Connolly B H, Morgan S B, Russell F F, Fulliton W L
Department of Rehabilitation Sciences, University of Tennessee, Memphis 38163.
Phys Ther. 1993 Mar;73(3):170-9; discussion 179-81. doi: 10.1093/ptj/73.3.170.
The long-term motor, cognitive, and adaptive functioning of a sample of adolescents with Down syndrome who experienced an early intervention program was examined in this descriptive study.
Ten children with Down syndrome (7 girls, 3 boys) who had participated in an early intervention program constituted the early intervention (EI) group. An age-matched group of children with Down syndrome (6 girls, 4 boys) who had not experienced an early intervention program served as a comparison group.
The EI group's motor functioning was compared with that of a normative sample used in the development of the Bruininks-Oseretsky Test of Motor Proficiency. The cognitive and adaptive skills of the EI group were compared with those of the comparison group. The children were assessed using the Stanford-Binet Intelligence Scale, the Vineland Social Maturity Scale, and the Bruininks-Oseretsky Test of Motor Proficiency.
The EI group subjects fell below their chronological age levels in gross and fine motor skills; however, their mean gross motor skill levels exceeded their mean fine motor skill levels. The specific deficits in gross motor and fine motor skills, which were documented in a previous follow-up study on the same sample, continued to be areas of deficits (visual motor coordination, running speed, balance, and reaction time). The EI group subjects had significantly higher scores on measures of intellectual and adaptive functioning than did the children in the comparison group. The EI group subjects did not show the decline typically seen with age in adaptive functioning in individuals with Down syndrome.
Because of the design limitations, the differences between the groups should be interpreted with caution.
在这项描述性研究中，对一组经历过早期干预项目的唐氏综合征青少年的长期运动、认知和适应性功能进行了检查。
十名参与过早期干预项目的唐氏综合征儿童（7名女孩，3名男孩）构成早期干预（EI）组。一组年龄匹配但未经历过早期干预项目的唐氏综合征儿童（6名女孩，4名男孩）作为对照组。
将EI组的运动功能与用于制定布吕宁克斯 - 奥塞瑞斯基运动技能测试的常模样本进行比较。将EI组的认知和适应技能与对照组进行比较。使用斯坦福 - 比奈智力量表、温兰德社会成熟量表和布吕宁克斯 - 奥塞瑞斯基运动技能测试对儿童进行评估。
EI组受试者的粗大和精细运动技能低于其实际年龄水平；然而，他们的平均粗大运动技能水平超过了平均精细运动技能水平。在之前对同一样本的随访研究中记录的粗大运动和精细运动技能的特定缺陷，仍然是缺陷领域（视觉运动协调、跑步速度、平衡和反应时间）。EI组受试者在智力和适应功能测量方面的得分显著高于对照组儿童。EI组受试者没有表现出唐氏综合征患者随年龄增长通常出现的适应功能下降。
由于设计限制，两组之间的差异应谨慎解释。
