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
目的:比较"健脾益肾通督"配穴针刺配合康复训练与单纯康复训练对痉挛型脑瘫患儿的临床疗效差异。方法:将120例痉挛型脑瘫患儿随机分为观察组和对照组,每组60例。对照组给予物理治疗和手功能训练,每日1次,20次为一疗程,疗程间...目的:比较"健脾益肾通督"配穴针刺配合康复训练与单纯康复训练对痉挛型脑瘫患儿的临床疗效差异。方法:将120例痉挛型脑瘫患儿随机分为观察组和对照组,每组60例。对照组给予物理治疗和手功能训练,每日1次,20次为一疗程,疗程间隔20d,共治疗3个疗程;观察组在对照组基础上行"健脾益肾通督"配穴针刺疗法,穴取百会、风府、身柱、至阳、筋缩、腰阳关、命门、脾俞、肾俞、足三里、三阴交,隔日1次,10次为一疗程,疗程间隔20d,共治疗3个疗程。观察两组治疗前后粗大运动功能评估量表(gross motor function measure,GMFM)、Peabody精细运动发育量表评分及日常生活活动能力(activities of daily living,ADL)量表评定的临床疗效。结果:两组治疗后GMFM评分、Peabody精细运动评分较治疗前均明显提高(P<0.01,P<0.05),观察组较对照组提高更加显著(均P<0.05);观察组总有效率为76.7%(46/60),明显高于对照组的65.0%(39/60,P<0.05)。结论:"健脾益肾通督"配穴针刺法作为辅助疗法可有效提高痉挛型脑瘫患儿粗大运动功能、精细运动功能以及日常生活能力。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。
文摘目的:比较"健脾益肾通督"配穴针刺配合康复训练与单纯康复训练对痉挛型脑瘫患儿的临床疗效差异。方法:将120例痉挛型脑瘫患儿随机分为观察组和对照组,每组60例。对照组给予物理治疗和手功能训练,每日1次,20次为一疗程,疗程间隔20d,共治疗3个疗程;观察组在对照组基础上行"健脾益肾通督"配穴针刺疗法,穴取百会、风府、身柱、至阳、筋缩、腰阳关、命门、脾俞、肾俞、足三里、三阴交,隔日1次,10次为一疗程,疗程间隔20d,共治疗3个疗程。观察两组治疗前后粗大运动功能评估量表(gross motor function measure,GMFM)、Peabody精细运动发育量表评分及日常生活活动能力(activities of daily living,ADL)量表评定的临床疗效。结果:两组治疗后GMFM评分、Peabody精细运动评分较治疗前均明显提高(P<0.01,P<0.05),观察组较对照组提高更加显著(均P<0.05);观察组总有效率为76.7%(46/60),明显高于对照组的65.0%(39/60,P<0.05)。结论:"健脾益肾通督"配穴针刺法作为辅助疗法可有效提高痉挛型脑瘫患儿粗大运动功能、精细运动功能以及日常生活能力。
