Niemeijer A S, Smits-Engelsman B C M, Schoemaker M M
Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, The Netherlands.
Dev Med Child Neurol. 2007 Jun;49(6):406-11. doi: 10.1111/j.1469-8749.2007.00406.x.
The aim of this study was to evaluate neuromotor task training (NTT), a recently developed child-centred and task-oriented treatment programme for children with developmental coordination disorder (DCD). A treatment and a non-treatment control group of children with DCD were included. Children were selected if they scored below the 15th centile on the Movement Assessment Battery for Children (MABC). The children in the treatment group were recently referred for physiotherapy (n=26; 20 males, 6 females; mean age 7y 2mo [SD 1y 3mo]). The parents of the non-treated children were concerned about their children's motor performance and responded to advertisements for free testing (n=13; 10 males, 3 females; mean age 7y 2mo [SD 2y 1mo]). Before and after nine weekly 30-minute sessions of NTT or at least 9 weeks of no intervention, the MABC and the Test of Gross Motor Development - 2 (TGMD-2) were administered. Therapists reported per session on treatment goals and tasks trained. The results indicate that motor performance does not improve spontaneously and that NTT is effective. During the intervention period, only the treated group improved on the MABC and the TGMD-2. Children improved most on tasks similar to those trained. In older children with poorer motor patterns, NTT's treatment success was higher. The Child Behavior Checklist subscales withdrawn, thought problems, anxious/depressed, and delinquency were determinants of effects on motor patterns.
本研究旨在评估神经运动任务训练（NTT），这是一种最近为发育性协调障碍（DCD）儿童开发的以儿童为中心、以任务为导向的治疗方案。研究纳入了一个DCD儿童治疗组和一个非治疗对照组。如果儿童在儿童运动评估量表（MABC）上的得分低于第15百分位，则被纳入研究。治疗组的儿童最近被转诊接受物理治疗（n = 26；20名男性，6名女性；平均年龄7岁2个月[标准差1岁3个月]）。未接受治疗儿童的父母担心孩子的运动表现，并回应了免费测试的广告（n = 13；10名男性，3名女性；平均年龄7岁2个月[标准差2岁1个月]）。在进行九次每周30分钟的NTT训练前后或至少9周无干预后，分别进行MABC和粗大运动发育测试第二版（TGMD - 2）。治疗师每次报告训练的治疗目标和任务。结果表明，运动表现不会自发改善，NTT是有效的。在干预期内，只有治疗组在MABC和TGMD - 2上有所改善。儿童在与训练任务相似的任务上改善最大。在运动模式较差的大龄儿童中，NTT的治疗成功率更高。儿童行为检查表的退缩、思维问题、焦虑/抑郁和违纪分量表是影响运动模式的决定因素。
