Gross motor function of children with Down syndrome:: Creation of motor growth curves
Gross motor function of children with Down syndrome:: Creation of motor growth curves
复制标题
DOI：
10.1053/apmr.2001.21956
复制
发表时间：
2001-04-01
影响因子：
4.3
通讯作者：
Cunningham, L
中科院分区：
文献类型：
--
作者：
Palisano, RJ;Walter, SD;Cunningham, L
目的：建立唐氏综合征（DS）儿童大运动功能生长曲线，估计不同年龄实现运动功能的概率。设计：采用2参数（速率，上限）模型进行非线性生长曲线分析。设置：早期干预项目。学校，儿童之家。参与者：121名年龄在1个月至6岁的DS患儿。主要观察指标：大运动功能测量（GMFM）和运动损伤严重程度。结果：轻度（n = 51）和中度/重度（n = 70）损伤儿童的曲线特征是，婴儿期GMFM得分增加较大，当儿童接近预测的最高得分85.9或87.9时，GMFM得分增加较小。6个月大的孩子滚动的估计概率是51%；静坐12个月，78%；爬行18个月，34%；步行24个月，40%；然后跑，走上楼。5年，从45%上升到52%结论：随着动作复杂性的增加，退行性椎体滑移患儿需要更多的时间来学习动作。损伤程度影响运动功能的速率，但不影响运动功能的上限。研究结果对家长咨询有启示意义。对运动干预作出决定，并预测实现运动功能的时间框架。
Objective: To create gross motor function growth curves for children with Down syndrome (DS) and to estimate the probability that motor functions are achieved by different ages.Design: Nonlinear growth curve analysis by using a 2-parameter (rate, upper limit) model.Setting: Early intervention programs. schools, and children's homes.Participants: One hundred twenty-one children with DS, ages 1 month to 6 years.Main Outcome Measures: Gross Motor Function Measure (GMFM) and severity of motor impairment.Results: The curves for children with mild (n = 51) and moderate/severe (n = 70) impairment were characterized by a greater increase in GMFM scores during infancy and smaller increases as the children approached the predicted maximum score of 85.9 or 87.9. The estimated probability that a child would roll by 6 months was 51%; sit by 12 months, 78%; crawl by 18 months, 34%; walk by 24 months, 40%; and run, walk up stairs. and jump by 5 years, 45% to 52%.Conclusions: Children with DS require more time to learn movements as movement complexity increases. Impairment severity affected the rate but not the upper limit of motor function. The results have implications for counseling parents. making decisions about motor interventions, and anticipating the time frame for achievement of motor functions.