Thein M M, Lee J, Tay V, Ling S L
Department of Community, Occupational and Family Medicine, National University of Singapore.
Inj Prev. 1997 Mar;3(1):63-6. doi: 10.1136/ip.3.1.63.
To study the impact of infant walker use on motor development and injuries.
One hundred and eighty five parents or primary care givers who attended a Singapore government polyclinic from September 1993 to February 1994, with their infants between 7 to 10 months, for a developmental assessment session.
A government polyclinic in Singapore.
The parent or primary care giver answered questions pertaining to infant walker use and injuries attributed to its use. Each infant was then given the Singapore modified version of the Denver Developmental Screening Test (DDST-S), along with a full clinical examination; both testers were blinded to walker use.
One hundred and sixty seven (90%) of 185 infants used walkers regularly, and 21 (12.5%) of the users had one or more injuries. Most injuries were minor, such as bruises and swellings on the head, forehead, face, and cheeks. None of the children who did not use walkers showed any abnormal DDST-S results whereas 18 (10.8%) of the 167 walker users had either abnormal or questionable DDST-S results.
12.5% of walker users had one or more injuries and walker use may also delay the child's motor development. These findings will help the physician or nurse in primary care settings to advise parents about the potential hazards of walker use.
研究婴儿学步车的使用对运动发育及损伤的影响。
1993年9月至1994年2月期间，带着7至10个月大婴儿前往新加坡政府综合诊疗所参加发育评估的185名家长或主要照顾者。
新加坡的一家政府综合诊疗所。
家长或主要照顾者回答有关婴儿学步车使用及因使用学步车导致的损伤的问题。随后，对每个婴儿进行新加坡版丹佛发育筛查测试（DDST-S）以及全面的临床检查；两位测试者均对婴儿学步车的使用情况不知情。
185名婴儿中有167名（90%）经常使用学步车，其中21名（12.5%）使用者有一处或多处损伤。多数损伤较轻，如头部、前额、面部和脸颊的瘀伤和肿胀。未使用学步车的儿童中，DDST-S测试结果均无异常，而167名使用学步车的儿童中有18名（10.8%）的DDST-S测试结果异常或存疑。
12.5%的学步车使用者有一处或多处损伤，使用学步车还可能延迟儿童的运动发育。这些研究结果将有助于基层医疗环境中的医生或护士向家长建议使用学步车的潜在危害。
