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倾听家长的担忧:发育性运动迟缓婴儿的三个案例

Listening to parents' concerns: three case examples of infants with developmental motor delays.

作者信息

Harris Susan R

机构信息

Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada V6T 1Z3.

出版信息

Pediatr Phys Ther. 2009 Fall;21(3):269-74. doi: 10.1097/PEP.0b013e3181b12fbc.

Abstract

PURPOSE

The primary purpose of this clinical report was to compare parents' concerns about their infants' suspected motor delays with scores on the Harris Infant Neuromotor Test (HINT) and the Bayley-II Motor Scale. The second purpose was to determine whether there was agreement in categorizing the delays on the 2 tests.

SUMMARY OF KEY POINTS

Three female infants with parent-identified concerns of motor delay were assessed on the HINT and Bayley-II Motor Scale. All showed significant delays, corroborating parental concerns. On the HINT, all scored >2 SD above the mean, being categorized as significantly delayed. On the Bayley-II Motor Scale, all demonstrated significantly delayed motor performance, ie, >2 SD below the mean.

RECOMMENDATIONS FOR CLINICAL PRACTICE

Pediatric physical therapists should listen to parents' concerns about their infants with suspected motor delays and provide assessments to address these concerns. When appropriate, these infants should be referred for early intervention services.

摘要

目的

本临床报告的主要目的是比较家长对其婴儿疑似运动发育迟缓的担忧程度与哈里斯婴儿神经运动测试(HINT)和贝利婴幼儿发展量表第二版(Bayley-II)运动分量表的得分情况。第二个目的是确定在这两项测试中对发育迟缓进行分类时是否存在一致性。

要点总结

对三名家长认为存在运动发育迟缓问题的女婴进行了HINT和贝利婴幼儿发展量表第二版运动分量表的评估。所有婴儿均表现出明显的发育迟缓,证实了家长的担忧。在HINT测试中,所有婴儿的得分均高于平均值2个标准差以上,被归类为明显发育迟缓。在贝利婴幼儿发展量表第二版运动分量表中,所有婴儿的运动表现均明显延迟,即低于平均值2个标准差。

临床实践建议

儿科物理治疗师应倾听家长对其疑似运动发育迟缓婴儿的担忧,并提供评估以解决这些担忧。在适当的时候,应将这些婴儿转介接受早期干预服务。

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