Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
J Rehabil Med. 2010 Feb;42(2):122-8. doi: 10.2340/16501977-0496.
To compare the effects of group-based and individual-based motor skill training on motor performance in children with developmental coordination disorder.
Randomized controlled pilot intervention study.
SUBJECTS/PATIENTS: Twenty-three children (4 girls) with developmental coordination disorder (mean age (standard deviation (SD)) 8 years (1 year and 2 months)).
Twelve children were randomly assigned to undergo a motor training programme once a week for 8 consecutive weeks in a group setting, and 11 children received the same training on an individual basis during the same period. Each child was also instructed to perform home exercises on a daily basis. The Movement Assessment Battery for Children (MABC) was used to assess motor ability. Home exercise compliance and parental satisfaction with the programmes were also evaluated.
A significant reduction in the MABC total impairment score was found following both group-based (mean -4.4 (SD 5.0), p = 0.003) and individual-based training (mean -5.2 (SD 5.1), p = 0.016). However, the change in total impairment score did not differ significantly between the 2 groups (p = 0.379). There was similarly no significant between-group difference in home exercise compliance (p = 0.288) and parental satisfaction (p = 0.379).
Group-based training produced similar gains in motor performance to individual-based training. Group-based training may be the preferred treatment option due to the associated cost savings.
比较基于小组和基于个体的运动技能训练对发育性协调障碍儿童运动表现的影响。
随机对照试验研究。
受试者/患者：23 名发育性协调障碍患儿（4 名女孩，平均年龄（标准差（SD））8 岁（1 年 2 个月））。
12 名儿童随机分配到每周一次的小组运动训练方案中，连续 8 周进行训练，11 名儿童在同一时期接受相同的个体训练。每个孩子还被要求每天进行家庭练习。使用儿童运动评估电池（MABC）评估运动能力。还评估了家庭练习的依从性和家长对方案的满意度。
基于小组的训练（平均-4.4（SD 5.0），p=0.003）和基于个体的训练（平均-5.2（SD 5.1），p=0.016）后，MABC 总损伤评分均显著降低。然而，两组之间的总损伤评分变化无显著差异（p=0.379）。家庭练习的依从性（p=0.288）和家长满意度（p=0.379）两组之间也没有显著差异。
基于小组的训练在运动表现方面取得了与基于个体的训练相似的效果。基于小组的训练可能是首选的治疗方案，因为它可以节省相关成本。
