Badell-Ribera A
Arch Phys Med Rehabil. 1985 Sep;66(9):614-9.
Prognosis of locomotion in children with cerebral palsy (CP) is complicated by the variety of motor and other neurologic deficits in each case. Children presenting with spastic diplegic (SD) CP related to prematurity generally demonstrate more uniform and comparable neuromotor abnormalities. In this study, longitudinal data were collected on the early postural-locomotor development of children with spastic diplegic cerebral palsy (SDCP). The data were then correlated with the level of ambulatory function attained. Fifty spastic pediatric patients, aged 5 to 19 years, were included in the study completed in 1982. The duration of follow-up ranged from 4 to 16 years. The study is based upon a method of assessing preambulatory milestones, a classification of ambulatory function into four levels of ability, and correlates these two sets of data. The results indicate that the motor control of sitting and crawling at 1 1/2 to 2 1/2 years was predictive of the eventual level of ambulatory function the child was able to attain and maintain.
脑瘫（CP）患儿的运动预后因每个病例中运动和其他神经功能缺陷的多样性而变得复杂。早产相关的痉挛性双侧瘫（SD）脑瘫患儿通常表现出更一致且具有可比性的神经运动异常。在本研究中，收集了痉挛性双侧瘫脑瘫（SDCP）患儿早期姿势 - 运动发育的纵向数据。然后将这些数据与所达到的步行功能水平相关联。1982年完成的这项研究纳入了50名年龄在5至19岁的痉挛性儿科患者。随访时间为4至16年。该研究基于一种评估步行前里程碑的方法、将步行功能分为四个能力水平，并将这两组数据相关联。结果表明，1.5至2.5岁时坐和爬行的运动控制可预测儿童最终能够达到并维持的步行功能水平。
