Yıldırım Zeynep Hoşbay, Aydınlı Nur, Ekici Barış, Tatlı Burak, Calişkan Mine
Department of Pediatric Neurology, Istanbul Medical Faculty, Fatih/Istanbul, Turkey.
Ann Indian Acad Neurol. 2012 Jul;15(3):196-9. doi: 10.4103/0972-2327.99714.
The main object of the present study is to assess neuromotor development of high-risk infants by using three tests, and to determine inter-test concordance and the feasibility of these tests.
One-hundred and nine patients aged between 0 and 6 months and identified as "high-risk infant" according to the Kliegman's criteria were enrolled to the study. Three different tests were used to assess neuromotor development of the patients: Bayley scales of infant development-II (BSID-II), Alberta infant motor scale (AIMS), and Milani Comparetti Motor Development Screening Test (MCMDST).
Correlation analysis was performed between pure scores of BSID-II motor scale and total scores of AIMS. These two tests were highly correlated (r:0.92). Moderate concordance was found between BSID-II and AIMS (k:0.35). Slight concordance was found between BSID-II and MCMDST; and the concordance was slight again for AIMS and MCMDST (k:0.11 and k:0.16, respectively) too.
AIMS has a high correlation and consistency with BSID-II and can be used with routine neurological examination as it is based on observations, has few items, and requires less time to complete.
本研究的主要目的是通过使用三项测试评估高危婴儿的神经运动发育,并确定测试之间的一致性以及这些测试的可行性。
根据克莱格曼标准确定为“高危婴儿”的109例0至6个月的患者纳入本研究。使用三项不同的测试来评估患者的神经运动发育:贝利婴儿发育量表第二版(BSID-II)、艾伯塔婴儿运动量表(AIMS)和米拉尼·孔帕雷蒂运动发育筛查测试(MCMDST)。
对BSID-II运动量表的纯得分与AIMS的总分进行相关性分析。这两项测试高度相关(r:0.92)。在BSID-II和AIMS之间发现中度一致性(k:0.35)。在BSID-II和MCMDST之间发现轻度一致性;AIMS和MCMDST之间的一致性也很轻微(分别为k:0.11和k:0.16)。
AIMS与BSID-II具有高度相关性和一致性,并且由于基于观察、项目少且完成所需时间较少,可与常规神经学检查一起使用。