CAJ | 학술논문

目的：了解Carroll双上肢功能测试（UEFT ）是否能更好地反映脑瘫（CP）患儿的精细运动情况。方法：75例非偏瘫CP患儿和29例偏瘫型CP患儿，均进行UEFT、Gesell、PDMS‐2测试。分析UEFT分值与Gesell中精细运动年龄（DA ）、发育商（DQ ）、PDM S‐2中抓握原始分、抓握标准分、视觉‐整合原始分、视觉‐整合标准分、精细运动发育商（FMQ）的相关性，比较偏瘫型CP患儿 UEFT 中健侧手和患侧手的差异性。结果：75例CP非偏瘫患儿UEFT分值与Gesell中DA和DQ呈显著相关（r分别为0．828、0．462，P均＜0．01）；UEFT 分值与 PDMS‐2中抓握原始分及标准分、视觉‐整合原始分及标准分、FM Q呈显著相关（r分别为0．717、0．477、0．689、0．378、0．503， P均＜0．01）。29例CP偏瘫患儿健侧手UEFT分值与Gesell发育量中精细运动DA、PDMS‐2发育量中抓握原始分、视觉‐整合原始分呈显著相关（r分别为0．722、0．713、0．778，P均＜0．01）；患侧手UEFT 评分与Gesell发育量中精细运动DA、PDM S‐2发育量中抓握原始分、视觉‐整合原始分呈显著相关（r分别为0．591、0．633、0．713， P均＜0．01）。偏瘫型CP患儿健侧手和患侧手 UEFT 分值比较差异有统计学意义（Z＝－4．708，P＜0．01）。结论：UEFT、Gesell和PDMS‐2发育量表均可用于CP患儿精细运动功能评定，而 UEFT 分值能更好地反映偏瘫型CP患儿健、患手精细运动功能的差异，更利于制订康复计划与确定康复目标。evelopmental scale and the PMDS‐2 could be used clinically in rehabilitation assessment of fine motor function in children with cerebral palsy ．But in children with hemiplegic palsy ，the Carroll UEFT was more effective in evalua‐ting fine motor function ，formulating rehabilitation plan and setting rehabilitation goals ．
목적：료해Carroll쌍상지공능측시（UEFT ）시부능경호지반영뇌탄（CP）환인적정세운동정황。방법：75례비편탄CP환인화29례편탄형CP환인，균진행UEFT、Gesell、PDMS‐2측시。분석UEFT분치여Gesell중정세운동년령（DA ）、발육상（DQ ）、PDM S‐2중조악원시분、조악표준분、시각‐정합원시분、시각‐정합표준분、정세운동발육상（FMQ）적상관성，비교편탄형CP환인 UEFT 중건측수화환측수적차이성。결과：75례CP비편탄환인UEFT분치여Gesell중DA화DQ정현저상관（r분별위0．828、0．462，P균＜0．01）；UEFT 분치여 PDMS‐2중조악원시분급표준분、시각‐정합원시분급표준분、FM Q정현저상관（r분별위0．717、0．477、0．689、0．378、0．503， P균＜0．01）。29례CP편탄환인건측수UEFT분치여Gesell발육량중정세운동DA、PDMS‐2발육량중조악원시분、시각‐정합원시분정현저상관（r분별위0．722、0．713、0．778，P균＜0．01）；환측수UEFT 평분여Gesell발육량중정세운동DA、PDM S‐2발육량중조악원시분、시각‐정합원시분정현저상관（r분별위0．591、0．633、0．713， P균＜0．01）。편탄형CP환인건측수화환측수 UEFT 분치비교차이유통계학의의（Z＝－4．708，P＜0．01）。결론：UEFT、Gesell화PDMS‐2발육량표균가용우CP환인정세운동공능평정，이 UEFT 분치능경호지반영편탄형CP환인건、환수정세운동공능적차이，경리우제정강복계화여학정강복목표。evelopmental scale and the PMDS‐2 could be used clinically in rehabilitation assessment of fine motor function in children with cerebral palsy ．But in children with hemiplegic palsy ，the Carroll UEFT was more effective in evalua‐ting fine motor function ，formulating rehabilitation plan and setting rehabilitation goals ．
Objective:To investigate if Carroll upper extremities functional test (UEFT ) is a better rating scales for evaluating fine motor function in children with cerebral palsy .Methods :Seventy‐five children with non‐hemiple‐gic palsy and 29 children with hemiplegic palsy were evaluated by the Carroll UEFT ,the Gesell developmental scale and the PMDS‐2 .The scores of Carroll UEFT were compared respectively with the developmental age (DA) and de‐velopmental quotient (DQ) of Gesell developmental scale in fine motor domain and the PDMS‐2 scores in fine motor domains by the SPSS 16 .0 statistical software ,and their correlation coefficients (r) were evaluated .At the same time ,in children with hemiplegic palsy ,the UEFT scores of the affected limb were compared with those of the health limb .Results:In the non‐hemiplegic palsy group (n=75) ,the correlations of the Carroll UEFT scores with the DA and DQ of Gesell developmental scale in fine motor domain were analyzed respectively with the correlation coefficients being 0 .828 and 0 .462 respectively (P<0 .01) .The correlation coefficients of the UEFT scores with the PDMS‐2 grasping raw scores ,standard grasping scores ,vision‐integration raw ,vision‐integration standard scores ,and FMQ were 0 .717 ,0 .477 ,0 .689 ,0 .378 ,and 0 .503 respectively (P<0 .01) .In the hemiplegic palsy group (n=29) ,the correlation coefficients of the UEFT scores at healthy side with the DA of Gesell developmental scale in fine motor domain ,the PDMS‐2 grasping raw scores ,and vision‐integration raw scores were 0 .722 ,0 .713 , and 0 .778 respectively (P<0 .01) .And the correlation coefficients of the UEFT scores at the affected side with the DA of Gesell developmental scale in fine motor domain ,the PDMS‐2 grasping raw scores ,and vision‐integration raw scores were 0 .591 ,0 .633 and 0 .713 respectively (P<0 .01) .Compared the UEFT scores of healthy side with the affected side ,the difference was significant (Z= -4 .708 , P<0 .01) .Conclusion:The Carroll UEFT scores were highly correlated with the DA of Gesell developmental scale in fine motor domain ,the PDMS‐2 grasping raw scores and vision‐integration raw scores ,but not with the DQ of Gesell developmental scale in fine motor domain . The correlations of the FMQ with the Carroll UEFT scores at affected side and at healthy side were both poor .This study explains Carroll UEFT ,the Gesell d‐evelopmental scale and the PMDS‐2 could be used clinically in rehabilitation assessment of fine motor function in children with cerebral palsy .But in children with hemiplegic palsy ,the Carroll UEFT was more effective in evaluating fine motor function ,formulating rehabilitation plan and setting rehabilitation goals .