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为探讨对脑瘫患儿运动功能进展的客观评价方法,以620例正常小儿运动发育的年龄特征为依据,对62例脑瘫患儿治疗前后的运动功能变化进行量化评价。结果表明,2岁前是小儿运动发育的关键时期,总分平均为3.92±0.21分/月,而脑瘫儿的运动功能发育严重落后,其总分平均为1.28±0.34分/月.治疗后(>8周)其运动功能较治疗前有显著改善.总分平均8分/月左右,较治疗前增加5~6倍,较正常儿童运动功能发育率亦增加1倍左右,表明理疗有效,同时亦表明量化评价是敏感的.随访28例已有19例能独立行走,其中6例已正常,总分平均增加17分,结果证明此量(表)化评价是可靠的。
In order to explore the objective evaluation method of motor function in children with cerebral palsy, based on the age characteristics of 620 normal children, the changes of motor function in 62 children with cerebral palsy before and after treatment were evaluated quantitatively. The results showed that before the age of 2, the critical period of pediatric motor development was 3.92 ± 0.21 points per month, while the motor function of children with cerebral palsy developed seriously behind with an average score of 1.28 ± 0. 34 points / month. After treatment (> 8 weeks), motor function improved significantly compared with that before treatment. The average score was about 8 points per month, which was 5 ~ 6 times higher than that before treatment. Compared with normal children, the rate of development of motor function was also increased by about 1 time, indicating that physiotherapy was effective and the quantitative evaluation was also sensitive. Of the 28 patients who had been followed up, 19 had been able to walk independently, 6 were normal and their overall score increased by an average of 17 points. The results demonstrated that the quantitative (epi) evaluation was reliable.