Abstract: Objective To learn the level of motor development in positional plagiocephaly(PP) infants. Method Using Infant Neurological International Battery (INFANIB),level of motor development was evaluated in 393 PP and 390 normal infants during 0~18 months. Results Compared with normal infants,the infants with PP aged at 0~3.9 months had lower scores in spasticity,head and trunk,legs,french angles scales and the total score(P<0.05);4~18 months infants with PP had lower scores in spasticity,head and trunk,vestibular function,legs,french angles scales and the total score,which had significantly statistic differences(P<0.05).And in PP group,the more serious head deformation was,the lower total scores presented.There were statistic differences among mild,moderate and severe degree(P<0.05). Conclusions Compared with the normal group,PP infants have worse motor development level.The more serious PP is,the worse motor development level exists.These remind us that PP should be detected,follow-up visited and intervened early.PP may be risk signal of delayed motor development.

Key words: positional plagiocephaly, Infant Neurological International Battery, motor development

摘要： 目的 了解姿势性斜头婴幼儿的运动发育水平。方法 运用婴儿神经国际量表(Infant Neurological International Battery,INFANIB)汉译版评估0~18月的393例姿势性斜头和390例正常婴幼儿的运动发育水平。结果 0~3.9月斜头组分别在INFANIB的痉挛能区、头和躯干、脚、静态张力四个能区和总分上较正常组低,差异均有统计学意义(P<0.05);4~18月斜头组分别在INFANIB的痉挛能区、头和躯干、前庭功能、脚、静态张力五个能区和总分上较正常组低,差异均有统计学意义(P<0.05);轻、中、重度斜头组的INFANIB得分逐渐降低,组间差异具有统计学意义(P<0.05)。结论 斜头与INFANIB异常有关,且斜头程度越重,婴幼儿的INFANIB评分结果越低,说明其运动发育水平也越落后,提示姿势性斜头应早发现、早随访、早干预;姿势性斜头可能是运动发育落后的高危信号。

关键词: 姿势性斜头, 婴儿神经国际评估量表, 运动发育