基于婴儿运动表现测试的脑瘫患儿早期运动表现特点分析

申亚丽; 屈福祥; 王成举; 吴至凤; 程旺; 杨秋霞; 胡楠; 张雨平

doi:10.16016/j.2097-0927.202309111

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基于婴儿运动表现测试的脑瘫患儿早期运动表现特点分析

神经科学 | 更新时间：2026-01-09

- 基于婴儿运动表现测试的脑瘫患儿早期运动表现特点分析
- A TIMP-based assessment for early motor performance in cerebral palsy toddlers
- 陆军军医大学学报 2024年46卷第6期页码：515-521
- 作者机构：
  
  1.400037 重庆，陆军军医大学(第三军医大学)第二附属医院儿科
  2.553537 贵州六盘水，盘州市第二人民医院儿科
- 作者简介：
  
  [张雨平，E-mail：465616386@qq.com ZHANG Yuping, Email: 465616386@qq.com
- 基金信息：
  
  国家科技部科技创新2030-“脑科学与类脑研究”重大项目(2021ZD0201700)
- DOI：10.16016/j.2097-0927.202309111
  中图分类号： R181.37;R339.4;R742.3
- 收稿：2023-09-20，
  
  修回：2023-10-30，
  
  纸质出版：2024-03-30
- 稿件说明：
移动端阅览
申亚丽, 屈福祥, 王成举, 等. 基于婴儿运动表现测试的脑瘫患儿早期运动表现特点分析[J]. 陆军军医大学学报, 2024,46(6):515-521.

Yali SHEN, Fuxiang QU, Chengju WANG, et al. A TIMP-based assessment for early motor performance in cerebral palsy toddlers[J]. Journal of Army Medical University, 2024, 46(6): 515-521.
申亚丽, 屈福祥, 王成举, 等. 基于婴儿运动表现测试的脑瘫患儿早期运动表现特点分析[J]. 陆军军医大学学报, 2024,46(6):515-521. DOI： 10.16016/j.2097-0927.202309111.

Yali SHEN, Fuxiang QU, Chengju WANG, et al. A TIMP-based assessment for early motor performance in cerebral palsy toddlers[J]. Journal of Army Medical University, 2024, 46(6): 515-521. DOI： 10.16016/j.2097-0927.202309111.

摘要

目的

通过分析脑瘫患儿在2~4月龄时的婴儿运动表现测试(test of infant motor performance，TIMP)结果，探讨脑瘫患儿的早期运动表现特点。

方法

采用横断面研究设计方案，纳入2018年12月至2022年12月期间在陆军军医大学第二附属医院早产高危儿随访门诊就诊、1岁后确诊为脑瘫的患儿17例，收集其2~4月龄的TIMP评估结果；以相同月龄的TIMP中国常模样本作为对照，计算

值；比较两组之间TIMP总分、7个体位分组得分以及42个项目得分的差异。

结果

脑瘫患儿2~4月龄的TIMP总分

值为(-0.95±1.11)，显著低于常模对照组得分(

0.01)。体位分组中坐位、侧方位、翻身、立位项目得分

值分别为(-0.89±0.88)、(-1.17±0.66)、(-0.43±0.79)及(-0.63±0.77)，均显著低于常模对照组得分(

0.05)，尤其以坐位、侧方位、立位项得分差异最为显著(

0.01)，而观察项目、仰卧位、俯卧位与正常同龄婴儿无显著差异。42个项目得分中，脑瘫患儿有17项评分显著低于中国常模，以第15项(坐位头控)、第16项(颈后肌群活动)、第26项(上肢防御)、第32项(拉坐)、第33项(侧卧位牵拉上肢转为侧坐)、第34项(侧卧位髋关节外展)、第40项(站立)的得分差异最为显著。

结论

脑瘫高危儿随访中尤其需要关注坐位、侧方位以及立位项的运动表现，这可能对脑瘫的早期识别具有提示意义。

Abstract

Objective

To explore the characteristics of early motor performance in toddlers with cerebral palsy by analyzing the results of Test of Infant Motor Performance (TIMP) when they were at an age of 2 to 4 months.

Methods

A cross-sectional trial was conducted on 17 children who were followed up in the Preterm High-Risk Infant Follow-Up Clinic of the Second Affiliated Hospital of Army Medical University as high-risk premature infants and diagnosed with cerebral palsy after 1 year of age from December 2018 to December 2022. The results of their TIMP assessments at an age of 2~4 months. With the data of TIMP Chinese norm samples at the same age as controls

the

-values were calculated and the total score

of TIMP

scores of the 7 postural subgroups (including totally 42 items)

and scores of these 42 items were calculated and compared between the 2 groups.

Results

The

-value of the total TIMP score for the cerebral palsy infants aged 2~4 months was only -0.95±1.11

which was significantly lower than that the expected score(

0.01). Similarly

the Z-values for the scores of sitting position

lateral orientation

turning over

and standing position in the postural subgroups were -0.89±0.88

-1.17±0.66

-0.43±0.79

and -0.63±0.77

respectively

and all of these scores for sitting position

lateral orientation

and standing position (

0.01). There were no notable differences between the Chinese norms and the cerebral palsy children in terms of observation items

supine position

or prone position. Out of the 42 items

the cerebral palsy children had significantly lower scores than the Chinese norms in 17 items

with the items 15 (head control in sitting position)

16 (head control posterior neck muscle)

26 (defensive reaction-arm movements)

32 (head control in the pull-to-sit maneuver)

33 (pull the upper limb into lateral positions)

34 (lateral hip abduction reaction)

and 40 (standing) most significant in turn.

Conclusion

The motor performance of sitting

lateral orientation

and standing should be given particular attention during the follow-up of high-risk children with cerebral palsy

and these performances may indicate the need for early detection of the condition.

关键词

Keywords

references

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