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【目的】探讨早期干预对0~2岁应物能不同、运动发育异常儿童粗大运动能力的影响。【方法】将76例0~2岁发育异常小儿分为应物能正常组[发育商(developmental quotient,DQ)值>75]和应物能低下组(DQ值<75),均采用Vojta法、Bobath法等早期干预方案进行综合训练。将初次发现及3个月后Gesell发育商复测运动DQ值进行对比评估。【结果】①两组小儿经早期干预综合治疗后应物能及粗大运动DQ值均有显著提高(P<0.01);②应物能正常组粗大运动改善程度明显优于应物能低下组(P<0.01);③应物能低下小儿应物能与粗大运动呈现明显相关性(P<0.01)。【结论】在早期干预综合治疗中提高小儿应物能可更有效的提高粗大运动能力。
【Objective】 To investigate the effect of early intervention on the gross motor ability of children aged 0 ~ 2 years with different physical status and dyskinesia. 【Methods】 A total of 76 children with developmental abnormalities from 0 to 2 years old were divided into two groups according to the Vojta method: developmental quotient (DQ)> 75 and DQ = 75 , Bobath France and other early intervention programs for comprehensive training. The initial findings and Gesell developers after 3 months of retest DQ exercise values were compared. 【Results】 ① After treatment of both groups, the DQ values of both physical fitness and gross motor increased significantly (P <0.01); ② The degree of improvement of gross motor in the normal group was significantly better than that of the low physical level group P <0.01). (3) There was a significant correlation between the degree of physical appetite and gross motor (P <0.01). 【Conclusion】 Increasing children ’s physical fitness in early intervention can improve the ability of gross exercise more effectively.