| 徐晓萌,吕忠礼,刘建军.Peabody运动发育量表在分娩性臂丛神经损伤婴儿作业治疗中的应用[J].安徽医药,2025,29(6):1234-1237. |
| Peabody运动发育量表在分娩性臂丛神经损伤婴儿作业治疗中的应用 |
| Application of the Peabody Development Motor Scale for upper limb function in infants with obstetric brachial plexus palsy during occupational therapy |
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| DOI：10.3969/j.issn.1009-6469.2025.06.035 |
| 中文关键词: 分娩性臂丛神经损伤 Peabody运动发育量表 婴儿 作业治疗 上肢功能 |
| 英文关键词: Obstetric brachial plexus injury Peabody Development Motor Scale Infants Occupational therapy Upper limb function |
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| 中文摘要: |
| 目的探究以 Peabody运动发育量表( PDMS-2)中的精细运动发育量表为依据，设定作业治疗( OT)目标并开展训练，对婴儿期分娩性臂丛神经损伤( OBPP)病儿患侧上肢功能的影响。方法前瞻性选取 2020年 8月至 2023年 1月就诊于首都医科大学附属北京儿童医院的单侧 OBPP病儿 46例，按随机数字表法分为对照组( n=23)和训练组( n=23)OT持续 3个月。对照组病儿进行常规治疗；训练组病儿在 PDMS-2中视觉 -运动整合和抓握模块分测试的项目指导下尽早开展主，动运动训练。在病儿训练前后分别对其患侧上肢进行上肢功能质量测试量表( QUEST)评估和肌电图检查，比较两组治疗前后 QUEST分数和肌电图检查运动传导测定中存在潜伏期延长和波幅降低的异常神经条数。结果研究过程中两组各脱落 3例，最终每组纳入 20例。研究结束后对照组病儿患侧上肢 QUEST评分为( 65.58±13.35)分，肌电图异常神经条数为( 10.50±1.67)条；训练组病儿患侧上肢 QUEST评分为( 76.65±9.11)分，肌电图异常神经条数为( 9.25±1.99)条。研究结束后两组病儿患肢功能均明显提高( P<0.05)；与对照组比较，训练组疗效更为显著， QUEST评分差异有统计学意义( P<0.05)肌电图异常神经条数差异有统计学意义(P<0.05)。结论以 PDMS-2在各月龄应掌握的能力为依据制定婴儿期 OBPP病儿患侧，上肢 OT训练方法，可以得到更好的训练效果。 |
| 英文摘要: |
| Objective To explore the impact of using the Peabody Development Motor Scale (PDMS-2), specifically its fine motorsubtest, on establishing occupational therapy (OT) goals and guiding training for affected upper limb function in infants with ObstetricBrachial Plexus Palsy (OBPP).Methods From August 2020 to January 2023, 46 infants with unilateral OBPP who were admitted toBeijing Children's Hospital, Capital Medical University, were prospectively enrolled and randomly assigned to a control group (n=23) and a training group (n=23). Both groups underwent 3 months of OT. The control group received routine rehabilitation training, whiletraining group performed active movement exercises guided by the PDMS-2 visual-motor integration and grasping subscales starting asearly as possible. Affected upper limb function was evaluated before and after treatment using the Quality of Upper Extremity SkillsTest (QUEST) and electromyography (EMG). Comparisons between groups included QUEST scores and the number of EMG-detected motor conduction abnormalities (prolonged latency or reduced amplitude).Results Three participants withdrew from each group, re-sulting in 20 participants per group. Post-intervention, the control group achieved a QUEST score of 65.58±13.35 and 10.50±1.67 ab-normal EMG nerve lines, while the training group showed a QUEST score of 76.65±9.11 and 9.25±1.99 abnormal EMG nerve lines.Both groups demonstrated significant functional improvement (P<0.05). The training group had statistically superior outcomes com-pared to the control group in both QUEST scores (P<0.05) and number of abnormal EMG nerve lines (P<0.05).Conclusion Using the PDMS-2 to guide OT training plans enhances functional recovery of affected upper limbs in infants with OBPP. |
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