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瑞文彩色渐进矩阵测验作为衡量脑瘫患者认知功能的一种方法。

Raven's Coloured Progressive Matrices as a measure of cognitive functioning in Cerebral Palsy.

作者信息

Pueyo R, Junqué C, Vendrell P, Narberhaus A, Segarra D

机构信息

Department of Psychiatry and Clinical Psychobiology, University of Barcelona, Barcelona, Spain.

出版信息

J Intellect Disabil Res. 2008 May;52(Pt 5):437-45. doi: 10.1111/j.1365-2788.2008.01045.x. Epub 2008 Feb 28.

Abstract

BACKGROUND

Cognitive dysfunction is frequent in Cerebral Palsy (CP). CP motor impairment and associated speech deficits often hinder cognitive assessment, with the result being that not all CP studies consider cognitive dysfunction. Raven's Coloured Progressive Matrices is a simple, rapid test which can be used in persons with severe motor impairment and speech limitations. We studied whether this test can offer a reliable measure of cognitive functioning in CP.

METHOD

Visuoperceptual, language, memory and frontal lobe functions were evaluated in 30 participants with severe motor impaired CP and a variety of speech difficulties. The relationship between Raven's Coloured Progressive Matrices and a variety of tests was analysed.

RESULTS

Raven's Coloured Progressive Matrices performance was associated with visuoperceptual, language, visual and verbal memory but not with frontal functions. Receptive vocabulary and visuospatial measures were the best predictors of Raven's Coloured Progressive Matrices raw scores.

CONCLUSIONS

Raven's Coloured Progressive Matrices is a fast, easy-to-administer test able to obtain a measure related with linguistic, visuoperceptual, and memory cognitive functioning in persons with CP despite their motor and speech disorders.

摘要

背景

认知功能障碍在脑性瘫痪(CP)中很常见。CP的运动障碍及相关的言语缺陷常常妨碍认知评估,结果是并非所有CP研究都考虑认知功能障碍。瑞文彩色渐进矩阵测验是一种简单、快速的测试,可用于有严重运动障碍和言语受限的人群。我们研究了该测试能否为CP患者的认知功能提供可靠的测量。

方法

对30名有严重运动障碍的CP患者及各种言语困难患者的视觉感知、语言、记忆和额叶功能进行评估。分析了瑞文彩色渐进矩阵测验与各种测试之间的关系。

结果

瑞文彩色渐进矩阵测验的表现与视觉感知、语言、视觉和言语记忆相关,但与额叶功能无关。接受性词汇和视觉空间测量是瑞文彩色渐进矩阵测验原始分数的最佳预测指标。

结论

瑞文彩色渐进矩阵测验是一种快速、易于实施的测试,尽管CP患者存在运动和言语障碍,但仍能够获得与语言、视觉感知和记忆认知功能相关的测量结果。

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