重庆医学2016，Vol.45Issue(30)：4233-4236,4.DOI:10.3969/j.issn.1671-8348.2016.30.018
全身运动质量评估结合 Vojta 7项姿势反射对高危儿脑性瘫痪的预测研究
Agreement between general movements assessment and Vojta posture reflex examination in high risk infants
杜菲 1刘依竞 1刘玥 1秦菁金 1罗晓曦 1肖农1
作者信息
- 1. 重庆医科大学附属儿童医院康复科/儿童发育疾病研究教育部重点实验室/儿童发育重大疾病国家国际科技合作基地/儿科学重庆市重点实验室/认知发育与学习记忆障碍转化医学重庆市重点实验室，重庆400014
- 折叠
摘要
Abstract
Objective To investigate the consistency between general movements assessment(GMs) and Vojta posture reflex examination in assessing high risk infants for cerebral palsy .Methods Retrospective review was performed on 310 high risk infants who were diagnosed in Department of Rehabilitation in Children′s Hospital of Chongqing Medical University from february 2012 to November 2014 .The basic information ,GMs assessment ,Vojta posture reflex examination and gross motor development scale re‐sults were collected ,and these infants were followed‐up to the age 1 year old .The SPSS13 .0 software was applied for statistical a‐nalysis .Results (1)Totally 110 infants showed fidgety movements and 8 cases showed cramped‐synchronised movements in GMs assessment .The predictive values of GMs assessment for cerebral palsy were as follows :sensitivity 87 .27% ,specificity 89 .00% , positive predictive value 81 .35% ,positive likelihood ratio 2 .40 ,negative likelihood ratio 0 .04 .(2)There were 131 cases with nega‐tive reswlts of Vojta posture reflex examination and 179 cases with positive results ,in which 132 cases were mild abnormal ,33 cases were moderate abnormal ,14 cases were severe abnormal .Predictive values of Vojta postural reflex test for high risk infants with cerebral palsy were as follows :sensitivity 98 .18% ,specificity 33 .50% ,positive predictive value 44 .81% ,positive likelihood ratio 2 .93 ,negative likelihood ratio 0 .45 .(3)The difference of the positive rate of two methods in predicting cerebral palsy was statisti‐cally significant (P<0 .001) ,and the consistency was not ideal(κ=0 .22 ,P<0 .01) .Conclusion The consistency between GMs as‐sessment and Vojta posture reflex examination is not ideal ,and GMs assessment is superior to Vojta posture reflex examination .关键词
全身运动质量评估/Vojta姿势反射/高危儿/脑性瘫痪/一致性Key words
general movements assessment/Vojta posture reflex examination/high risk infants/cerebral palsy/consistency分类
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杜菲,刘依竞,刘玥,秦菁金,罗晓曦,肖农..全身运动质量评估结合 Vojta 7项姿势反射对高危儿脑性瘫痪的预测研究[J].重庆医学,2016,45(30):4233-4236,4.
