Centre for Allied Health Evidence, School of Health Sciences, University of South Australia, Adelaide, Australia.
Phys Occup Ther Pediatr. 2010 May;30(2):111-24. doi: 10.3109/01942630903543575.
Aquatic therapy is an intervention for children with Developmental Coordination Disorder (DCD) that has not been investigated formally. This was a pilot randomized controlled trial to investigate the feasibility and preliminary effectiveness of an aquatic therapy program to improve motor skills of children with DCD. Thirteen children (mean age 7 years 1 month; 10 males) with DCD were randomly allocated to receive either six sessions of aquatic therapy (once weekly session of 30 min for 6-8 weeks) or to a wait-list (control group). The intervention and measures were demonstrated to be feasible, but barriers, such as limited appointment times and accessibility, were encountered. Analysis of covariance indicated that at posttest, mean scores on the Movement Assessment Battery were higher for children who received aquatic therapy compared to those on the wait-list (p = .057). Similar trends were noted on the physical competence portion of the Pictorial Scale of Perceived Competence and Social Acceptance (p = .058). Participation levels, as measured by a parent questionnaire, showed improvement for both groups. Potential facilitators and barriers to implementation of an aquatic therapy for children with DCD are discussed.
水中运动疗法是一种针对发展性协调障碍（DCD）儿童的干预措施，尚未进行正式研究。本研究是一项初步的随机对照试验，旨在调查为期 6-8 周、每周 1 次、每次 30 分钟的水中运动疗法方案对 DCD 儿童运动技能的可行性和初步疗效。13 名 DCD 儿童（平均年龄 7 岁 1 个月；10 名男性）被随机分配接受水中运动疗法（n=6）或等待名单（对照组，n=7）。结果表明，干预措施和测量方法是可行的，但也存在一些障碍，例如预约时间有限和可达性受限。协方差分析显示，与等待名单组相比，接受水中运动疗法的儿童在运动评估测试中的平均得分更高（p=0.057）。在感知能力和社会接受程度的图片量表的身体能力部分也观察到类似的趋势（p=0.058）。通过家长问卷测量的参与水平，两组均有所提高。文中讨论了在 DCD 儿童中实施水中运动疗法的潜在促进因素和障碍。
