Levine M S
Arch Phys Med Rehabil. 1980 Sep;61(9):385-9.
Cerebral palsy is a nonprogressive disorder of movement and posture that often has nonmotor findings associated with it. However, a specific number of clinical motor findings is required to make the diagnosis. These clinical motor abnormalities can be grouped into 6 Major Motor Categories: (1) Postures and Movement Patterns; (2) Oral Motor Patterns; (3) Strabismus; (4) Tone of Muscles; (5) Evolution of Postural Reactions and Landmarks; and (6) Deep Tendon, Infantile and Plantar Reflexes. In this retrospective chart study of 60 children with handicaps over age 1 year, a child with abnormalities in 4 or more of these Major Motor Categories is likely to have been given the diagnosis of cerebral palsy. A child with abnormalities in less than 4 Major Motor Categories was unlikely to have the diagnosis of cerebral palsy. The distinction between the 2 groups was significant at the 0.0001 level. This suggests that once progressive diseases and syndromes with a cerebral palsylike motor component are excluded, a child with abnormalities in 4 or more Major Motor Categories may be classified as having cerebral palsy.
脑瘫是一种运动和姿势的非进行性障碍，常伴有非运动性表现。然而，做出诊断需要特定数量的临床运动表现。这些临床运动异常可分为6个主要运动类别：（1）姿势和运动模式；（2）口部运动模式；（3）斜视；（4）肌肉张力；（5）姿势反应和里程碑的发展；（6）深部腱反射、婴儿反射和足底反射。在这项对60名1岁以上残疾儿童的回顾性图表研究中，在这些主要运动类别中存在4种或更多异常的儿童很可能被诊断为脑瘫。在少于4个主要运动类别中存在异常的儿童不太可能被诊断为脑瘫。两组之间的差异在0.0001水平上具有显著性。这表明，一旦排除具有脑瘫样运动成分的进行性疾病和综合征，在4个或更多主要运动类别中存在异常的儿童可能被归类为患有脑瘫。
