PDMS-2运动发育量表与Gesell儿童发育量表一致性研究

关键词：Peabody 运动发育量表  Gesell发育量表  脑性瘫痪

Keywords:Peabody developmental motor scale  Gesell Scale  cerebral palsy

摘要：

      目的：研究Peabody 运动发育量表第2版（Peabody developmental motor scales 2，PDMS-2）与Gesell儿童发育量表在脑瘫高危儿运动发育评测中的一致性。方法：47例具有高危病史（病理性黄疸、早产、低出生体重、窒息等）及异常临床表现的患儿作为研究对象（≤6个月 23例，＞6个月 24例），平均月龄（7.29±3.17）个月（3个月-13个月），由同一名评估者在同一时间，或在一周之内，进行PMDS-2与Gesell的评估。利用SPSS13.0统计软件将PDMS-2与Gesell的粗大运动发育商和精细运动发育商进行分别比较，观察两者的相关性。结果：47例患儿PDMS-2与Gesell粗大运动发育商的相关系数为0.76(P<0.001)，精细运动发育商的相关系数为0.61(P<0.001)。在≤6个月的月龄组中，两者粗大运动发育商和精细运动发育商的相关系数分别为0.53(P=0.01)和0.62(P=0.001)；在＞6个月的月龄组中，两者的相关系数分别为0.88(P<0.001)，0.74(P<0.001)。结论：在3个月—13个月的高危儿中，PDMS-2与Gesell的粗大运动发育商和精细运动发育商有显著的相关性，尤其在月龄稍大的患儿中相关性更为突出。

Abstract:

      Objective: To investigate the correlation between Peabody developmental motor scale, 2nd edition (PDMS-2) and Gesell scale among high-risk infants. Method: Forty-seven infants with high-risk histories and pathological neurological findings were admitted into this study. The average corrected age of infants was （7.29±3.17）-month（3month—13month）. The infants were tested with PDMS-2 and Gesell Scale（Chinese version）by the same therapist at the same time or within one week. The scores of gross motor and fine motor from Gesell Scale were compared with (fine motor quotient,FMQ) and (gross moter quotient,GMQ) from PDMS-2. SPSS13.0 for statistic analysis. Result: The correlation coefficients of GMQ and FMQ between PDMS-2 and Gesell Scale were 0.76(P<0.001) and 0.61(P<0.001) respectively. Among the infants who were younger than 6-month, the two coefficients were 0.53(P=0.01) and 0.62(P=0.001) respectively. But In the elder group, it were 0.88(P<0.001) and 0.74(P<0.001) respectively. Conclusion: Among high-risk infants with the age from 3- to 13-month, the correlation of motor scores between PDMS-2 and Gesell Scale（Chinese version） were acceptable, especially in the elder infants.