唐氏综合征患儿的运动和认知发育概况
Motor and Cognitive Developmental Profiles in Children With Down Syndrome.
作者信息
Kim Hyo In, Kim Seong Woo, Kim Jiyong, Jeon Ha Ra, Jung Da Wa
机构信息
Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
出版信息
Ann Rehabil Med. 2017 Feb;41(1):97-103. doi: 10.5535/arm.2017.41.1.97. Epub 2017 Feb 28.
OBJECTIVE
To investigate motor and cognitive developmental profiles and to evaluate the correlation between two developmental areas and assess the influencing factors of the developmental process in children with Down syndrome (DS).
METHODS
Seventy-eight children with DS participated in this study. The medical history was taken and motoric milestone achievements recorded. The Korean Wechsler Preschool and Primary Scale of Intelligence (K-WPPSI) and Bayley Scales of Infant Development-II (BSID-II) were administered. Subjects were divided into severe motor delay group (severe group) and typical motor delay group (typical group).
RESULTS
Children with DS follow the same sequence of motor development and generally displayed double times of acquisition of developmental milestones compared with healthy children. Furthermore, having surgery for associated complications showed negative influence to the motor development. Almost of all children with DS showed moderate degree of intellectual disability and motor and cognitive development do not seem to correlate one another.
CONCLUSION
Surgery of associated complications can be negatively related to motor development. However, early motor development did not have any significant effects on the achievement of later cognitive functioning.
目的
研究唐氏综合征（DS）患儿的运动和认知发育情况，评估两个发育领域之间的相关性，并评估发育过程的影响因素。
方法
78名DS患儿参与了本研究。记录病史并记录运动发育里程碑的达成情况。实施韩国韦氏学前和小学智力量表（K-WPPSI）和贝利婴儿发展量表第二版（BSID-II）。将受试者分为严重运动发育迟缓组（严重组）和典型运动发育迟缓组（典型组）。
结果
DS患儿遵循相同的运动发育顺序，与健康儿童相比，通常达到发育里程碑的时间为两倍。此外，因相关并发症进行手术对运动发育有负面影响。几乎所有DS患儿都表现出中度智力残疾，运动和认知发育似乎互不相关。
结论
相关并发症手术可能与运动发育呈负相关。然而，早期运动发育对后期认知功能的达成没有任何显著影响。
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