| Cerebral palsy (CP) is to point out during his lifetime to a variety of reasons within one month after birth, due to non-progressive brain damage. Mainly as a central movement disorders, and abnormal posture may be accompanied by mental retardation, epilepsy, language, perception and mental abnormalities abnormal behavior. In recent years, with the level of technology to improve obstetric and neonatal intensive care unit of the establishment and first-aid children critically ill patients raises the level of perinatal mortality, but so that the prevalence of children with cerebral palsy was gradually increased. Currently the early diagnosis of cerebral palsy, early treatment research has made tremendous progress, but evaluation of treatment remains controversial, As a result difficult to evaluate is difficult to quantify. Current international assessment studies of cerebral palsy made a series of results, in order to Gross Motor Function Measure (GMFM), represented by the birth of cerebral palsy cerebral palsy standardized scale research and evaluation provide a good tool. Part of the scale also has computer software to enable the assessment of cerebral palsy to reach intelligent levels so that people more in-depth study of cerebral palsy. Actively promote the use of the introduction of GMFM and the development of cerebral palsy in China will play an important role in promoting. GMFM assessment results on meta-analysis of rare, suggesting that GMFM as an efficacy endpoint of the need to further explore the need to test large sample data analysis of its significance.Objective:To for the domestic motor function in children with cerebral palsy to carry out assessment and evaluation of treatment effect to provide scientific, simple, quantitative assessment tools. Through the use of GMFM to explore the rehabilitative treatment of children with cerebral palsy clinical significance. At the same time the use of GMFCS, obtained the degree of disability in children with different scientific and rational assessment.Methods:a random collection of 83 cases of hospitalized children with cerebral palsy were divided into three groups:experimental group A (30 cases), the experimental group B (22 cases), experimental group C (31 cases); 30 cases of normal children as a healthy control group. The hospital received 83 cases of children with conventional therapy (ie, Chinese and Western medicine combined treatment mode). Were 83 cases of children in the hospital prior to and use of GMFM for evaluation prior to discharge, according to GMFCS classification for children to come to individual gross motor development curves, the project plans, and a scientific and rational assessment. The experimental group A in children:3 months of a course of treatment, the GMFM-66 pre-hospital results of the assessment input GMAE statistical software for data analysis, Speculated that the specific energy region for the next one treatment goals, combined with clinical experience in finishing the program and integrate into the conventional treatment of the formation of individual models; experimental group B in children:2 months as a course of treatment, treatment with the experimental group A; experimental group C children:3 months as a course of treatment, using conventional integrated treatment programs, GMFM-66 assessment tool only as the treatment of non-intervention. Healthy control group intervals in March for two GMFM evaluation.Results:1. In the control group, GMFM for the first time measurement results by age group compared, GMFM for children over 3 years of age significantly higher than those measured within the 3-year-old children (P<0.05).2. The control group carried out 3 months apart in two GMFM measurements, the results were significantly different (P<0.05).3-year-old children within the GMFM measurement results change in the two measurements as compared to children over 3 years of age difference was significant (P<0.05), reaction of the younger faster gross motor development.3. Experimental groups and control group GMFM for the first time measurements compared to children with cerebral palsy GMFM measurements were significantly lower than children (P <0.05).4. Experimental group and control group in each group of two GMFM measurements, the change in the amount of the differences were significant (P<0.05).5. Experimental groups and control group twice the amount of measured change in GMFM results compared to normal children, children with cerebral palsy compared with more obvious changes in GMFM results (P<0.05).6. Experimental group A in children with the experimental group B children with two measurements of the changes in GMFM results to compare the amount of the experimental group A in children with more obvious changes in GMFM results (P<0.05).7. Experimental group A in children with the experimental group C children with two measurements of the changes in GMFM results to compare the amount of the experimental group A in children with more obvious changes in GMFM results (P<0.05).Conclusion:GMFM is recognized, the most widely used assessment of gross motor function in children with cerebral palsy scale. It can effectively reflect the age on the level of gross motor; reflect the development of cerebral palsy children lag behind gross motor level; reflect the duration of the treatment effect on cerebral palsy treatment; the same time, the clinical treatment of children with cerebral palsy also have some significance. However, gross motor function of children with cerebral palsy by many factors such as age, growth rate, damage site, type, etc., to clinical research, in particular between the matched groups of subjects were brought its own difficulties, so also need more sophisticated design and larger samples in order to achieve satisfactory results. |
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