Correlation between Attention and Motor Function in Children with Spastic Hemiplegia
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摘要:
目的 研究痉挛型偏瘫患儿注意力与运动功能的相关性。 方法 采用小样本横断面观察性研究方法，选用注意网络测试系统和粗大运动功能评估量表对2018年8～12月在云南省残疾人康复中心就诊的痉挛型偏瘫患儿进行综合评估。采用Spearman相关性分析对患儿注意力与运动功能相关性进行统计分析。 结果 患儿粗大运动功能B、C、D 3个功能区与患儿注意网络正确率存在正相关性；患儿粗大运动功能B、C、D和E 4个功能区与患儿注意网络遗漏率存在负相关性；B、C 2个功能区与错误率存在负相关性；D（rs = −0.344，P = 0.052）和E（rs = −0.300，P = 0.100）功能区与患儿错误率相关性未见统计学差异；此外，痉挛型偏瘫患儿注意网络3个子成分两两间相关性差异无统计学意义（P > 0.05）。 结论 痉挛型偏瘫患儿注意力与运动功能存在相关性，在患儿运动功能康复治疗中，建议将患儿注意力作为一个关注点纳入其中。 Abstract:Objective To study the correlation between attention and motor function in children with spastic hemiplegia. Methods A small sample cross-sectional observational study was conducted. Spearman correlation analysis was used to statistically analyze the correlation between children’ s attention and motor function. Results The three functional areas of gross motor function B, C, and D of children were positively correlated with the correct rate of children’ s attention network; the four functional areas of gross motor function B, C, D, and E of children had negative correlation with the rate of missing attention network of children; B and C functional areas were negatively correlated with error rate; D（rs = −0.344, P = 0.052） and E（rs = −0.300, P = 0.100） functional areas were correlated with children’s error rate, there was no statistical difference. However, in children with spastic hemiplegia, there was no statistically significant correlation between the three sub-components of the network. Conclusions There is a correlation between attention and motor function in children with spastic hemiplegia. In the rehabilitation of motor function in children, it is suggested that attention should be included as a focus. -
Key words:
- Spastic hemiplegia /
- Attention /
- Motor function
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表 1 脑瘫患儿一般情况（n = 32）
Table 1. General situation of CP （n = 32）
项目 n 构成比（%） 性别 男 19 59.4 女 13 40.6 粗大运动功能分级系统分级 Ⅰ级 1 3.10 Ⅱ级 11 34.4 Ⅲ级 15 46.9 Ⅳ级 5 15.6 手功能分级系统分级 Ⅱ级 20 62.5 Ⅲ级 12 37.5 交流功能分级系统分级 Ⅰ级 8 25.0 Ⅱ级 16 50.0 Ⅲ级 8 25.0 
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表 2 ANT总体正确率、错误率、遗漏率和总用时（n = 32）
Table 2. Overall accuracy rate，error rate，omission rate and total time of ANT （n = 32）
项目 数值（ $ \bar x \pm s$） 总用时（ms） 1645.9 ± 133.50 正确率（%） 0.50 ± 0.10 错误率（%） 0.20 ± 0.05 遗漏率（%） 0.30 ± 0.07
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表 3 ANT平均反应时（n = 32）
Table 3. ANT average reaction time （n = 32）
项目 数值 （ $ \bar x \pm s$） 平均反应时（ms） 警觉网络 677.00 ± 497.40 定向网络 792.00 ± 597.60 执行网络 864.00 ± 799.10
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表 4 GMFM-88功能能区得分（n = 32）
Table 4. Score in GMFM-88 functional area （n = 32）
项目 数值（ $ \bar x \pm s$） B功能区 48 ± 3 C功能区 30 ± 4 D功能区 28 ± 3 E功能区 35 ± 4
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表 5 患儿粗大运动功能与注意网络平均反应时的相关性（n = 32）
Table 5. Correlation between gross motor function and average response time of attention network in cp （n = 32）
项目 B功能区 C功能区 D功能区 E功能区 警觉网络 rs = 0.031 rs = 0.052 rs = −0.071 rs = 0.053 P = 0.876 P = 0.813 P = 0.702 P = 0.801 定向网络 rs = −0.222 rs = −0.090 rs = −0.071 rs = −0.042 P = 0.221 P = 0.593 P = 0.687 P = 0.832 执行网络 rs = 0.069 rs = −0.123 rs = −0.021 rs = −0.111 P = 0.692 P = 0.050 P = 0.901 P = 0.568
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表 6 患儿粗大运动功能与注意网络正确率、错误率和遗漏率的相关性分（n = 32）
Table 6. Correlation analysis of gross motor function and the accuracy，error and omission rate of attention network in cp
项目 B功能区 C功能区 D功能区 E功能区 正确率 rs = 0.383 rs = 0.445 rs = 0.442 rs = 0.353 P = 0.032* P = 0.011* P = 0.011* P = 0.051 错误率 rs = −0.432 rs = −0.376 rs = −0.344 rs = −0.300 P = 0.010* P = 0.030* P = 0.052 P = 0.100 遗漏率 rs = −0.362 rs = −0.411 rs = −0.469 rs = −0.361 P = 0.041* P = 0.010* P = 0.001* P = 0.042* *P < 0.05。
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表 7 患儿注意网络3个子成分平均反应时间相关性分析（n = 32）
Table 7. Correlation analysis of average response time of three sub-components of attention network in children
项目 警觉网络 定向网络 执行网络 警觉网络 rs = 1.000 rs = 0.072 rs = −0.083 P = 0.732 P = 0.646 定向网络 rs = 0.068 rs = 1.000 rs = 0.119 P = 0.731 P = 0.511 执行网络 rs = −0.084 rs = 0.121 rs = 1.000 P = 0.647 P = 0.512
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