cognitive competence was measured using the Symbolic Play Test. Correlations between results from the two evaluations were analyzed. RESULTS： All 42 MR children were included in the final analysis. Correlation analysis results demonstrated significant positive correlations of original scores existed between Gr and Vi subtests in the PDMS-FM （r = 0.761, P 〈 0.01）, and between Vi and Gr subtests in PDMS-FM and Symbolic Play Test （r = 0.663, 0.450, P 〈 0.01）. CONCLUSION： Fine motor function closely correlates to cognitive competence in MR children. This indicates fine motor function training should be developed in combination with cognitive competence training.展开更多
目的:探讨手-臂双侧强化训练联合重复经颅磁刺激应用于痉挛偏瘫型脑瘫患儿中的价值。方法:选取2023年6月—2024年6月福建省福州儿童医院接收的60例痉挛偏瘫型脑瘫患儿,按随机数字表法分作两组,对照组30例予以手-臂双侧强化训练,观察组3...目的:探讨手-臂双侧强化训练联合重复经颅磁刺激应用于痉挛偏瘫型脑瘫患儿中的价值。方法:选取2023年6月—2024年6月福建省福州儿童医院接收的60例痉挛偏瘫型脑瘫患儿,按随机数字表法分作两组,对照组30例予以手-臂双侧强化训练,观察组30例予以手-臂双侧强化训练联合重复经颅磁刺激干预,对两组肢体痉挛程度、精细运动功能改善情况、肢体功能改善情况及功能独立性进行比较。结果:观察组干预后的上肢、下肢的改良Ashworth量表(modified Ashworth scale,MAS)评分均比对照组低,差异均有统计学意义(P<0.05);观察组干预后的Peabody精细运动发育量表(Peabody developmental motor scales function measure,PDMS-FM)评分均比对照组高,差异均有统计学意义(P<0.05);观察组干预后的Carroll上肢功能测试量表(upper extremity function test,UEFT)评分比对照组高,起立-行走测试(timed up and go test,TUGT)用时比对照组短,差异均有统计学意义(P<0.05);观察组干预后的儿童功能独立性检查量表(Wee function independent measurement,WeeFIM)评分比对照组高,差异有统计学意义(P<0.05)。结论:在痉挛偏瘫型脑瘫患儿中,实施手-臂双侧强化训练联合重复经颅磁刺激干预可促进其肢体痉挛程度降低,并进一步改善其精细运动功能、肢体功能,提升功能独立性。展开更多
文摘BACKGROUND： In clinical practice, the degree of cognitive competence damage correlates to fine motor function deficits in children with psychomotor development retardation. Clear correlations between the two can help to develop and perform corresponding functional training for children with mental retardation （MR）. OBJECTIVE： This study was designed to evaluate and analyze the correlation of fine motor function to cognitive competence in MR children using the Peabody Developmental Motor Scale-Fine Motor （PDMS-FM） and Symbolic Play Test. DESIGN： Scale evaluation and correlation analysis. SETTING： Children＇s Rehabilitation Center ＆ Huajing District Hospital, Children＇s Hospital Affiliated to Fudan University. PARTICIPANTS： A total of 42 MR children, 28 males and 14 females, aged 14-69 months, were admitted to the Rehabilitation Center, Children＇s Hospital, Fudan University between June 2003 and April 2006, and were recruited for this study. All children corresponded to MR diagnosis criteria determined by Chinese Neurology and Psychiatry Society in 1989. Written informed consent for participating in the evaluation and for evaluated content was obtained from each child＇s guardian. METHODS： Subsequent to admission and prior to treatment, fine motor function of each MR child was evaluated using PDMS-FM （Chinese version）. The scale captured 98 items that formed the grasping （Gr） and visual-motor integration （Vi） subtests. Cognitive competence was evaluated using the Symbolic Play Test （Chinese version）, which captured four 6-item specific contents. The original score of each subtest was used to evaluate results for statistical analysis. Higher scores from the two evaluations indicated stronger abilities. Pearson correlation analysis was applied for analyzing data correlation. MAIN OUTCOME MEASURES： Fine motor function was evaluated using PDMS-FM. Cognitive competence was measured using the Symbolic Play Test. Correlations between results from the two evaluations were analyzed. RESULTS： All 42 MR children were included in the final analysis. Correlation analysis results demonstrated significant positive correlations of original scores existed between Gr and Vi subtests in the PDMS-FM （r = 0.761, P 〈 0.01）, and between Vi and Gr subtests in PDMS-FM and Symbolic Play Test （r = 0.663, 0.450, P 〈 0.01）. CONCLUSION： Fine motor function closely correlates to cognitive competence in MR children. This indicates fine motor function training should be developed in combination with cognitive competence training.
文摘目的:探讨手-臂双侧强化训练联合重复经颅磁刺激应用于痉挛偏瘫型脑瘫患儿中的价值。方法:选取2023年6月—2024年6月福建省福州儿童医院接收的60例痉挛偏瘫型脑瘫患儿,按随机数字表法分作两组,对照组30例予以手-臂双侧强化训练,观察组30例予以手-臂双侧强化训练联合重复经颅磁刺激干预,对两组肢体痉挛程度、精细运动功能改善情况、肢体功能改善情况及功能独立性进行比较。结果:观察组干预后的上肢、下肢的改良Ashworth量表(modified Ashworth scale,MAS)评分均比对照组低,差异均有统计学意义(P<0.05);观察组干预后的Peabody精细运动发育量表(Peabody developmental motor scales function measure,PDMS-FM)评分均比对照组高,差异均有统计学意义(P<0.05);观察组干预后的Carroll上肢功能测试量表(upper extremity function test,UEFT)评分比对照组高,起立-行走测试(timed up and go test,TUGT)用时比对照组短,差异均有统计学意义(P<0.05);观察组干预后的儿童功能独立性检查量表(Wee function independent measurement,WeeFIM)评分比对照组高,差异有统计学意义(P<0.05)。结论:在痉挛偏瘫型脑瘫患儿中,实施手-臂双侧强化训练联合重复经颅磁刺激干预可促进其肢体痉挛程度降低,并进一步改善其精细运动功能、肢体功能,提升功能独立性。
