高危險新生兒的整體動作評估

General Movement Assessment for High-Risk Infants

郭曉意(Hsiao-I Kuo)；吳晏慈(Yen-Tzu Wu)；羅鴻基(Hong-Ji Luo)；陳佩珊(Pei-Shan Chen)；鄭素芳(Suh-Fang Jeng)

早產兒 ； 整體動作評估 ； 發展預後 ； 早期介入 ； Prematurity ； General movement assessments ； Developmental outcome ； Early intervention

物理治療

34卷1期（2009 / 02 / 01）

9 - 17

繁體中文

如何早期發現高危險新生兒的神經動作發展問題，而進一步提供介入，提昇其發展潛能，為新生兒加護病房內積極探討之議題。物理治療師在高危險新生兒的早期發展評估與健康促進方面，扮演里要的角色。本文獻回顧的目的有三：(1)簡介整體動作評估之理論背景與施測方法；(2)比較整體動作評估與其他評估方法對於高危險新生兒發展之預測力：(3)評論整體動作評估之優點與限制。本文的資料將有助於物理治療師對整體動作評估有一個概略性認識，以針對高危險新生兒進行有效之發展評估，做為安排早期介入的根據。

Early identification and intervention of neuromotor dysfunction of high-risk infants at neonatal intensive care unit is increasingly emphasized. Physical therapists play an important role in early assessment and intervention for high-risk infants. This review article is aimed for three purposes: (1) to introduce the theoretical concepts and testing procedure of general movement assessment: (2) to compare the predictive ability of general movement assessment and other assessments: and (3) to delineate the advantages and limits of general movement assessment. The reviewed information will help physical therapists understand general movements and provide the basis for designation of early intervention program.