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四名患有发育性协调障碍儿童的运动和姿势反应概况

Motor and postural response profiles of four children with developmental coordination disorder.

作者信息

Inder Joanne M, Sullivan S John

机构信息

School of Physiotherapy, University of Otago, Dunedin, New Zealand.

出版信息

Pediatr Phys Ther. 2005 Spring;17(1):18-29. doi: 10.1097/01.pep.0000154184.06378.f0.

Abstract

PURPOSE

The purpose of this report is to present a descriptive profile of the postural responses and motor skill performance of four children with developmental coordination disorder (DCD).

METHODS

Four children with DCD, aged nine to 12 years participated. A profile of each child's case background, school performance, and motor skill performance was developed, in addition to the collection of data from three sessions of posturography trials on the computerized Sensory Organization Test (SOT).

RESULTS

All four children had a significant degree of impairment in balance responses and limitations in motor performance, with increased sway and frequency of falls in all sensory conditions on the SOT in comparison with peers. Mean equilibrium scores were between one and two standard deviations below peer averages, and sensory scores showed performance levels similar to those of younger age groups. There was a high level of variability associated with repeated SOTs.

CONCLUSIONS

The SOT data provide further insight into the underlying mechanisms that contribute to balance deficits experienced by children with DCD and suggest that assessment and therapeutic approaches take into account sensory deficits in postural control.

摘要

目的

本报告旨在呈现4名患有发育性协调障碍(DCD)儿童的姿势反应和运动技能表现的描述性概况。

方法

4名年龄在9至12岁的患有DCD的儿童参与了研究。除了从计算机化感觉统合测试(SOT)的三次姿势描记试验中收集数据外,还对每个儿童的病例背景、学校表现和运动技能表现进行了概况分析。

结果

所有4名儿童在平衡反应方面都有显著程度的损伤,运动表现存在局限性,与同龄人相比,在SOT的所有感觉条件下摇摆增加且跌倒频率更高。平均平衡分数比同龄人平均水平低1至2个标准差,感觉分数显示出与较年轻年龄组相似的表现水平。重复进行SOT时存在高度变异性。

结论

SOT数据为导致DCD儿童平衡缺陷的潜在机制提供了进一步的见解,并表明评估和治疗方法应考虑姿势控制中的感觉缺陷。

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