Alberta婴儿运动量表指导治疗脑瘫高危儿的疗效观察
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摘要
目的:通过运用Alberta婴幼儿运动量表评估并且治疗脑瘫高危儿,探讨婴幼儿早期运动发育的评价方法。方法:从国际和平妇幼保健院儿保康复科普通门诊2017年12月至2018年12月确诊的脑瘫高危儿中选取24例脑瘫高危患儿,采用随机数字表法随机分为治疗组和对照组,每组12例。治疗组通过量表指导家长进行家庭康复,对照组仅进行康复随访,评估三个月后患儿运动发育的改善情况。结果:治疗三个月后,两组Alberta分值均高于治疗前,且治疗组Alberta分值高于对照组(均P<0.01)。结论:用Alberta婴儿运动量表指导评估、治疗脑瘫高危儿,效果显著,值得临床推广。
Objective: To evaluate and treat high-risk infants with cerebral palsy by using Alberta Infant Motor Scale, and to explore the evaluation method of early motor development of infants. Methods: Twenty-four high-risk children with cerebral palsy were randomly divided into treatment group and control group with 12 cases in each group from December 2017 to December 2018 in the general outpatient department of pediatric care and Rehabilitation Department of The International Peace Maternity & Child health Hospital.The parents in the treatment group were instructed to have family rehabilitation by the scale, while the parents in the control group were only followed up to evaluate the improvement of children's motor development after three months. Results: After three months of treatment, Alberta scale was used to evaluate the two groups of children. The Alberta score of the control group was higher after treatment than before treatment, and that of the treatment group was higher after treatment than before treatment, and that of the treatment group was better than that of the control group. There were significant differences in Alberta scores before and after treatment in each group(all P<0.01), and the treatment group was better than the control group. Conclusion: Using Alberta Infant Motor Scale to guide the evaluation and treatment of high-risk infants with cerebral palsy has a remarkable effect and is worthy of clinical promotion.
Objective: To evaluate and treat high-risk infants with cerebral palsy by using Alberta Infant Motor Scale, and to explore the evaluation method of early motor development of infants. Methods: Twenty-four high-risk children with cerebral palsy were randomly divided into treatment group and control group with 12 cases in each group from December 2017 to December 2018 in the general outpatient department of pediatric care and Rehabilitation Department of The International Peace Maternity & Child health Hospital.The parents in the treatment group were instructed to have family rehabilitation by the scale, while the parents in the control group were only followed up to evaluate the improvement of children's motor development after three months. Results: After three months of treatment, Alberta scale was used to evaluate the two groups of children. The Alberta score of the control group was higher after treatment than before treatment, and that of the treatment group was higher after treatment than before treatment, and that of the treatment group was better than that of the control group. There were significant differences in Alberta scores before and after treatment in each group(all P<0.01), and the treatment group was better than the control group. Conclusion: Using Alberta Infant Motor Scale to guide the evaluation and treatment of high-risk infants with cerebral palsy has a remarkable effect and is worthy of clinical promotion.
引文
[1]郭书娟.0-3岁高危儿社区早期干预指导研究[M].复旦大学, 2010
[2]王翠,席宇诚,李卓,等.Alberta婴儿运动量表在正常婴儿中的信度研究[J].中国康复医学杂志, 2009, 24(10):896-899
[3]王慧,李海峰,王江平,等.Alberta婴儿运动量表在脑损伤高危儿运动发育评估中的应用:2014年浙江省医学会儿科学分会学术年会暨儿内科疾病诊治新进展国家级继续教育学习班,中国浙江桐庐,2014
[4]杜开先,余丰侠,娄季宇.Peabody运动发育量表及配套运动训练方案在脑损伤患儿康复训练中的应用[J].中国现代医学杂志,2014,24(1):71-74
[5]陈光福,张蕴芳,陈美清,等.早产儿脑损伤早期干预模式与临床路径研究[J].中国当代儿科杂志, 2014, 16(1):35-39
[6] de Albuquerque PL, Lemos A, Guerra MQ, et al. Accuracy of the Alberta Infant Motor Scale(AIMS)to detect developmental delay of gross motor skills in preterm infants:a systematic review[J]. Dev Neurorehabil, 2015, 18(1):15-21
[7]蔡霞,丘小奎,徐芝兰.Alberta婴儿运动量表在高危儿早期运动发育评价中的应用[J].中国继续医学教育, 2016, 8(9):123-124
[8] Tavasoli A, Azimi P, Montazari A. Reliability and validity of the Peabody Developmental Motor Scales-second edition for assessing motor development of low birth weight preterm infants[J]. Pediatr Neurol, 2014, 51(4):522-526
[9]周洪涛,张惠佳,王跑球,等. Alberta婴儿运动量表与Peabody运动发育量表-2在脑损伤高危儿中的一致性研究[J].中国康复理论与实践, 2013, 19(6):556-558
[10] Luttikhuizen DSE, de Kieviet JF, Konigs M, et al. Predictive value of the Bayley scales of infant development on development of very preterm/very low birth weight children:a meta-analysis[J]. Early Hum Dev, 2013, 89(7):487-496
[11]林碧云,危曼,邵肖梅,等.Albert婴儿运动量表对新生儿重症监护室高危儿出院后筛查运动发育落后的准确性研究[J].中国循证儿科杂志, 2015, 10(2):81-84
[12]胡恕香,黄蓉,彭桂兰,等.Alberta婴儿运动量表在高危儿早期干预中的应用分析[J].中国康复医学杂志, 2015, 30(2):157-159
[13]王艳娟,卢云,吴晓庆,等.新生儿神经行为测定在早产儿神经心理发育中的作用[J].中国妇幼保健, 2013, 28(1):71-73
[14]周金君,李双双,顾瓅.新生儿个体化发育支持和评估项目在早期早产儿全身运动中的应用[J].中国儿童保健杂志, 2015, 23(1):109-110, 112
[15]黄真,李明.发育中婴幼儿的运动评估-Alberta婴儿运动量表[M].北京:北京大学出版社, 2009:163-166
[16] Yildir覦m ZH, Aydinli N, Ekici B, et al. Can Alberta infant motor scale and milani comparetti motor development screening test be rapid alternatives to Bayley Scales of Infant Development-Ⅱat high-risk infants[J]. Ann Indian Acad Neurol, 2012, 15(3):196-199
[17]王柏林,蒋晓宏.早期综合康复治疗对高危儿智能及精神运动发育的影响观察[J].基层医学论坛, 2016, 20(16):2185-2186
[18] Chen YP, Kang LJ, Chuang TY, et al. Use of virtual re-ality to improve upper-extremity control in children with cerebral palsy:a single-subject design[J]. Phys-ical Therapy, 2014,(10):741-743
[19]徐开寿,麦坚凝,何璐,等.不同出生体重脑瘫高危儿婴儿期粗大与精细运动技能发育特征及其相关性研究[J].中国康复医学杂志,2009, 24(7):604-606
[20] Kari Anne I. Evensen Predictive value of early motor evaluation inpretermvery low birth weight and term small for gestational age children Early Human Development[J]. Annals of Tropical Paediatrics,2014,(6):83-86
[21] Cromwell EA, Dube Q, Cole SR, et al. Validity of US norms for the Bayley Scales of Infant Development-Ⅲin Malawian children[J].Eur J Paediatr Neurol, 2014, 18(2):223-230
[22] Lee SY, Chow CB, Ma PY, et al. Gross motor skills of premature very low-birth weight Chinese children[J]. Annals of Tropical Paediatrics, 2014,(7):84-86
[23]霍洪亮,顾琴,师晓燕,等.Alberta评分联合婴幼儿语言评定量表在脑性瘫痪患儿康复训练中的应用[J].中华实用儿科临床杂志,2014, 29(23):1825-1827
[24]程冰梅,肖华,何璐,等.Alberta婴儿运动量表与Gesell发育量表在高危儿运动评估中的一致性[J].广东医学, 2017, 38(20):3158-3159
[25] Albuquerque PL, Mqf G, LimaMC, et al. Concurrentvalidity of the Alberta Infant Motor Scale to detect delayed grossmotor development in preterm infants:A comparative study with the Bayley III[J]. Developmental Nurorehabilitation, 2017, 21(01):134-135
[26]牛文静.全身运动质量评估在早产脑损伤高危儿发育结局预测中的临床应用[J].中国保健营养, 2016, 26(18):126-127
[27] PiperMC, DarrahJ.发育中婴儿的运动评估:Alberta婴儿运动量表[M].黄真,李明主译.北京:北京大学医学出版社, 2009
[28]席冰玉,吴卫红,邹丽萍.早产儿早期两种神经系统评估方法的比较[J].中国康复医学理论与实践, 2010, 16(7):605-607
[29] Deroma L, Bin M, Tognin V, et al. Interrater reliability of the Bayley III test in the Italian Northern-Adriatic Cohort II[J]. Epidemiol Prev,2013, 37(4-5):297-302
[30] Harris SR, Backman CL, Mayson TA. Comparative predictive validity of the Harris Infant Neuromotor Test and the Alberta Infant Motor Scale[J]. Dev Med Child Neurol, 2010, 52(5):462-467
[2]王翠,席宇诚,李卓,等.Alberta婴儿运动量表在正常婴儿中的信度研究[J].中国康复医学杂志, 2009, 24(10):896-899
[3]王慧,李海峰,王江平,等.Alberta婴儿运动量表在脑损伤高危儿运动发育评估中的应用:2014年浙江省医学会儿科学分会学术年会暨儿内科疾病诊治新进展国家级继续教育学习班,中国浙江桐庐,2014
[4]杜开先,余丰侠,娄季宇.Peabody运动发育量表及配套运动训练方案在脑损伤患儿康复训练中的应用[J].中国现代医学杂志,2014,24(1):71-74
[5]陈光福,张蕴芳,陈美清,等.早产儿脑损伤早期干预模式与临床路径研究[J].中国当代儿科杂志, 2014, 16(1):35-39
[6] de Albuquerque PL, Lemos A, Guerra MQ, et al. Accuracy of the Alberta Infant Motor Scale(AIMS)to detect developmental delay of gross motor skills in preterm infants:a systematic review[J]. Dev Neurorehabil, 2015, 18(1):15-21
[7]蔡霞,丘小奎,徐芝兰.Alberta婴儿运动量表在高危儿早期运动发育评价中的应用[J].中国继续医学教育, 2016, 8(9):123-124
[8] Tavasoli A, Azimi P, Montazari A. Reliability and validity of the Peabody Developmental Motor Scales-second edition for assessing motor development of low birth weight preterm infants[J]. Pediatr Neurol, 2014, 51(4):522-526
[9]周洪涛,张惠佳,王跑球,等. Alberta婴儿运动量表与Peabody运动发育量表-2在脑损伤高危儿中的一致性研究[J].中国康复理论与实践, 2013, 19(6):556-558
[10] Luttikhuizen DSE, de Kieviet JF, Konigs M, et al. Predictive value of the Bayley scales of infant development on development of very preterm/very low birth weight children:a meta-analysis[J]. Early Hum Dev, 2013, 89(7):487-496
[11]林碧云,危曼,邵肖梅,等.Albert婴儿运动量表对新生儿重症监护室高危儿出院后筛查运动发育落后的准确性研究[J].中国循证儿科杂志, 2015, 10(2):81-84
[12]胡恕香,黄蓉,彭桂兰,等.Alberta婴儿运动量表在高危儿早期干预中的应用分析[J].中国康复医学杂志, 2015, 30(2):157-159
[13]王艳娟,卢云,吴晓庆,等.新生儿神经行为测定在早产儿神经心理发育中的作用[J].中国妇幼保健, 2013, 28(1):71-73
[14]周金君,李双双,顾瓅.新生儿个体化发育支持和评估项目在早期早产儿全身运动中的应用[J].中国儿童保健杂志, 2015, 23(1):109-110, 112
[15]黄真,李明.发育中婴幼儿的运动评估-Alberta婴儿运动量表[M].北京:北京大学出版社, 2009:163-166
[16] Yildir覦m ZH, Aydinli N, Ekici B, et al. Can Alberta infant motor scale and milani comparetti motor development screening test be rapid alternatives to Bayley Scales of Infant Development-Ⅱat high-risk infants[J]. Ann Indian Acad Neurol, 2012, 15(3):196-199
[17]王柏林,蒋晓宏.早期综合康复治疗对高危儿智能及精神运动发育的影响观察[J].基层医学论坛, 2016, 20(16):2185-2186
[18] Chen YP, Kang LJ, Chuang TY, et al. Use of virtual re-ality to improve upper-extremity control in children with cerebral palsy:a single-subject design[J]. Phys-ical Therapy, 2014,(10):741-743
[19]徐开寿,麦坚凝,何璐,等.不同出生体重脑瘫高危儿婴儿期粗大与精细运动技能发育特征及其相关性研究[J].中国康复医学杂志,2009, 24(7):604-606
[20] Kari Anne I. Evensen Predictive value of early motor evaluation inpretermvery low birth weight and term small for gestational age children Early Human Development[J]. Annals of Tropical Paediatrics,2014,(6):83-86
[21] Cromwell EA, Dube Q, Cole SR, et al. Validity of US norms for the Bayley Scales of Infant Development-Ⅲin Malawian children[J].Eur J Paediatr Neurol, 2014, 18(2):223-230
[22] Lee SY, Chow CB, Ma PY, et al. Gross motor skills of premature very low-birth weight Chinese children[J]. Annals of Tropical Paediatrics, 2014,(7):84-86
[23]霍洪亮,顾琴,师晓燕,等.Alberta评分联合婴幼儿语言评定量表在脑性瘫痪患儿康复训练中的应用[J].中华实用儿科临床杂志,2014, 29(23):1825-1827
[24]程冰梅,肖华,何璐,等.Alberta婴儿运动量表与Gesell发育量表在高危儿运动评估中的一致性[J].广东医学, 2017, 38(20):3158-3159
[25] Albuquerque PL, Mqf G, LimaMC, et al. Concurrentvalidity of the Alberta Infant Motor Scale to detect delayed grossmotor development in preterm infants:A comparative study with the Bayley III[J]. Developmental Nurorehabilitation, 2017, 21(01):134-135
[26]牛文静.全身运动质量评估在早产脑损伤高危儿发育结局预测中的临床应用[J].中国保健营养, 2016, 26(18):126-127
[27] PiperMC, DarrahJ.发育中婴儿的运动评估:Alberta婴儿运动量表[M].黄真,李明主译.北京:北京大学医学出版社, 2009
[28]席冰玉,吴卫红,邹丽萍.早产儿早期两种神经系统评估方法的比较[J].中国康复医学理论与实践, 2010, 16(7):605-607
[29] Deroma L, Bin M, Tognin V, et al. Interrater reliability of the Bayley III test in the Italian Northern-Adriatic Cohort II[J]. Epidemiol Prev,2013, 37(4-5):297-302
[30] Harris SR, Backman CL, Mayson TA. Comparative predictive validity of the Harris Infant Neuromotor Test and the Alberta Infant Motor Scale[J]. Dev Med Child Neurol, 2010, 52(5):462-467