Hammond J, Jones V, Hill E L, Green D, Male I
Brighton & Sussex Medical School, University of Sussex, Brighton, East Sussex, UK.
Child Care Health Dev. 2014 Mar;40(2):165-75. doi: 10.1111/cch.12029. Epub 2013 Jan 30.
Children with Developmental Co-ordination Disorder (DCD) experience poor motor and psychosocial outcomes. Interventions are often limited within the healthcare system, and little is known about how technology might be used within schools or homes to promote the motor skills and/or psychosocial development of these children. This study aimed to evaluate whether short, regular school-based sessions of movement experience using a commercially available home video game console (Nintendo's Wii Fit) would lead to benefits in both motor and psychosocial domains in children with DCD.
A randomized crossover controlled trial of children with movement difficulties/DCD was conducted. Children were randomly assigned to an intervention (n = 10) or comparison (n = 8) group. The intervention group spent 10 min thrice weekly for 1 month using Wii Fit during the lunch break, while the comparison group took part in their regular Jump Ahead programme. Pre- and post-intervention assessments considered motor proficiency, self-perceived ability and satisfaction and parental assessment of emotional and behavioural problems.
Significant gains were seen in motor proficiency, the child's perception of his/her motor ability and reported emotional well-being for many, but not all children.
This study provides preliminary evidence to support the use of the Wii Fit within therapeutic programmes for children with movement difficulties. This simple, popular intervention represents a plausible method to support children's motor and psychosocial development. It is not possible from our data to say which children are most likely to benefit from such a programme and particularly what the dose and duration should be. Further research is required to inform across these and other questions regarding the implementation of virtual reality technologies in therapeutic services for children with movement difficulties.
患有发育性协调障碍（DCD）的儿童运动和心理社会发展结果较差。医疗系统内的干预措施往往有限，对于如何在学校或家庭中利用技术促进这些儿童的运动技能和/或心理社会发展知之甚少。本研究旨在评估使用市售家用视频游戏机（任天堂的Wii Fit）在学校定期进行简短的运动体验课程是否会给患有DCD的儿童在运动和心理社会领域带来益处。
对有运动困难/DCD的儿童进行了一项随机交叉对照试验。儿童被随机分为干预组（n = 10）或对照组（n = 8）。干预组在午餐休息时间每周三次、每次10分钟，持续1个月使用Wii Fit，而对照组参加他们常规的“Jump Ahead”项目。干预前后的评估考虑了运动能力、自我感知能力和满意度，以及家长对情绪和行为问题的评估。
许多但并非所有儿童在运动能力、对自身运动能力的感知以及报告的情绪幸福感方面都有显著提高。
本研究提供了初步证据，支持在针对有运动困难儿童的治疗项目中使用Wii Fit。这种简单且受欢迎的干预措施是支持儿童运动和心理社会发展的一种可行方法。从我们的数据中无法确定哪些儿童最有可能从这样的项目中受益，特别是剂量和持续时间应该是多少。需要进一步的研究来解答这些以及其他关于在针对有运动困难儿童的治疗服务中实施虚拟现实技术的问题。
