Neiman G S, Savage H E
Kent State University, Ohio, USA.
Cleft Palate Craniofac J. 1997 May;34(3):218-25. doi: 10.1597/1545-1569_1997_034_0218_doiatw_2.3.co_2.
The purpose of this study was to use caregiver report measures to describe the developmental status of infants and toddlers with clefts.
Developmental assessment data were obtained on 186 infants and toddlers with cleft lip (n = 48), cleft palate (n = 46), and cleft lip/palate (n = 92) at one of the following age categories: 5 months (n = 47), 13 months (n = 46), 25 months (n = 47), and 36 months (n = 46). Developmental assessment measures used were the Kent Infant Developmental Scale and the Minnesota Child Development Inventory, both caregiver reports. Data were analyzed in separate 2-between ANOVAs (age x cleft type) for each developmental domain according to developmental assessment measure. Further, results were examined relative to the normative sample.
The ANOVA results indicated that at 5 months, lower motor and self-help developmental quotients (DQs) were evident compared to the 13-month-old level. When compared to the normative sample, the 5-month-old infants exhibited 'at-risk/delayed' development on the motor, self-help, and cognitive domains, and as reflected on their full-scale scores, depending on the cleft type. Infants at 13 and 25 months were within normal limits in all developmental domains, with the exception of the 13-month-old infants with cleft palate, who demonstrate 'at-risk' development in the motor domain. At 36 months of age, all toddlers demonstrated significantly lower developmental performance in the fine motor, gross motor, and expressive language domain compared to the 25-month-old toddlers. Toddlers with cleft palate exhibit 'at-risk/delayed' development in the expressive language domain at 36 months.
Data are discussed relative to the events surrounding team management of clefts, including surgery, middle-ear problems, and feeding difficulty.
本研究旨在使用照顾者报告测量方法来描述唇腭裂婴幼儿的发育状况。
收集了186例唇腭裂婴幼儿的发育评估数据，其中唇裂（n = 48）、腭裂（n = 46）和唇腭裂（n = 92），年龄分布在以下几个年龄段之一：5个月（n = 47）、13个月（n = 46）、25个月（n = 47）和36个月（n = 46）。使用的发育评估测量方法是肯特婴儿发育量表和明尼苏达儿童发育量表，均由照顾者报告。根据发育评估测量方法，对每个发育领域的数据进行单独的双因素方差分析（年龄×腭裂类型）。此外，还将结果与常模样本进行了比较。
方差分析结果表明，与13个月大的水平相比，5个月大时的低运动和自助发育商（DQ）明显较低。与常模样本相比，5个月大的婴儿在运动、自助和认知领域表现出“有风险/发育迟缓”，并根据腭裂类型反映在其综合得分上。13个月和25个月大的婴儿在所有发育领域均处于正常范围内，但13个月大的腭裂婴儿在运动领域表现出“有风险”的发育。在36个月大时，与25个月大的幼儿相比，所有幼儿在精细运动、大运动和表达语言领域的发育表现均显著较低。36个月大时，腭裂幼儿在表达语言领域表现出“有风险/发育迟缓”。
讨论了与唇腭裂团队管理相关事件的数据，包括手术、中耳问题和喂养困难。
