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对参与早期干预项目的唐氏综合征患儿的评估。第二次随访研究。

Evaluation of children with Down syndrome who participated in an early intervention program. Second follow-up study.

作者信息

Connolly B H, Morgan S, Russell F F

出版信息

Phys Ther. 1984 Oct;64(10):1515-9. doi: 10.1093/ptj/64.10.1515.

DOI:10.1093/ptj/64.10.1515
PMID:6237372
Abstract

The long-term effects of an early intervention program (EIP) on the motor, cognitive, and adaptive functioning of children with Down syndrome were examined. The cognitive and adaptive functioning was compared with a group of children with Down syndrome who had not participated in an EIP. The motor functioning was compared with the normative sample used in the development of the Bruininks Oseretsky Test of Motor Proficiency. The children were assessed using the Stanford-Binet Intelligence Scale, the Vineland Social Maturity Scale, and either the Bruininks Oseretsky Test of Motor Proficiency or the Gesell Schedules of Motor Development. Results revealed that the children in the EIP earned significantly higher scores (p less than .0005, p less than .05) on the measures of intellectual and adaptive functioning than did the children of comparable age who did not participate in an EIP. The children in the EIP did not show the decline typically seen with age in intellectual and adaptive functioning in children with Down syndrome. The children in the EIP were below expected age levels in gross (77.7%) and fine motor skills (58.3%) but had mean fine motor skill levels that exceeded their mean gross motor skill levels (50%). Based on the results, EIPs for children with Down syndrome appear to provide a foundation for subsequent learning and development.

摘要

研究了早期干预项目(EIP)对唐氏综合征患儿运动、认知和适应性功能的长期影响。将认知和适应性功能与一组未参加EIP的唐氏综合征患儿进行了比较。将运动功能与布鲁因inks奥塞雷茨基运动技能测验编制过程中使用的常模样本进行了比较。使用斯坦福-比奈智力量表、文兰社会成熟量表以及布鲁因inks奥塞雷茨基运动技能测验或格塞尔运动发育量表对患儿进行了评估。结果显示,EIP组患儿在智力和适应性功能测量方面的得分显著高于未参加EIP的同龄患儿(p<0.0005,p<0.05)。EIP组患儿在智力和适应性功能方面并未表现出唐氏综合征患儿随年龄增长通常出现的下降。EIP组患儿的粗大运动技能(77.7%)和精细运动技能(58.3%)低于预期年龄水平,但精细运动技能的平均水平超过了粗大运动技能的平均水平(50%)。基于这些结果,唐氏综合征患儿的EIP似乎为后续的学习和发展奠定了基础。

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