中国康复Issue(2)：89-92,4.DOI:10.3870/zgkf.2014.01.003
脑瘫患儿语言发育迟缓及其与粗大运动功能分级的关系
Language retardation and its relationship with the GMFCS levels in children with cerebral palsy
李倩 1王松青 2侯梅 3苑爱云 3李淑秋 3乔卫卫3
作者信息
- 1. 青岛大学医学院康复医学与理疗学，山东 青岛 266000
- 2. 青岛市海慈医院儿科，山东 青岛 266000
- 3. 青岛市妇女儿童医院神经康复科，山东 青岛 266034
- 折叠
摘要
Abstract
Objective :To analyze the correlation of language development level with types of cerebral palsy (CP) and gross motor function in children with CP .Methods:The children with CP treated in Qingdao Women and Chil-dren's Hospital from January 2012 to January 2013 were assessed with Gross Motor Function Classification System (GMFCS) ,and Sign-Significate Language Development Test .The retardation rate and severity of language reception and expression as well as their relationships with the CP types and GMFCS levels were explored .Results :Among 113 cases ,42 were in GMFCS levels Ⅰ and Ⅱ ,27 in Ⅲ ,and 44 in Ⅳ and Ⅴ .Most children with hemiplegia belonged to the mild movement disorders :18 .75% delay in language reception and 37 .5% delay in language expression .Of the children with spastic diplegia ,half were for mild dyskinesia and half for moderate and severe dyskinesia :28/42 (66 .67% ) delay in language reception and 35 (83 .33% ) delay in language expression .Spastic quadriplegia ,ataxia , dyskinetic and mixed types of CP were mainly associated with moderate and severe dyskinesia :88 .89% ,75 .00% , 91 .67% ,71 .43% delay in language development respectively .The children with dyskinetic and mixed types of CP had obviously better language reception than expression (P<0 .05 for all) ,however ,delay in language reception and expression was fair .There was a positive correlation between language retardation rate and GMFCS levels in children with CP (r=0 .402 and 0 .389 for language reception and expression respectively ,P<0 .01) .Conclusions :Language reception and/or expression retardation are common in children with CP and the incidence and severity are also asso-ciated with CP types as well as the GMFCS levels .Planning appropriate language therapeutic intervention is there-fore vital ,especially for children with spastic quadriplegia ,dyskinetic ,mixed types of CP and those with GMFCS lev-els of Ⅲ to V .关键词
脑性瘫痪/语言发育/语言理解和/表达迟缓/言语障碍/粗大运动功能分级系统Key words
cerebral palsy/language development/language reception and/or expression retardation/speech disor-der/Gross Motor Function Classification System (GMFCS)分类
医药卫生引用本文复制引用
李倩,王松青,侯梅,苑爱云,李淑秋,乔卫卫..脑瘫患儿语言发育迟缓及其与粗大运动功能分级的关系[J].中国康复,2014,(2):89-92,4.
