CAJ | 학술논문

目的比较Peabody精细运动发育量表4级评分制与3级评分制评定儿童精细运动功能的灵敏性,以及量化法评价小儿精细运动功能的可行性和敏感性.方法采用Peabody精细运动发育量表,同时以3级评分法和4级评分法对864名1～60个月正常儿童的精细运动功能进行评估,用月平均分描述发育速率,并对两种评分方式结果行相关性分析.结果两种评分法进行比较,4～9月龄儿童月平均分明显高于其余月龄组,尤其是24月龄后,年龄越大月平均分越低;每个年龄段各个功能区的得分比较,均存在4级评分制得分低于3级评分制得分,该差异随年龄增长而增大,但无统计学意义;采用3级评分制,9月龄后实际得分即等于总分,而采用4级评分制,18月龄后实际得分才等于总分;3级评分制评分和4级评分制评分呈高度相关(r=0.914～0.992,P=0.000).结论 Peabody精细运动发育量表采用4级评分制及月平均分量化法评价儿童精细运动功能是可靠、直观的,较3级评分制更为灵敏.
목적 비교Peabody정세운동발육량표4급평분제여3급평분제평정인동정세운동공능적령민성,이급양화법평개소인정세운동공능적가행성화민감성.방법 채용Peabody정세운동발육량표,동시이3급평분법화4급평분법대864명1～60개월정상인동적정세운동공능진행평고,용월평균분묘술발육속 솔,병대량충평분방식결과행상관성분석.결과 량충평분법진행비교,4～9월령인동월평균분명현고우기여월령조,우기시24월령후,년령월대월평균분월저;매개년령단각개공능구적득분비교,균존재4급평분제득분저우3급평분제득분,해차이수년령증장이증대,단무통계학의의;채용3급평분제,9월령후실제득분즉등우총분,이채용4급평분제,18월령후실제득분재등우총분;3급평분제평분화4급평분제평분정고도상관(r=0.914～0.992,P=0.000).결론 Peabody정세운동발육량표채용4급평분제급월평균분양화법평개인동정세운동공능시가고、직관적,교3급평분제경위령민.
Objective To assess if evaluating with Peabody's fine motor development scale with 4 degree grading is more sensitive than with 3 degree grading, and whether or not it is feasible to evaluate by quantization with monthly averages. Methods A total of 864 normal children aged 1 month to 60 months were evaluated with the Peabody scale using 4 degree grading and 3 degree grading. The development results were averaged by month to express the development. Results Both ways, the monthly averages of children 4-9 months old were higher than the others. The values obtained with 4 degree grading were lower than those with 3 degree grading in each functional area, and the difference was more obvious with increasing age, but the differences were not statistically significant. With 3 degree grading the total score was equal to the actual score after the age of 9 months, but with 4 degree grading this was not true until at least 18 months. Conclusions Evaluating with Peabody's fine motor scale with 4 degree grading and quantization using monthly averages is reliable and more sensitive than 3 degree grading.